Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Balance Sheet (USD $) In Thousands, unless otherwise specified	Sep. 30, 2012		Dec. 31, 2011		Sep. 30, 2011	Dec. 31, 2010
Current assets:
Cash and cash equivalents	$ 6,406		$ 8,416		$ 29,869	$ 33,624
Accounts receivable, net	171,097		144,041
Other receivables	62		40
Prepaid expenses	5,012		4,487
Deferred tax assets			1,640
Other current assets	1,226		1,173
Total current assets	183,803		159,797
Property, equipment and leasehold improvements, net	10,549		8,918
Goodwill	352,026		300,260			90,582
Intangible assets, net	160,505		146,168
Deferred tax assets, noncurrent	11,607
Deferred financing costs, net	10,771		11,458
Other assets	1,102		438
Total assets	730,363		627,039
Current liabilities:
Deferred tax liability	358
Current portion of working capital facilities	6,292
Current liabilities:
Accounts payable	45,295		42,642
Accrued expenses	46,187		28,410
Accrued interest expense	5,133		10,247
Deferred revenue	3,369		1,332
Current portion of subordinated unsecured notes payable	1,251		1,932
Current portion of contingent earnout obligation	83		91
Other current liabilities	6,005		5,459
Total current liabilities	113,973		90,113
Senior unsecured notes payable	250,000	[1]	250,000	[1]
Senior revolving credit facility and working capital facilities	123,825		44,063
Long-term subordinated unsecured notes payable, less current portion	528		717
Long-term contingent earnout obligation, less current portion	528		86
Deferred tax liability, noncurrent			2,159
Other long-term liabilities	1,810		1,977
Total liabilities	490,136		389,115
Stockholders’ equity (deficit)	240,227	[2]	237,924	[2]
Total liabilities and stockholders' equity (deficit)	730,363		627,039
Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	3,207		6,044
Accounts receivable, net	45,742		44,690
Other receivables	32		26
Prepaid expenses	2,078		2,694
Deferred tax assets			1,373
Other current assets	13		14
Total current assets	51,072		54,841
Property, equipment and leasehold improvements, net	8,580		7,745
Goodwill	242,027		240,252
Intangible assets, net	62,494		84,833
Deferred tax assets, noncurrent	7,167
Other assets	493		438
Total assets	371,833		388,109
Current liabilities:
Deferred tax liability	335
Current liabilities:
Accounts payable	11,567		16,728
Accrued expenses	10,414		4,272
Deferred revenue	166		192
Current portion of subordinated unsecured notes payable	1,251		1,932
Current portion of contingent earnout obligation	83		91
Other current liabilities	2,498		2,925
Total current liabilities	26,314		26,140
Long-term subordinated unsecured notes payable, less current portion			717
Long-term contingent earnout obligation, less current portion	528		86
Deferred tax liability, noncurrent			4,072
Other long-term liabilities	1,386		1,691
Total liabilities	28,228		32,706
Stockholders’ equity (deficit)	343,605	[2]	355,403	[2]
Total liabilities and stockholders' equity (deficit)	371,833		388,109
Non-Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	3,199		2,372
Accounts receivable, net	125,355		99,351
Other receivables	30		14
Prepaid expenses	2,934		1,793
Deferred tax assets			267
Other current assets	1,213		1,159
Total current assets	132,731		104,956
Property, equipment and leasehold improvements, net	1,969		1,173
Goodwill	109,999		60,008
Intangible assets, net	98,011		61,335
Deferred tax assets, noncurrent	4,440		1,913
Other assets	609
Total assets	347,759		229,385
Current liabilities:
Deferred tax liability	23
Current portion of working capital facilities	6,292
Current liabilities:
Accounts payable	33,728		25,914
Accrued expenses	35,773		24,138
Deferred revenue	3,203		1,140
Other current liabilities	3,507		2,534
Total current liabilities	82,526		53,726
Senior revolving credit facility and working capital facilities	28,920		39,063
Other long-term liabilities	424		286
Total liabilities	111,870		93,075
Stockholders’ equity (deficit)	235,889	[2]	136,310	[2]
Total liabilities and stockholders' equity (deficit)	347,759		229,385
Parent Company [Member]
Current assets:
Deferred financing costs, net	10,771		11,458
Total assets	10,771		11,458
Current liabilities:
Accrued interest expense	5,133		10,247
Total current liabilities	5,133		10,247
Senior unsecured notes payable	250,000		250,000
Senior revolving credit facility and working capital facilities	94,905		5,000
Total liabilities	350,038		265,247
Stockholders’ equity (deficit)	(339,267)	[2]	(253,789)	[2]
Total liabilities and stockholders' equity (deficit)	10,771		11,458
Consolidation, Eliminations [Member]
Current assets:
Deferred tax assets, noncurrent			(1,913)
Total assets			(1,913)
Current liabilities:
Deferred tax liability, noncurrent			(1,913)
Total liabilities			(1,913)
Stockholders’ equity (deficit)		[2]		[2]
Total liabilities and stockholders' equity (deficit)			$ (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 "Initial Notes"). The Initial Notes were issued at a price of 100% of their principal amount. A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under theCompany's Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder was used for general corporate purposes, including acquisitions. In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% senior notes due 2019 (the "Exchange Notes," and together with the Initial Notes, the "Senior Unsecured Notes") registered with the SEC with substantially identical terms to the Initial Notes. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks' existing and future U.S. subsidiaries (the "Guarantors").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.

[2] Includes intercompany investments in subsidiaries