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Summary of Significant Accounting Policies (Details Textual) (USD $)
Share data in Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Jun. 30, 2012
Dec. 31, 2013
province
State
Hospital
Dec. 31, 2012
Dec. 31, 2011
Property, Plant and Equipment [Line Items]          
Depreciation, Depletion and Amortization     $ 77,409,000 $ 76,227,000 $ 56,988,000
Depreciation expense adjustment   3,100,000   3,100,000  
Valuation Allowances and Reserves, Balance 16,546,000   17,702,000 16,546,000 14,978,000
Unrecognized Tax Benefit     We did not have any unrecognized tax benefits    
Summary of Significant Accounting Policies (Textual) [Abstract]          
Number of animal hospitals where management services are provided     176    
Number of states in which management services are provided to animal hospitals     15    
Maturity period of cash equivalents    
less than 90 days
   
Goodwill impairment 123,600,000     99,501,000 21,310,000
Likelihood of benefit amount being realized upon settlement in order to be recognized as a tax benefit     greater than 50%    
Accumulated amortization of deferred financing cost 1,300,000   1,200,000 1,300,000  
Total marketing and advertising expense included in direct costs     25,400,000 25,300,000 25,200,000
Total marketing and advertising expenses included in selling, general and administrative expense     5,900,000 7,600,000 3,200,000
Accrued warranty costs 70,000   73,000 70,000  
Common shares excluded from the computation of diluted earnings per share     0 1.0 1.2
Recognition of previously deferred revenue resulting from error correction         4,000,000
Recognition of previously deferred costs in Medical Technology segment resulting from error correction         3,800,000
Minimum [Member]
         
Property, Plant and Equipment [Line Items]          
note receivable interest rate     2.60%    
Maximum [Member]
         
Property, Plant and Equipment [Line Items]          
note receivable interest rate     8.00%    
Assets Held under Capital Leases [Member]
         
Property, Plant and Equipment [Line Items]          
Depreciation, Depletion and Amortization     56,500,000 53,500,000 43,600,000
Notes Receivable [Member]
         
Property, Plant and Equipment [Line Items]          
Valuation Allowances and Reserves, Balance     $ 0