Goodwill and Identifiable Assets (Tables)

9 Months Ended

Sep. 30, 2012

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The changes in the carrying amount of goodwill for the year ended December 31, 2011 and the nine months endedSeptember 30, 2012 were as follows (in thousands):

	Apex		Oxford		Life Sciences			Healthcare			Physician			Total
Balance as of December 31, 2010
Gross goodwill	$	—	$	149,483	$	12,561		$	122,230		$	37,163		$	321,437
Accumulated impairment loss	—		—		—			(121,717		)	—			(121,717		)
	—		149,483		12,561			513			37,163			199,720
Valesta acquisition (see Note 3)	—		—		16,097			—			—			16,097
HCP acquisition (see Note 3)	—		—		—			—			14,407			14,407
Translation adjustment	—		—		(990		)	—			—			(990		)
Balance as of December 31, 2011
Gross goodwill	—		149,483		27,668			122,230			51,570			350,951
Accumulated impairment loss	—		—		—			(121,717		)	—			(121,717		)
	—		149,483		27,668			513			51,570			229,234
Apex acquisition (see Note 3)	266,716		—		—			—			—			266,716
Acquisition accounting	—		—		991			—			(9		)	982
Translation adjustment	—		—		81			—			—			81
Balance as of September 30, 2012
Gross goodwill	266,716		149,483		28,740			122,230			51,561			618,730
Accumulated impairment loss	—		—		—			(121,717		)	—			(121,717		)
	$	266,716	$	149,483	$	28,740		$	513		$	51,561		$	497,013

Schedule of Acquired Intangible Assets

As of September 30, 2012 and December 31, 2011, the Company had the following acquired intangible assets (in thousands):

		September 30, 2012						December 31, 2011
	Estimated Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Intangible assets subject to amortization:
Customer relations	3 months – 10 years	$	103,223	$	12,316	$	90,907	$	11,077	$	7,891	$	3,186
Contractor relations	2 - 7 years	37,864		27,023		10,841		27,276		25,599		1,677
Non-compete agreements	2 - 7 years	2,975		924		2,051		899		604		295
		144,062		40,263		103,799		39,252		34,094		5,158
Intangible assets not subject to amortization:
Trademarks		171,786		—		171,786		25,048		—		25,048
Goodwill		497,013		—		497,013		229,234		—		229,234
Total		$	812,861	$	40,263	$	772,598	$	293,534	$	34,094	$	259,440

Schedule of Estimated Future Amortization Expense

Estimated amortization for the remainder of this fiscal year, each of the next four fiscal years and thereafter follows (in thousands):

2012	$	3,466
2013	13,081
2014	12,095
2015	11,846
2016	11,812
Thereafter	51,499
	$	103,799