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Quarterly Financial Data (Unaudited) (Tables)
 12 Months Ended
Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]  
Quarterly Financial Data
 
First
Quarter
 
Second
Quarter
 
Third
Quarter
 
Fourth
Quarter
2015
(amounts in thousands, except per share data)
Revenue from services
$
185,964

 
$
192,617

 
$
195,692

 
$
193,148

 
 
 
 
 
 
 
 
Gross profit
47,037

 
48,363

 
51,486

 
50,479

 
 
 
 
 
 
 
 
Consolidated net income (loss)
3,050

 
2,680

 
5,151

 
(5,927
)
 
 
 
 
 
 
 
 
Net income (loss) attributable to common shareholders
2,934

 
2,573

 
5,009

 
(6,098
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Basic
$
0.09

 
$
0.08

 
$
0.16

 
$
(0.19
)
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common shareholders - Diluted
$
0.05

 
$
0.08

 
$
0.16

 
$
(0.19
)
 
 
First
Quarter
 
Second
Quarter
 
Third
Quarter
 
Fourth
Quarter
2014
(amounts in thousands, except per share data)
Revenue from services
$
118,091

 
$
122,656

 
$
188,944

 
$
188,134

 
 
 
 
 
 
 
 
Gross profit
30,450

 
32,436

 
47,277

 
47,641

 
 
 
 
 
 
 
 
Consolidated net loss
(782
)
 
(3,181
)
 
(7,484
)
 
(20,087
)
 
 
 
 
 
 
 
 
Net loss attributable to common shareholders
(782
)
 
(3,181
)
 
(7,602
)
 
(20,218
)
 
 
 
 
 
 
 
 
Net loss per share attributable to common shareholders - Basic and Diluted
$
(0.03
)
 
$
(0.10
)
 
$
(0.24
)
 
$
(0.65
)
________________

The following items impact the comparability and presentation of our consolidated data:

•
The Company recorded changes in the fair value of convertible notes derivative liability, recording a gain in the first and second quarters of 2015 of $2.1 million and $0.4 million, respectively, a loss in the third and fourth quarters of 2015 of $2.9 million and $9.5 million, respectively, and a loss in the third and fourth quarters of 2014 of $7.3 million and $9.4 million, respectively. See Note 9 - Convertible Notes Derivative Liability.
•
During the fourth quarter of 2015 and 2014, the Company recorded a trade name impairment charge of $2.1 million and $10.0 million, respectively. See Note 5 - Goodwill, Trade Names, and Other Identifiable Intangible Assets.
•
On August 31, 2015, the Company completed the sale of its education seminars business, CCE. Since the disposal did not represent a strategic shift that will have a major effect on the Company's operations and financial results, it was not reflected as discontinued operations. The transaction resulted in a pre tax loss of $2.2 million, and an after tax gain on the sale of CCE of $1.3 million. See Note 4 - Disposals and Discontinued Operations.
•
On October 30, 2015, the Company acquired all of the membership interests of Mediscan. The acquisition has been accounted for in accordance with FASB ASC 805, Business Combinations, using the acquisition method. The results of the acquisition's operations have been included in the consolidated statements of operations from its date of acquisition. See Note 3 - Acquisitions.
•
On June 30, 2014, the Company acquired substantially all of the assets and certain liabilities of Medical Staffing Network Healthcare, LLC. The acquisition has been accounted for in accordance with FASB ASC 805, Business Combinations, using the acquisition method. The results of the acquisition's operations have been included in the consolidated statements of operations from July 1, 2014 due to their immaterial impact on June 30, 2014, the date of the acquisition. See Note 3 - Acquisitions.