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Business Segments (Tables)
12 Months Ended
Dec. 31, 2013
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The following table represents revenues, gross profit, operating income, amortization and total assets by reportable segment (in thousands):

 
Year ended December 31, 2013
 
Apex
 
Oxford
 
Life Sciences
 
Physician
 
Corporate
 
Total
Revenues
$
942,463

 
$
412,189

 
$
171,518

 
$
105,827

 
$

 
$
1,631,997

Gross Profit
258,150

 
143,334

 
56,308

 
30,614

 

 
488,406

Operating income
76,971

 
58,990

 
28,354

 
8,852

 
(49,199
)
 
123,968

Amortization
19,524

 
965

 
429

 
742

 
91

 
21,751

Total assets (1)
656,733

 
365,118

 
128,824

 
110,519

 

 
1,261,194


 
Year ended December 31, 2012
 
Apex
 
Oxford
 
Life Sciences
 
Physician
 
Corporate
 
Total
Revenues
$
508,743

 
$
363,765

 
$
162,799

 
$
102,679

 
$

 
$
1,137,986

Gross Profit
140,669

 
127,895

 
55,874

 
31,455

 

 
355,893

Operating income
36,416

 
56,289

 
25,632

 
9,998

 
(47,154
)
 
81,181

Amortization
15,665

 
437

 
807

 
817

 
290

 
18,016

Total assets (1)
642,594

 
235,099

 
150,696

(2) 
86,074

 

 
1,114,463

 
Year ended December 31, 2011
 
Apex

 
Oxford

 
Life Sciences

 
Physician

 
Corporate
 
Total
Revenues
$

 
$
279,643

 
$
155,324

 
$
80,617

 
$

 
$
515,584

Gross Profit

 
99,187

 
52,643

 
25,858

 

 
177,688

Operating income

 
37,676

 
24,883

 
6,699

 
(30,625
)
 
38,633

Amortization

 
821

 
901

 
415

 
209

 
2,346

Total assets (1)

 
221,690

 
119,563

(2) 
86,014

 

 
427,267

______
 
 
 
 
 
 
 
 
 
 
 
(1) As of end of the year.
(2) Life Sciences total assets as of December 31, 2012 and 2011 include assets related to the Healthcare segment, which were sold and included in discontinued operations in 2013. Historically, the Company has not reported Life Science and Healthcare segments' total assets separately as the operations were largely centralized.
Schedule of Revenue by Geographical Areas The Company operates internationally, with operations in the United States, Europe, Canada, China, Australia, and New Zealand. The following table represents revenues by geographic location (in thousands):  Year Ended December 31,  2013 2012 2011Revenues:      Domestic $1,552,322 $1,060,217 $447,453Foreign 79,675 77,769 68,131  $1,631,997 $1,137,986 $515,584
Long Lived Assets By Geographic Location Domestic And Foreign
The following table represents long-lived assets by geographic location (in thousands):
 
 
December 31,
 
 
2013
 
2012
 
2011
Long-lived Assets:
 
 
 
 
 
 
Domestic
 
$
45,061

 
$
40,062

 
$
19,078

Foreign
 
2,856

 
2,006

 
1,033

 
 
$
47,917

 
$
42,068

 
$
20,111