10-Q Filing

AMN HEALTHCARE SERVICES INC CIK: 1142750 Q3 2015

Filing Information

Form Type	10-Q
Accession Number	`0001142750-15-000011`
Period End Date	20150930
Filing Date	20151106
Fiscal Year	2015
Fiscal Period	Q3
XBRL Instance	ahs-20150930.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 90 Income Statement 76 Cash Flow Statement 121 Comprehensive Income 3

Balance Sheet 90 line items

Line Item	Tag	Value	Unit	Period
Accounts receivable, allowance	`AllowanceForDoubtfulAccountsReceivableCurrent`	$7.46M	USD	Point-in-time
Accounts receivable, allowance	`AllowanceForDoubtfulAccountsReceivableCurrent`	$4.51M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$68.81M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$74.46M	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$41.96M	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$50.73M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$14.41M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$9.66M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$15.58M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Accounts receivable, net of allowances of $7,460 and $4,515 at September 30, 2015 and December 31, 2014, respectively	`AccountsReceivableNetCurrent`	$186.27M	USD	Point-in-time
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Accounts receivable, net of allowances of $7,460 and $4,515 at September 30, 2015 and December 31, 2014, respectively	`AccountsReceivableNetCurrent`	$248.78M	USD	Point-in-time
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Preferred stock, shares authorized	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Accounts receivable, subcontractor	`Accountsreceivablesubcontractor`	$49.52M	USD	Point-in-time
Accounts receivable, subcontractor	`Accountsreceivablesubcontractor`	$28.44M	USD	Point-in-time
Preferred stock, shares authorized	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Deferred income taxes, net	`DeferredTaxAssetsNetCurrent`	$18.38M	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Deferred income taxes, net	`DeferredTaxAssetsNetCurrent`	$27.33M	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$12.82M	USD	Point-in-time
Preferred stock, shares outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$10.35M	USD	Point-in-time
Preferred stock, shares outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$17.20M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$25.08M	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	200.00M	shares	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	200.00M	shares	Point-in-time
Total current assets	`AssetsCurrent`	$282.67M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$368.98M	USD	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	47.69M	shares	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	46.64M	shares	Point-in-time
Restricted cash, cash equivalents and investments	`RestrictedCashAndCashEquivalentsNoncurrent`	$25.43M	USD	Point-in-time
Restricted cash, cash equivalents and investments	`RestrictedCashAndCashEquivalentsNoncurrent`	$19.57M	USD	Point-in-time
Fixed assets, net of accumulated depreciation of $74,460 and $68,814 at September 30, 2015 and December 31, 2014, respectively	`PropertyPlantAndEquipmentNet`	$32.88M	USD	Point-in-time
Fixed assets, net of accumulated depreciation of $74,460 and $68,814 at September 30, 2015 and December 31, 2014, respectively	`PropertyPlantAndEquipmentNet`	$45.41M	USD	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	46.64M	shares	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	47.69M	shares	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$39.90M	USD	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$46.63M	USD	Point-in-time
Goodwill	`Goodwill`	$201.44M	USD	Point-in-time
Goodwill	`Goodwill`	$154.39M	USD	Point-in-time
Intangible assets, net of accumulated amortization of $50,725 and $41,963 at September 30, 2015 and December 31, 2014, respectively	`IntangibleAssetsNetExcludingGoodwill`	$152.52M	USD	Point-in-time
Intangible assets, net of accumulated amortization of $50,725 and $41,963 at September 30, 2015 and December 31, 2014, respectively	`IntangibleAssetsNetExcludingGoodwill`	$177.35M	USD	Point-in-time
Total assets	`Assets`	$865.24M	USD	Point-in-time
Total assets	`Assets`	$681.92M	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableCurrent`	$113.15M	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableCurrent`	$78.99M	USD	Point-in-time
Accrued compensation and benefits	`EmployeeRelatedLiabilitiesCurrent`	$68.00M	USD	Point-in-time
Accrued compensation and benefits	`EmployeeRelatedLiabilitiesCurrent`	$88.49M	USD	Point-in-time
Current portion of revolving credit facility	`LinesOfCreditCurrent`	$30.00M	USD	Point-in-time
Current portion of revolving credit facility	`LinesOfCreditCurrent`	$18.00M	USD	Point-in-time
Current portion of notes payable	`NotesPayableCurrent`	$7.50M	USD	Point-in-time
Current portion of notes payable	`NotesPayableCurrent`	$7.50M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$4.94M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$3.18M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$6.03M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$2.63M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$178.29M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$250.11M	USD	Point-in-time
Revolving credit facility	`LongTermLineOfCredit`	-	USD	Point-in-time
Revolving credit facility	`LongTermLineOfCredit`	$45.50M	USD	Point-in-time
Notes payable	`LongTermNotesPayable`	$131.25M	USD	Point-in-time
Notes payable	`LongTermNotesPayable`	$136.88M	USD	Point-in-time
Deferred income taxes, net	`DeferredTaxLiabilitiesNoncurrent`	$32.49M	USD	Point-in-time
Deferred income taxes, net	`DeferredTaxLiabilitiesNoncurrent`	$39.00M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$77.67M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$75.41M	USD	Point-in-time
Total liabilities	`Liabilities`	$425.33M	USD	Point-in-time
Total liabilities	`Liabilities`	$541.27M	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies	`CommitmentsAndContingencies`	-	USD	Point-in-time
Preferred stock, $0.01 par value; 10,000 shares authorized; none issued and outstanding at September 30, 2015 and December 31, 2014	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.01 par value; 10,000 shares authorized; none issued and outstanding at September 30, 2015 and December 31, 2014	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.01 par value; 200,000 shares authorized; 47,694 and 46,639 shares issued and outstanding at September 30, 2015 and December 31, 2014, respectively	`CommonStockValue`	$477.00K	USD	Point-in-time
Common stock, $0.01 par value; 200,000 shares authorized; 47,694 and 46,639 shares issued and outstanding at September 30, 2015 and December 31, 2014, respectively	`CommonStockValue`	$466.00K	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$440.46M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$434.53M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-116.33M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-178.06M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-645.00K	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-356.00K	USD	Point-in-time
Total stockholders equity	`StockholdersEquity`	$323.96M	USD	Point-in-time
Total stockholders equity	`StockholdersEquity`	$256.58M	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$681.92M	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$865.24M	USD	Point-in-time

Income Statement 76 line items

Line Item	Tag	Value	Unit	Period
Revenue	`Revenues`	$264.58M	USD	1 Quarter
Revenue	`Revenues`	$382.86M	USD	1 Quarter
Revenue	`Revenues`	$1.06B	USD	3 Qtrs
Revenue	`Revenues`	$756.38M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$184.28M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$722.95M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$256.85M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$524.96M	USD	3 Qtrs
Gross profit	`GrossProfit`	$80.31M	USD	1 Quarter
Gross profit	`GrossProfit`	$126.01M	USD	1 Quarter
Gross profit	`GrossProfit`	$337.56M	USD	3 Qtrs
Gross profit	`GrossProfit`	$231.42M	USD	3 Qtrs
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$83.10M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$60.32M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$170.55M	USD	3 Qtrs
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$229.38M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$11.92M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$4.09M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$15.63M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$5.30M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$182.47M	USD	3 Qtrs
Total operating expenses	`OperatingExpenses`	$88.40M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$64.41M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$245.01M	USD	3 Qtrs
Income from operations	`OperatingIncomeLoss`	$92.55M	USD	3 Qtrs
Income from operations	`OperatingIncomeLoss`	$37.61M	USD	1 Quarter
Income from operations	`OperatingIncomeLoss`	$48.95M	USD	3 Qtrs
Income from operations	`OperatingIncomeLoss`	$15.90M	USD	1 Quarter
Interest expense, net (including loss on debt extinguishment of $3,113 for the nine months ended September 30, 2014), and other	`InterestExpense`	$7.91M	USD	3 Qtrs
Interest expense, net (including loss on debt extinguishment of $3,113 for the nine months ended September 30, 2014), and other	`InterestExpense`	$5.80M	USD	3 Qtrs
Interest expense, net (including loss on debt extinguishment of $3,113 for the nine months ended September 30, 2014), and other	`InterestExpense`	$1.43M	USD	1 Quarter
Interest expense, net (including loss on debt extinguishment of $3,113 for the nine months ended September 30, 2014), and other	`InterestExpense`	$2.01M	USD	1 Quarter
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$86.75M	USD	3 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$35.59M	USD	1 Quarter
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$41.04M	USD	3 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$14.47M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$1.95M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$17.72M	USD	3 Qtrs
Income tax expense	`IncomeTaxExpenseBenefit`	$25.03M	USD	3 Qtrs
Income tax expense	`IncomeTaxExpenseBenefit`	$5.97M	USD	1 Quarter
Net income	`NetIncomeLoss`	$23.32M	USD	3 Qtrs
Net income	`NetIncomeLoss`	$33.65M	USD	1 Quarter
Net income	`NetIncomeLoss`	$8.50M	USD	1 Quarter
Net income	`NetIncomeLoss`	$61.73M	USD	3 Qtrs
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$75.00K	USD	1 Quarter
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$54.00K	USD	1 Quarter
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$29.00K	USD	3 Qtrs
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$42.00K	USD	3 Qtrs
Unrealized loss on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-331.00K	USD	3 Qtrs
Unrealized loss on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	-	USD	3 Qtrs
Unrealized loss on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-367.00K	USD	1 Quarter
Unrealized loss on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	-	USD	1 Quarter
Other comprehensive income (loss):	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$75.00K	USD	1 Quarter
Other comprehensive income (loss):	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-289.00K	USD	3 Qtrs
Other comprehensive income (loss):	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$29.00K	USD	3 Qtrs
Other comprehensive income (loss):	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-313.00K	USD	1 Quarter
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$8.57M	USD	1 Quarter
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$23.35M	USD	3 Qtrs
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$33.33M	USD	1 Quarter
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$61.44M	USD	3 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.50	USD	3 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$1.30	USD	3 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.71	USD	1 Quarter
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.18	USD	1 Quarter
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.49	USD	3 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$1.27	USD	3 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.18	USD	1 Quarter
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.69	USD	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	46.55M	shares	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	46.46M	shares	3 Qtrs
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.47M	shares	3 Qtrs
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.67M	shares	1 Quarter
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.74M	shares	3 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.12M	shares	1 Quarter
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	47.96M	shares	3 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.98M	shares	1 Quarter

Cash Flow Statement 121 line items

Line Item	Tag	Value	Unit	Period
Interest capitalized	`InterestPaidCapitalized`	$173.00K	USD	3 Qtrs
Interest capitalized	`InterestPaidCapitalized`	$83.00K	USD	3 Qtrs
Net income	`NetIncomeLoss`	$23.32M	USD	3 Qtrs
Net income	`NetIncomeLoss`	$33.65M	USD	1 Quarter
Net income	`NetIncomeLoss`	$8.50M	USD	1 Quarter
Net income	`NetIncomeLoss`	$61.73M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$11.92M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$4.09M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$15.63M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$5.30M	USD	1 Quarter
Non-cash interest expense and other	`OtherNoncashExpense`	$1.45M	USD	3 Qtrs
Non-cash interest expense and other	`OtherNoncashExpense`	$1.10M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-3.11M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs
Change in fair value of contingent consideration	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	-	USD	3 Qtrs
Change in fair value of contingent consideration	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$-300.00K	USD	3 Qtrs
Increase in allowances for doubtful accounts and sales credits	`ProvisionForDoubtfulAccounts`	$2.92M	USD	3 Qtrs
Increase in allowances for doubtful accounts and sales credits	`ProvisionForDoubtfulAccounts`	$5.32M	USD	3 Qtrs
Provision for deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$1.77M	USD	3 Qtrs
Provision for deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$17.68M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$6.55M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$5.36M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$2.02M	USD	1 Quarter
Share-based compensation	`ShareBasedCompensation`	$1.79M	USD	1 Quarter
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationOperatingActivities`	$7.27M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationOperatingActivities`	$1.78M	USD	3 Qtrs
Loss on disposal or sale of fixed assets	`GainLossOnDispositionOfAssets`	$-50.00K	USD	3 Qtrs
Loss on disposal or sale of fixed assets	`GainLossOnDispositionOfAssets`	$-3.00K	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$19.52M	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$46.73M	USD	3 Qtrs
Accounts receivable, subcontractor	`IncreaseDecreaseinAccountsReceivablessubcontractor`	$3.30M	USD	3 Qtrs
Accounts receivable, subcontractor	`IncreaseDecreaseinAccountsReceivablessubcontractor`	$21.08M	USD	3 Qtrs
Income taxes receivable	`IncreaseDecreaseInIncomeTaxesReceivable`	$-1.01M	USD	3 Qtrs
Income taxes receivable	`IncreaseDecreaseInIncomeTaxesReceivable`	$-484.00K	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$2.21M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$1.94M	USD	3 Qtrs
Other current assets	`IncreaseDecreaseInOtherCurrentAssets`	$733.00K	USD	3 Qtrs
Other current assets	`IncreaseDecreaseInOtherCurrentAssets`	$6.11M	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$188.00K	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$3.45M	USD	3 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$25.81M	USD	3 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-4.30M	USD	3 Qtrs
Accrued compensation and benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$8.62M	USD	3 Qtrs
Accrued compensation and benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$16.71M	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$-4.37M	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$4.66M	USD	3 Qtrs
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$-37.00K	USD	3 Qtrs
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$1.14M	USD	3 Qtrs
Restricted cash, cash equivalents and investments balance	`IncreaseDecreaseInRestrictedCashForOperatingActivities`	$9.04M	USD	3 Qtrs
Restricted cash, cash equivalents and investments balance	`IncreaseDecreaseInRestrictedCashForOperatingActivities`	$5.86M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$55.64M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$22.49M	USD	3 Qtrs
Purchase and development of fixed assets	`PaymentsToAcquirePropertyPlantAndEquipment`	$21.12M	USD	3 Qtrs
Purchase and development of fixed assets	`PaymentsToAcquirePropertyPlantAndEquipment`	$14.29M	USD	3 Qtrs
Equity method investment in Pipeline Health Holdings LLC	`PaymentsToAcquireEquityMethodInvestments`	$1.00M	USD	3 Qtrs
Equity method investment in Pipeline Health Holdings LLC	`PaymentsToAcquireEquityMethodInvestments`	$5.00M	USD	3 Qtrs
Payments to fund deferred compensation plan	`PaymentsToAcquireLifeInsurancePolicies`	$2.25M	USD	3 Qtrs
Payments to fund deferred compensation plan	`PaymentsToAcquireLifeInsurancePolicies`	$2.17M	USD	3 Qtrs
Cash paid for acquisitions, net of cash received	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$81.10M	USD	3 Qtrs
Cash paid for acquisitions, net of cash received	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	3 Qtrs
Cash paid for working capital adjustments for prior year acquisition	`PaymentsForPreviousAcquisition`	$165.00K	USD	3 Qtrs
Cash paid for working capital adjustments for prior year acquisition	`PaymentsForPreviousAcquisition`	-	USD	3 Qtrs
Change in restricted cash, cash equivalents and investments balance	`IncreaseDecreaseInRestrictedCash`	$-11.14M	USD	3 Qtrs
Change in restricted cash, cash equivalents and investments balance	`IncreaseDecreaseInRestrictedCash`	-	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-105.63M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-10.32M	USD	3 Qtrs
Capital lease repayments	`RepaymentsOfLongTermCapitalLeaseObligations`	$4.00K	USD	3 Qtrs
Capital lease repayments	`RepaymentsOfLongTermCapitalLeaseObligations`	$472.00K	USD	3 Qtrs
Payments on term loan	`RepaymentsOfSecuredDebt`	$153.37M	USD	3 Qtrs
Payments on term loan	`RepaymentsOfSecuredDebt`	$5.62M	USD	3 Qtrs
Proceeds from term loan	`ProceedsFromIssuanceOfSecuredDebt`	$150.00M	USD	3 Qtrs
Proceeds from term loan	`ProceedsFromIssuanceOfSecuredDebt`	-	USD	3 Qtrs
Payments on revolving credit facility	`RepaymentsOfLinesOfCredit`	$27.00M	USD	3 Qtrs
Payments on revolving credit facility	`RepaymentsOfLinesOfCredit`	$39.50M	USD	3 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLinesOfCredit`	$29.50M	USD	3 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLinesOfCredit`	$84.50M	USD	3 Qtrs
Payment of financing costs	`PaymentsOfFinancingCosts`	-	USD	3 Qtrs
Payment of financing costs	`PaymentsOfFinancingCosts`	$3.49M	USD	3 Qtrs
Proceeds from exercise of equity awards	`ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions`	$1.79M	USD	3 Qtrs
Proceeds from exercise of equity awards	`ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions`	$3.66M	USD	3 Qtrs
Cash paid for shares withheld for taxes	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$11.51M	USD	3 Qtrs
Cash paid for shares withheld for taxes	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$4.36M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationFinancingActivities`	$7.27M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationFinancingActivities`	$1.78M	USD	3 Qtrs
Net cash provided by (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-18.12M	USD	3 Qtrs
Net cash provided by (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$51.29M	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashAndCashEquivalents`	$29.00K	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashAndCashEquivalents`	$42.00K	USD	3 Qtrs
Net increase (decrease) in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$1.33M	USD	3 Qtrs
Net increase (decrease) in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$-5.92M	USD	3 Qtrs
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$14.41M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$9.66M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$15.58M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$14.41M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$9.66M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$15.58M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Cash paid for interest (net of $173 and $83 capitalized for the nine months ended September 30, 2015 and 2014, respectively)	`InterestPaidNet`	$4.33M	USD	3 Qtrs
Cash paid for interest (net of $173 and $83 capitalized for the nine months ended September 30, 2015 and 2014, respectively)	`InterestPaidNet`	$3.69M	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$12.73M	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$20.66M	USD	3 Qtrs
Fair value of tangible assets acquired in acquisitions, net of cash received	`FairValueOfAssetsAcquired`	$26.34M	USD	3 Qtrs
Fair value of tangible assets acquired in acquisitions, net of cash received	`FairValueOfAssetsAcquired`	-	USD	3 Qtrs
Goodwill	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesGoodwill`	-	USD	3 Qtrs
Goodwill	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesGoodwill`	$46.89M	USD	3 Qtrs
Intangible assets	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesIntangibleAssets`	-	USD	3 Qtrs
Intangible assets	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesIntangibleAssets`	$33.59M	USD	3 Qtrs
Liabilities assumed	`LiabilitiesAssumed1`	$22.53M	USD	3 Qtrs
Liabilities assumed	`LiabilitiesAssumed1`	-	USD	3 Qtrs
Holdback provision	`NoncashOrPartNoncashAcquisitionHoldbackProvision`	-	USD	3 Qtrs
Holdback provision	`NoncashOrPartNoncashAcquisitionHoldbackProvision`	$500.00K	USD	3 Qtrs
Earn-out liabilities	`NoncashOrPartNoncashAcquisitionEarnOutLiability`	$2.70M	USD	3 Qtrs
Earn-out liabilities	`NoncashOrPartNoncashAcquisitionEarnOutLiability`	-	USD	3 Qtrs
Net cash paid for acquisitions	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$81.10M	USD	3 Qtrs
Net cash paid for acquisitions	`PaymentsToAcquireBusinessesNetOfCashAcquired`	-	USD	3 Qtrs
Purchase of fixed assets recorded in accounts payable and accrued expenses	`Purchaseoffixedassetsrecordedinaccountspayableandaccruedexpenses`	$3.75M	USD	3 Qtrs
Purchase of fixed assets recorded in accounts payable and accrued expenses	`Purchaseoffixedassetsrecordedinaccountspayableandaccruedexpenses`	$2.21M	USD	3 Qtrs
Convertible loan converted to equity method investment in Pipeline Health Holdings LLC	`DebtConversionConvertedInstrumentAmount1`	-	USD	3 Qtrs
Convertible loan converted to equity method investment in Pipeline Health Holdings LLC	`DebtConversionConvertedInstrumentAmount1`	$1.00M	USD	3 Qtrs

Comprehensive Income 3 line items

Line Item	Tag	Value	Unit	Period
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	1 Quarter
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	$-3.11M	USD	3 Qtrs
Loss on debt extinguishment	`GainsLossesOnExtinguishmentOfDebt`	-	USD	3 Qtrs

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.