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Consolidated Statements of Operations (Unaudited) (USD $)
In Thousands, except Per Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
REVENUES:    
Product revenue, net $ 16,654us-gaap_SalesRevenueGoodsNet $ 21,722us-gaap_SalesRevenueGoodsNet
Service fee revenue 36,708us-gaap_SalesRevenueServicesNet 27,598us-gaap_SalesRevenueServicesNet
Pass-through revenue 10,484us-gaap_ReimbursementRevenue 7,909us-gaap_ReimbursementRevenue
Total revenues 63,846us-gaap_SalesRevenueNet 57,229us-gaap_SalesRevenueNet
COSTS OF REVENUES:    
Cost of product revenue 15,708us-gaap_CostOfGoodsSold 20,516us-gaap_CostOfGoodsSold
Cost of service fee revenue 25,155us-gaap_CostOfServices 19,220us-gaap_CostOfServices
Cost of pass-through revenue 10,484us-gaap_CostOfReimbursableExpense 7,909us-gaap_CostOfReimbursableExpense
Total costs of revenues 51,347us-gaap_CostOfGoodsAndServicesSold 47,645us-gaap_CostOfGoodsAndServicesSold
Gross profit 12,499us-gaap_GrossProfit 9,584us-gaap_GrossProfit
SELLING, GENERAL AND ADMINISTRATIVE EXPENSES, including stock based compensation expense of $804 and $794 in the three months ended March 31, 2015 and 2014, respectively. 13,614us-gaap_SellingGeneralAndAdministrativeExpense 11,022us-gaap_SellingGeneralAndAdministrativeExpense
Loss from operations (1,115)us-gaap_OperatingIncomeLoss (1,438)us-gaap_OperatingIncomeLoss
INTEREST EXPENSE, net 318us-gaap_InterestExpense 143us-gaap_InterestExpense
Loss from operations before income taxes (1,433)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments (1,581)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
INCOME TAX EXPENSE 260us-gaap_IncomeTaxExpenseBenefit 229us-gaap_IncomeTaxExpenseBenefit
NET LOSS (1,693)us-gaap_NetIncomeLoss (1,810)us-gaap_NetIncomeLoss
NET LOSS PER SHARE:    
Basic $ (0.10)us-gaap_EarningsPerShareBasic $ (0.11)us-gaap_EarningsPerShareBasic
Diluted $ (0.10)us-gaap_EarningsPerShareDiluted $ (0.11)us-gaap_EarningsPerShareDiluted
WEIGHTED AVERAGE NUMBER OF SHARES OUTSTANDING:    
Basic 17,144us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 16,522us-gaap_WeightedAverageNumberOfSharesOutstandingBasic
Diluted 17,144us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 16,522us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding
COMPREHENSIVE LOSS:    
Net loss (1,693)us-gaap_NetIncomeLoss (1,810)us-gaap_NetIncomeLoss
Foreign currency translation adjustment (906)us-gaap_OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax (58)us-gaap_OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax
TOTAL COMPREHENSIVE LOSS $ (2,599)us-gaap_ComprehensiveIncomeNetOfTax $ (1,868)us-gaap_ComprehensiveIncomeNetOfTax