Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Balance Sheet (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012		Dec. 31, 2011		Mar. 31, 2011	Dec. 31, 2010
Current assets:
Cash and cash equivalents	$ 8,466		$ 8,416		$ 15,381	$ 33,624
Accounts receivable, net	149,760		144,041
Other receivables	65		40
Prepaid expenses	4,951		4,487
Deferred tax assets	1,509		1,640
Other current assets	1,212		1,173
Total current assets	165,963		159,797
Property, equipment and leasehold improvements, net	9,833		8,918
Goodwill	303,019		300,260			90,582
Intangible assets, net	135,216		146,168
Deferred tax assets, noncurrent	988
Deferred financing costs, net	11,343		11,458
Other assets	432		438
Total assets	626,794		627,039
Current liabilities:
Accounts payable	43,115		42,642
Accrued expenses	37,293		28,410
Accrued interest expense	4,819		10,247
Deferred revenue	1,920		1,332
Current portion of subordinated unsecured notes payable	1,629		1,932
Current portion of contingent earnout obligation	91		91
Other current liabilities	5,082		5,459
Total current liabilities	93,949		90,113
Senior unsecured notes payable	250,000	[1]	250,000	[1]
Senior revolving credit facility and working capital facilities	41,557		44,063
Long-term subordinated unsecured notes payable, less current portion	513		717
Long-term contingent earnout obligation, less current portion	86		86
Deferred tax liability, noncurrent			2,159
Other long-term liabilities	1,863		1,977
Total liabilities	387,968		389,115
Stockholders’ equity (1)	238,826		237,924
Total liabilities and stockholders' equity	626,794		627,039
Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	5,690		6,044
Accounts receivable, net	43,586		44,690
Other receivables	65		26
Prepaid expenses	2,278		2,694
Deferred tax assets	1,509		1,373
Other current assets	13		14
Total current assets	53,141		54,841
Property, equipment and leasehold improvements, net	8,629		7,745
Goodwill	242,111		240,252
Intangible assets, net	77,174		84,833
Other assets	432		438
Total assets	381,487		388,109
Current liabilities:
Accounts payable	15,117		16,728
Accrued expenses	9,300		4,272
Deferred revenue	174		192
Current portion of subordinated unsecured notes payable	1,629		1,932
Current portion of contingent earnout obligation	91		91
Other current liabilities	2,378		2,925
Total current liabilities	28,689		26,140
Long-term subordinated unsecured notes payable, less current portion	513		717
Long-term contingent earnout obligation, less current portion	86		86
Deferred tax liability, noncurrent	1,881		4,072
Other long-term liabilities	1,527		1,691
Total liabilities	32,696		32,706
Stockholders’ equity (1)	348,791		355,403
Total liabilities and stockholders' equity	381,487		388,109
Non-Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	2,776		2,372
Accounts receivable, net	106,174		99,351
Other receivables			14
Prepaid expenses	2,673		1,793
Deferred tax assets			267
Other current assets	1,199		1,159
Total current assets	112,822		104,956
Property, equipment and leasehold improvements, net	1,204		1,173
Goodwill	60,908		60,008
Intangible assets, net	58,042		61,335
Deferred tax assets, noncurrent	2,869		1,913
Total assets	235,845		229,385
Current liabilities:
Accounts payable	27,998		25,914
Accrued expenses	27,993		24,138
Accrued interest expense	4,502		3,236
Deferred revenue	1,746		1,140
Other current liabilities	2,704		2,534
Total current liabilities	64,943		56,962
Senior revolving credit facility and working capital facilities	36,557		39,063
Other long-term liabilities	336		286
Total liabilities	101,836		96,311
Stockholders’ equity (1)	134,009		133,074
Total liabilities and stockholders' equity	235,845		229,385
Parent Company [Member]
Current assets:
Deferred financing costs, net	11,343		11,458
Total assets	11,343		11,458
Current liabilities:
Accrued interest expense	317		7,011
Total current liabilities	317		7,011
Senior unsecured notes payable	250,000		250,000
Senior revolving credit facility and working capital facilities	5,000		5,000
Total liabilities	255,317		262,011
Stockholders’ equity (1)	(243,974)		(250,553)
Total liabilities and stockholders' equity	11,343		11,458
Consolidation, Eliminations [Member]
Current assets:
Deferred tax assets, noncurrent	(1,881)		(1,913)
Total assets	(1,881)		(1,913)
Current liabilities:
Deferred tax liability, noncurrent	(1,881)		(1,913)
Total liabilities	(1,881)		(1,913)
Total liabilities and stockholders' equity	$ (1,881)		$ (1,913)

[1] On July 19, 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the "Senior Unsecured Notes"). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks' existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under the Company's Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions. The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the "Indenture"), among the Company, the Guarantors and U.S. Bank, National Association, as trustee (the "Trustee"). The Senior Unsecured Notes are the Company's general senior unsecured obligations, and rank equally with the Company's existing and future senior unsecured obligations and senior to all of the Company's further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012. At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest. The Indenture includes covenants which, subject to certain exceptions, limit the ability of the Company and its restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of the Company or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), the Company may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.In connection with the issuance of the Senior Unsecured Notes, the Company and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the "Registration Rights Agreement"). The Registration Rights Agreement requires the Company to register with the Securities and Exchange Commission ("SEC") new 9.0% Senior Unsecured Notes due 2019 (the "Exchange Notes") having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the "Exchange Offer") or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes. Failure of the Company to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require the Company to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured. The Company filed a Registration Statement on Form S-4 (the "Registration Statement") with the SEC on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012. The Company expects to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.