Quarterly report pursuant to Section 13 or 15(d)

Subsequent Events (Details)

v2.4.0.8
Subsequent Events (Details)
In Thousands, except Share data, unless otherwise specified
1 Months Ended 1 Months Ended 1 Months Ended
Jan. 31, 2014
USD ($)
Jun. 30, 2014
USD ($)
Jul. 31, 2014
Ribera Salud [Member]
Subsequent Event [Member]
USD ($)
Jul. 31, 2014
Ribera Salud [Member]
Subsequent Event [Member]
EUR (€)
Jul. 31, 2014
Community Health Solutions [Member]
Subsequent Event [Member]
USD ($)
Subsequent Event [Line Items]          
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Low         $ 110,000
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High         140,000
Business Combination, Consideration Transferred 213,664       72,100
Payments to Acquire Businesses, Gross 80,978       14,100
Common stock issued for acquisition 132,686       58,000
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares         746,369
Payments to Acquire Interest in Joint Venture     16,000    
Equity Method Investment, Ownership Percentage     50.00%    
Letters of Credit Outstanding, Amount   $ 30,649 $ 65,000 € 48,000