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Goodwill and Identifiable Assets (Tables)
3 Months Ended
Mar. 31, 2013
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The changes in the carrying amount of goodwill for the year ended December 31, 2012 and the three months ended March 31, 2013 were as follows (in thousands):
 
Apex
 
Oxford
 
Life Sciences
 
Healthcare
 
Physician
 
Total
Balance as of December 31, 2011
 
 
 
 
 
 
 
 
 
 
 
Gross goodwill
$

 
$
149,483

 
$
27,668

 
$
122,230

 
$
51,570

 
$
350,951

Accumulated impairment loss

 

 

 
(121,717
)
 

 
(121,717
)
 

 
149,483

 
27,668

 
513

 
51,570

 
229,234

Apex acquisition
266,788

 

 

 

 

 
266,788

Acquisition accounting

 

 
1,814

 

 
(9
)
 
1,805

Translation adjustment

 

 
529

 

 

 
529

Balance as of December 31, 2012
 
 
 
 
 
 
 
 
 
 
 
Gross goodwill
266,788

 
149,483

 
30,011

 
122,230

 
51,561

 
620,073

Accumulated impairment loss

 

 

 
(121,717
)
 

 
(121,717
)
 
266,788

 
149,483

 
30,011

 
513

 
51,561

 
498,356

Divestiture - gross goodwill

 

 

 
(121,717
)
 

 
(121,717
)
Divestiture - accumulated impairment loss

 

 

 
121,717

 

 
121,717

Translation adjustment

 

 
(776
)
 

 

 
(776
)
Balance as of March 31, 2013
 
 
 
 
 
 
 
 
 
 
 
Gross goodwill
266,788

 
149,483

 
29,235

 
513

 
51,561

 
497,580

Accumulated impairment loss

 

 

 

 

 

 
$
266,788

 
$
149,483

 
$
29,235

 
$
513

 
$
51,561

 
$
497,580

Schedule of Acquired Intangible Assets
As of March 31, 2013 and December 31, 2012, the Company had the following acquired intangible assets (in thousands):
 
 
 
 
March 31, 2013
 
December 31, 2012
 
Estimated Useful Life
 
Gross Carrying Amount
 
Accumulated Amortization
 
Net Carrying Amount
 
Gross Carrying Amount
 
Accumulated Amortization
 
Net Carrying Amount
Intangible assets subject to amortization:
 
 
 
 
 
 
 
 
 
 
 
 
 
Customer relations
3 months – 10 years
 
$
103,223

 
$
27,819

 
$
75,404

 
$
103,285

 
$
23,338

 
$
79,947

Contractor relations
2 - 7 years
 
37,848

 
28,466

 
9,382

 
37,871

 
27,754

 
10,117

Non-compete agreements
2 - 7 years
 
2,972

 
1,183

 
1,789

 
2,986

 
1,062

 
1,924

 
 
 
144,043

 
57,468

 
86,575

 
144,142

 
52,154

 
91,988

Intangible assets not subject to amortization:
 
 
 
 
 
 
 
 
 
 
 
 
 
Trademarks
 
 
171,749

 

 
171,749

 
171,852

 

 
171,852

Goodwill
 
 
497,580

 

 
497,580

 
498,356

 

 
498,356

Total
 
 
$
813,372

 
$
57,468

 
$
755,904

 
$
814,350

 
$
52,154

 
$
762,196

Schedule of Estimated Future Amortization Expense
Estimated amortization for the remainder of this fiscal year, each of the next four fiscal years and thereafter follows (in thousands):
 
2013
$
15,588

2014
16,817

2015
14,300

2016
12,365

2017
8,993

Thereafter
18,512

 
$
86,575