Goodwill and Other Intangible Assets (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Goodwill [Roll Forward]
Goodwill, beginning balance	$ 24,500
Additions to goodwill	121
Translation differences	309
Goodwill, ending balance	24,930	24,500
Accumulated impairment loss	0
Schedule of definite-lived intangible assets [Abstract]
Gross Amount	12,116	12,000
Translation differences	73	116
Gross Amount	12,189	12,116	12,000
Accumulated Amortization	(2,488)	(1,262)
Net Book Value	9,701	10,854
Amortization expense	1,200	1,212	50
Estimated amortization expense for amortizable intangible assets [Abstract]
2014	1,200
2015	1,200
2016	1,200
2017	1,200
2018	1,200
Thereafter	3,701
Net Book Value	9,701	10,854
Trademarks [Member]
Schedule of definite-lived intangible assets [Abstract]
Gross Amount	5,744	5,700
Translation differences	28	44
Gross Amount	5,772	5,744
Accumulated Amortization	(1,178)	(598)
Net Book Value	4,594	5,146
Estimated amortization expense for amortizable intangible assets [Abstract]
Net Book Value	4,594	5,146
Customer Relationships [Member]
Schedule of definite-lived intangible assets [Abstract]
Gross Amount	6,372	6,300
Translation differences	45	72
Gross Amount	6,417	6,372
Accumulated Amortization	(1,310)	(664)
Net Book Value	5,107	5,708
Estimated amortization expense for amortizable intangible assets [Abstract]
Net Book Value	5,107	5,708
Radiancy, Inc. [Member]
Goodwill [Line Items]
Definite-lived intangible assets recorded as a part of purchase price allocation	12,000
Consumer Segment [Member]
Goodwill [Roll Forward]
Goodwill, ending balance	20,850
Physician Recurring Segment [Member]
Goodwill [Roll Forward]
Goodwill, ending balance	$ 4,080