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Goodwill and Identifiable Assets (Goodwill) (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Goodwill [Roll Forward]      
Gross goodwill $ 575,225 $ 574,948 $ 617,875
Accumulated impairment loss 0 0 (121,717)
Goodwill 575,225 574,948 496,158
Goodwill, Written off Related to Sale of Business Unit   (121,717)  
Write-off of accum impairment loss related to sale of business unit   121,717  
Translation adjustment 20 811  
Apex
     
Goodwill [Roll Forward]      
Gross goodwill 289,712 289,712 289,712
Accumulated impairment loss 0 0 0
Goodwill 289,712 289,712 289,712
Translation adjustment 0 0  
Oxford
     
Goodwill [Roll Forward]      
Gross goodwill 221,916 221,659 150,619
Accumulated impairment loss 0 0 0
Goodwill 221,916 221,659 150,619
Goodwill, Other Changes   513  
Translation adjustment 0 0  
Physician
     
Goodwill [Roll Forward]      
Gross goodwill 59,013 59,013 51,561
Accumulated impairment loss 0 0 0
Goodwill 59,013 59,013 51,561
Translation adjustment 0 0  
Life Sciences Europe
     
Goodwill [Roll Forward]      
Gross goodwill 4,584 4,564 3,753
Accumulated impairment loss 0 0 0
Goodwill 4,584 4,564 3,753
Translation adjustment 20 811  
Healthcare Segment
     
Goodwill [Roll Forward]      
Gross goodwill 0 0 122,230
Accumulated impairment loss 0 0 (121,717)
Goodwill 0 0 513
Goodwill, Written off Related to Sale of Business Unit   (121,717)  
Write-off of accum impairment loss related to sale of business unit   121,717  
Goodwill, Other Changes   (513)  
Translation adjustment 0 0  
CyberCoders [Member]
     
Goodwill [Roll Forward]      
Acquisition   70,527  
Goodwill, Purchase Accounting Adjustments 257    
CyberCoders [Member] | Oxford
     
Goodwill [Roll Forward]      
Acquisition   70,527  
Goodwill, Purchase Accounting Adjustments 257    
Whitaker [Member]
     
Goodwill [Roll Forward]      
Acquisition   7,452  
Whitaker [Member] | Physician
     
Goodwill [Roll Forward]      
Acquisition   $ 7,452