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Goodwill and Identifiable Assets (Tables)

9 Months Ended

Sep. 30, 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 nine months ended September 30, 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	264,590				—				—				—				—				264,590
Acquisition accounting	—				—				1,814				—				(9		)		1,805
Translation adjustment	—				—				529				—				—				529
Balance as of December 31, 2012
Gross goodwill	264,590				149,483				30,011				122,230				51,561				617,875
Accumulated impairment loss	—				—				—				(121,717		)		—				(121,717		)
	264,590				149,483				30,011				513				51,561				496,158
Divestiture - gross goodwill	—				—				—				(121,717		)		—				(121,717		)
Divestiture - accumulated impairment loss	—				—				—				121,717				—				121,717
Translation adjustment	—				—				395				—				—				395
Balance as of September 30, 2013
Gross goodwill	264,590				149,483				30,406				513				51,561				496,553
Accumulated impairment loss	—				—				—				—				—				—
	$	264,590			$	149,483			$	30,406			$	513			$	51,561			$	496,553

Schedule of Acquired Intangible Assets

As of September 30, 2013 and December 31, 2012, the Company had the following acquired intangible assets (in thousands):

			September 30, 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		$	103,323			$	36,865			$	66,458			$	103,285			$	23,338			$	79,947
Contractor relations	2 - 7 years		37,884				29,858				8,026				37,871				27,754				10,117
Non-compete agreements	2 - 7 years		2,995				1,326				1,669				2,986				1,062				1,924
			144,202				68,049				76,153				144,142				52,154				91,988
Intangible assets not subject to amortization:
Trademarks			171,916				—				171,916				171,852				—				171,852
Goodwill			496,553				—				496,553				496,158				—				496,158
Total			$	812,671			$	68,049			$	744,622			$	812,152			$	52,154			$	759,998

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	$	5,143
2014	16,822
2015	14,304
2016	12,368
2017	8,996
Thereafter	18,520
	$	76,153

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+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 20

-Section 50

-Paragraph 2

-URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13854-109267



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 20

-Section 50

-Paragraph 1

-URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267



Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 45

-Subparagraph e

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



Reference 4: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 45

-Subparagraph c

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



Reference 5: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 47

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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