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Stock incentive plan and share-based compensation (Details Textual)
In Thousands, except Share data, unless otherwise specified
12 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended
Dec. 31, 2012
USD ($)
Dec. 31, 2011
USD ($)
Dec. 26, 2012
Mar. 26, 2012
GBP (£)
Mar. 21, 2012
USD ($)
Dec. 31, 2012
Noncontrolling Interest [Member]
USD ($)
Dec. 31, 2011
Noncontrolling Interest [Member]
USD ($)
Aug. 09, 2012
Each Current Independent Director Of Board [Member]
Aug. 09, 2012
Officers and Certain Employees [Member]
Nov. 19, 2012
Director [Member]
Nov. 19, 2012
Officer [Member]
Aug. 31, 2012
Restricted Stock [Member]
Dec. 31, 2012
Restricted Stock [Member]
USD ($)
Dec. 31, 2011
Restricted Stock [Member]
USD ($)
Dec. 31, 2012
Former Director [Member]
USD ($)
Dec. 31, 2011
Former Director [Member]
USD ($)
Aug. 10, 2012
Former Director [Member]
Dec. 31, 2012
Medicsights [Member]
USD ($)
Mar. 31, 2012
Medicsights [Member]
Mar. 26, 2012
Medicsights [Member]
GBP (£)
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Outstanding Options, Weighted Average Remaining Contractual Term 7 years                                      
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Exercisable Options, Weighted Average Remaining Contractual Term 5 years                                      
Stock-based compensation expense $ 753 $ 247       $ 15 $ 113           $ 536 $ 0 $ 185 $ 0   $ 32    
Closing Stock Price Description The stock was valued at $185, using the closing market price on the date of grant.                                      
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized 415,000                                      
Percentage Of Stockholder Incentive Stock Option Granted On Date Of Grant 10.00%                                      
Share Based Compensation Arrangement By Share Based Payment Restricted Shares Issued 232,000             21,000 190,000               33,000      
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized $ 1,534                                      
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term 1 year 1 month 6 days                                      
Stockholders' Equity, Reverse Stock Split                                   1 for 25 1-for-325,000  
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross                       6,000                
Restricted Stock Shares Granted     10,000             30,000 114,000                  
Restricted Stock Shares Issued     10,000                                  
Common stock, par value (in dollars per share) $ 0.001 $ 0.001   £ 16,250.000 $ 0.001                             £ 0.05
Number Of Shares Cancelled Result Of Reverse Stock Split       325,000                                
Share Based Compensation Arrangement By Share Based Payment Award Warrants Exercisable 4,038,753