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Goodwill and Identifiable Assets (Tables)

12 Months Ended

Dec. 31, 2013

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The changes in the carrying amount of goodwill for the years ended December 31, 2013 and 2012 are 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 (see Note 3)	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
Whitaker acquisition (see Note 3)	—				—				—				—				7,452				7,452
CyberCoders acquisition (see Note 3)	—				70,527				—				—				—				70,527
Divestiture - gross goodwill	—				—				—				(121,717		)		—				(121,717		)
Divestiture - accumulated impairment loss	—				—				—				121,717				—				121,717
Transfers	—				513				—				(513		)		—				—
Translation adjustment	—				—				811				—				—				811
Balance as of December 31, 2013
Gross goodwill	264,590				220,523				30,822				—				59,013				574,948
Accumulated impairment	—				—				—				—				—				—
	$	264,590			$	220,523			$	30,822			$	—			$	59,013			$	574,948

Schedule of Acquired Intangible Assets

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

				2013												2012
		Estimated Useful Life		Gross Carrying Amount				Accumulated Amortization				Net Carrying Amount				Gross Carrying Amount				Accumulated Amortization				Net Carrying Amount
Subject to amortization:
Customer relations		3 months – 10 years		$	110,007			$	41,564			$	68,443			$	103,285			$	23,338			$	79,947
Contractor relations		2 - 7 years		43,598				30,737				12,861				37,871				27,754				10,117
Non-compete agreements		2 - 7 years		3,863				1,424				2,439				2,986				1,062				1,924
In-use software		6 years		18,900				263				18,637				—				—				—
				176,368				73,988				102,380				144,142				52,154				91,988
Not subject to amortization:
Trademarks				186,075				—				186,075				171,852				—				171,852
Goodwill				574,948				—				574,948				496,158				—				496,158
Total				$	937,391			$	73,988			$	863,403			$	812,152			$	52,154			$	759,998

Schedule of Estimated Future Amortization Expense

Estimated amortization for the each of the next five fiscal years and thereafter follows (in thousands):

2014	$	24,509
2015	21,326
2016	17,721
2017	12,888
2018	10,307
Thereafter	15,629
	$	102,380

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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

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-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

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-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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