Segment Reporting (Tables)

9 Months Ended

Sep. 30, 2012

Schedule of Segment Reporting Information, by Segment

The following table presents revenues, gross profit and operating income by reportable segment (in thousands):



	Three Months Ended					Nine Months Ended
	September 30,					September 30,
	2012		2011			2012		2011
Revenues:
Apex	$	202,664	$	—		$	301,167	$	—
Oxford	88,104		70,074			254,970		195,512
Life Sciences	40,646		41,820			122,506		114,403
Healthcare	29,390		27,091			82,796		68,671
Physician	27,479		23,385			76,607		56,905
	$	388,283	$	162,370		$	838,046	$	435,491
Gross Profit:
Apex	$	56,934	$	—		$	83,917	$	—
Oxford	31,250		25,113			90,266		69,483
Life Sciences	14,002		14,163			41,649		39,025
Healthcare	8,483		7,458			23,622		19,242
Physician	8,370		7,794			23,587		18,726
	$	119,039	$	54,528		$	263,041	$	146,476
Operating Income:
Apex (1)	$	16,563	$	—		$	14,594	$	—
Oxford	13,251		9,038			36,007		23,014
Life Sciences	3,020		3,026			8,291		7,378
Healthcare	455		(522		)	936		(3,423		)
Physician	3,207		2,194			6,269		3,961
	$	36,496	$	13,736		$	66,097	$	30,930
_____

(1) Apex operating income includes acquisition related costs of $0.7 million and $9.4 million for the three and nine months ended September 30, 2012,

respectively.

Schedule of Revenue by Geographical Areas

The Company operates internationally, with operations mainly in the United States, Europe, Canada, Australia and New Zealand. The following table presents revenues by geographic location (in thousands):



	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2012		2011		2012		2011
Revenues:
Domestic	$	368,603	$	144,756	$	780,062	$	385,046
Foreign	19,680		17,614		57,984		50,445
	$	388,283	$	162,370	$	838,046	$	435,491

Reconciliation of Assets from Segment to Consolidated

The Company does not report Life Sciences and Healthcare segments’ total assets separately as the field operations are largely combined. The following table presents total assets as allocated by reportable segment (in thousands):



	September 30, 2012		December 31, 2011
Total Assets:
Apex	$	659,150	$	—
Oxford	228,555		218,810
Life Sciences and Healthcare	130,061		107,915
Physician	81,169		83,940
	$	1,098,935	$	410,665

- Definition

Tabular disclosure of information concerning material long-lived assets (excluding financial instruments, customer relationships with financial institutions, mortgage and other servicing rights, deferred policy acquisition costs, and deferred taxes assets) located in identified geographic areas and/or the amount of revenue from external customers attributed to that country from which revenue is material. An entity may also provide subtotals of geographic information about groups of countries.

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- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

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