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CONSOLIDATED BALANCE SHEETS (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
CURRENT ASSETS:    
Cash and cash equivalents $ 6,886us-gaap_CashAndCashEquivalentsAtCarryingValue $ 12,246us-gaap_CashAndCashEquivalentsAtCarryingValue
Accounts receivable - net 74,894us-gaap_AccountsReceivableNetCurrent 59,902us-gaap_AccountsReceivableNetCurrent
Prepaid expenses and other current assets 10,420us-gaap_PrepaidExpenseAndOtherAssetsCurrent 9,854us-gaap_PrepaidExpenseAndOtherAssetsCurrent
Deferred tax assets 12,230us-gaap_DeferredTaxAssetsNetCurrent 12,224us-gaap_DeferredTaxAssetsNetCurrent
TOTAL CURRENT ASSETS 104,430us-gaap_AssetsCurrent 94,226us-gaap_AssetsCurrent
PROPERTY AND EQUIPMENT - NET 5,575us-gaap_PropertyPlantAndEquipmentNet 8,120us-gaap_PropertyPlantAndEquipmentNet
GOODWILL 192,523us-gaap_Goodwill 192,489us-gaap_Goodwill
OTHER INTANGIBLE ASSETS 54,402us-gaap_IntangibleAssetsNetExcludingGoodwill 53,174us-gaap_IntangibleAssetsNetExcludingGoodwill
OTHER ASSETS 558us-gaap_OtherAssetsNoncurrent 775us-gaap_OtherAssetsNoncurrent
TOTAL ASSETS 357,488us-gaap_Assets 348,784us-gaap_Assets
CURRENT LIABILITIES:    
Accounts payable 9,257us-gaap_AccountsPayableCurrent 12,057us-gaap_AccountsPayableCurrent
Accrued other liabilities 42,326us-gaap_AccruedLiabilitiesCurrent 42,496us-gaap_AccruedLiabilitiesCurrent
Current portion - notes payable and capital leases 51us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent 702us-gaap_LongTermDebtAndCapitalLeaseObligationsCurrent
TOTAL CURRENT LIABILITIES 51,634us-gaap_LiabilitiesCurrent 55,255us-gaap_LiabilitiesCurrent
LONG-TERM LIABILITIES:    
Revolving credit facility 46,447us-gaap_LongTermLineOfCredit 56,000us-gaap_LongTermLineOfCredit
Deferred tax liabilities 23,510us-gaap_DeferredTaxLiabilitiesNoncurrent 18,004us-gaap_DeferredTaxLiabilitiesNoncurrent
Other liabilities 2,705us-gaap_OtherLiabilitiesNoncurrent 1,815us-gaap_OtherLiabilitiesNoncurrent
TOTAL LONG-TERM LIABILITIES 72,662us-gaap_LiabilitiesNoncurrent 75,819us-gaap_LiabilitiesNoncurrent
TOTAL LIABILITIES 124,296us-gaap_Liabilities 131,074us-gaap_Liabilities
Redeemable Noncontrolling Interest, Carrying Amount    
NONCONTROLLING INTEREST - REDEEMABLE - HEALTHCARE INNOVATIONS 3,639us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount 3,639us-gaap_RedeemableNoncontrollingInterestEquityCarryingAmount
STOCKHOLDERS' EQUITY:    
Preferred stock, par value $0.05; authorized 2,000 shares; none issued or outstanding      
Common stock, par value $0.10; authorized 25,000; 9,574 and 9,500 issued and outstanding 957us-gaap_CommonStockValue 950us-gaap_CommonStockValue
Treasury stock, at cost, 94 and 92 shares (2,392)us-gaap_TreasuryStockValue (2,340)us-gaap_TreasuryStockValue
Additional paid-in capital 105,862us-gaap_AdditionalPaidInCapitalCommonStock 103,858us-gaap_AdditionalPaidInCapitalCommonStock
Noncontrolling interest - nonredeemable (420)us-gaap_NonredeemableNoncontrollingInterest (186)us-gaap_NonredeemableNoncontrollingInterest
Retained earnings 125,546us-gaap_RetainedEarningsAccumulatedDeficit 111,789us-gaap_RetainedEarningsAccumulatedDeficit
TOTAL STOCKHOLDERS' EQUITY 229,553us-gaap_StockholdersEquity 214,071us-gaap_StockholdersEquity
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 357,488us-gaap_LiabilitiesAndStockholdersEquity $ 348,784us-gaap_LiabilitiesAndStockholdersEquity