10-Q Filing

AMN HEALTHCARE SERVICES INC CIK: 1142750 Q2 2016

Filing Information

Form Type	10-Q
Accession Number	`0001142750-16-000021`
Period End Date	20160630
Filing Date	20160805
Fiscal Year	2016
Fiscal Period	Q2
XBRL Instance	ahs-20160630.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 88 Income Statement 76 Cash Flow Statement 116

Balance Sheet 88 line items

Line Item	Tag	Value	Unit	Period
Accounts receivable, allowance	`AllowanceForDoubtfulAccountsReceivableCurrent`	$7.69M	USD	Point-in-time
Accounts receivable, allowance	`AllowanceForDoubtfulAccountsReceivableCurrent`	$8.25M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$81.94M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$76.68M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$9.58M	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$53.75M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$14.47M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$62.59M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$21.06M	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 $8,254 and $7,691 at June 30, 2016 and December 31, 2015, respectively	`AccountsReceivableNetCurrent`	$330.85M	USD	Point-in-time
Accounts receivable, net of allowances of $8,254 and $7,691 at June 30, 2016 and December 31, 2015, respectively	`AccountsReceivableNetCurrent`	$278.00M	USD	Point-in-time
Preferred stock, par value (in dollars per share)	`PreferredStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Accounts receivable, subcontractor	`Accountsreceivablesubcontractor`	$50.81M	USD	Point-in-time
Preferred stock, shares authorized	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Preferred stock, shares authorized	`PreferredStockSharesAuthorized`	10.00M	shares	Point-in-time
Accounts receivable, subcontractor	`Accountsreceivablesubcontractor`	$46.33M	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$13.53M	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$15.75M	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$23.72M	USD	Point-in-time
Preferred stock, shares outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred stock, shares outstanding	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$28.59M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$375.63M	USD	Point-in-time
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.01	USD	Point-in-time
Total current assets	`AssetsCurrent`	$442.57M	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
Restricted cash and cash equivalents	`RestrictedCashAndCashEquivalentsNoncurrent`	$28.49M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	200.00M	shares	Point-in-time
Restricted cash and cash equivalents	`RestrictedCashAndCashEquivalentsNoncurrent`	$27.35M	USD	Point-in-time
Fixed assets, net of accumulated depreciation of $81,938 and $76,680 at June 30, 2016 and December 31, 2015, respectively	`PropertyPlantAndEquipmentNet`	$50.13M	USD	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	47.71M	shares	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	48.05M	shares	Point-in-time
Fixed assets, net of accumulated depreciation of $81,938 and $76,680 at June 30, 2016 and December 31, 2015, respectively	`PropertyPlantAndEquipmentNet`	$56.58M	USD	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	47.71M	shares	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$54.76M	USD	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$47.57M	USD	Point-in-time
Common stock, shares outstanding	`CommonStockSharesOutstanding`	48.05M	shares	Point-in-time
Goodwill	`Goodwill`	$342.83M	USD	Point-in-time
Goodwill	`Goodwill`	$204.78M	USD	Point-in-time
Intangible assets, net of accumulated amortization of $62,588 and $53,747 at June 30, 2016 and December 31, 2015, respectively	`IntangibleAssetsNetExcludingGoodwill`	$174.97M	USD	Point-in-time
Intangible assets, net of accumulated amortization of $62,588 and $53,747 at June 30, 2016 and December 31, 2015, respectively	`IntangibleAssetsNetExcludingGoodwill`	$255.21M	USD	Point-in-time
Total assets	`Assets`	$880.43M	USD	Point-in-time
Total assets	`Assets`	$1.18B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableCurrent`	$118.82M	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableCurrent`	$131.97M	USD	Point-in-time
Accrued compensation and benefits	`EmployeeRelatedLiabilitiesCurrent`	$102.52M	USD	Point-in-time
Accrued compensation and benefits	`EmployeeRelatedLiabilitiesCurrent`	$83.70M	USD	Point-in-time
Current portion of revolving credit facility	`LinesOfCreditCurrent`	$40.00M	USD	Point-in-time
Current portion of revolving credit facility	`LinesOfCreditCurrent`	$30.00M	USD	Point-in-time
Current portion of notes payable	`NotesPayableCurrent`	$7.50M	USD	Point-in-time
Current portion of notes payable	`NotesPayableCurrent`	$11.25M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$5.62M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$6.14M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$5.37M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$9.73M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$251.02M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$301.60M	USD	Point-in-time
Revolving credit facility	`LongTermLineOfCredit`	$166.50M	USD	Point-in-time
Revolving credit facility	`LongTermLineOfCredit`	$52.50M	USD	Point-in-time
Notes payable, less unamortized fees	`LongTermNotesPayable`	$128.49M	USD	Point-in-time
Notes payable, less unamortized fees	`LongTermNotesPayable`	$194.02M	USD	Point-in-time
Deferred income taxes, net	`DeferredTaxLiabilitiesNoncurrent`	$22.43M	USD	Point-in-time
Deferred income taxes, net	`DeferredTaxLiabilitiesNoncurrent`	$30.92M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$84.50M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$78.13M	USD	Point-in-time
Total liabilities	`Liabilities`	$777.54M	USD	Point-in-time
Total liabilities	`Liabilities`	$532.57M	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 June 30, 2016 and December 31, 2015	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, $0.01 par value; 10,000 shares authorized; none issued and outstanding at June 30, 2016 and December 31, 2015	`PreferredStockValue`	-	USD	Point-in-time
Common stock, $0.01 par value; 200,000 shares authorized; 48,049 and 47,709 shares issued and outstanding at June 30, 2016 and December 31, 2015, respectively	`CommonStockValue`	$477.00K	USD	Point-in-time
Common stock, $0.01 par value; 200,000 shares authorized; 48,049 and 47,709 shares issued and outstanding at June 30, 2016 and December 31, 2015, respectively	`CommonStockValue`	$480.00K	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$447.03M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$443.73M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-43.98M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-96.17M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-183.00K	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-633.00K	USD	Point-in-time
Total stockholders equity	`StockholdersEquity`	$402.90M	USD	Point-in-time
Total stockholders equity	`StockholdersEquity`	$347.86M	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$880.43M	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$1.18B	USD	Point-in-time

Income Statement 76 line items

Line Item	Tag	Value	Unit	Period
Revenue	`Revenues`	$350.14M	USD	1 Quarter
Revenue	`Revenues`	$941.73M	USD	2 Qtrs
Revenue	`Revenues`	$473.73M	USD	1 Quarter
Revenue	`Revenues`	$677.65M	USD	2 Qtrs
Cost of revenue	`CostOfRevenue`	$240.03M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$466.10M	USD	2 Qtrs
Cost of revenue	`CostOfRevenue`	$318.98M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$635.08M	USD	2 Qtrs
Gross profit	`GrossProfit`	$154.75M	USD	1 Quarter
Gross profit	`GrossProfit`	$211.55M	USD	2 Qtrs
Gross profit	`GrossProfit`	$306.65M	USD	2 Qtrs
Gross profit	`GrossProfit`	$110.12M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$99.54M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$197.36M	USD	2 Qtrs
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$74.73M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$146.28M	USD	2 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$10.33M	USD	2 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$14.10M	USD	2 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$5.23M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$7.33M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$211.46M	USD	2 Qtrs
Total operating expenses	`OperatingExpenses`	$79.96M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$156.61M	USD	2 Qtrs
Total operating expenses	`OperatingExpenses`	$106.88M	USD	1 Quarter
Income from operations	`OperatingIncomeLoss`	$30.16M	USD	1 Quarter
Income from operations	`OperatingIncomeLoss`	$95.19M	USD	2 Qtrs
Income from operations	`OperatingIncomeLoss`	$47.88M	USD	1 Quarter
Income from operations	`OperatingIncomeLoss`	$54.94M	USD	2 Qtrs
Interest expense, net, and other	`InterestExpense`	$2.80M	USD	1 Quarter
Interest expense, net, and other	`InterestExpense`	$1.98M	USD	1 Quarter
Interest expense, net, and other	`InterestExpense`	$3.78M	USD	2 Qtrs
Interest expense, net, and other	`InterestExpense`	$6.05M	USD	2 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$51.16M	USD	2 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$28.18M	USD	1 Quarter
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$89.14M	USD	2 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$45.08M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$23.08M	USD	2 Qtrs
Income tax expense	`IncomeTaxExpenseBenefit`	$12.31M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$18.76M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$36.95M	USD	2 Qtrs
Net income	`NetIncomeLoss`	$26.32M	USD	1 Quarter
Net income	`NetIncomeLoss`	$15.87M	USD	1 Quarter
Net income	`NetIncomeLoss`	$28.08M	USD	2 Qtrs
Net income	`NetIncomeLoss`	$52.19M	USD	2 Qtrs
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-12.00K	USD	2 Qtrs
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$125.00K	USD	2 Qtrs
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$86.00K	USD	1 Quarter
Foreign currency translation	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$-80.00K	USD	1 Quarter
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-111.00K	USD	1 Quarter
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-574.00K	USD	2 Qtrs
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$36.00K	USD	2 Qtrs
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$36.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-25.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-44.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$24.00K	USD	2 Qtrs
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-449.00K	USD	2 Qtrs
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$51.74M	USD	2 Qtrs
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$26.30M	USD	1 Quarter
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$15.83M	USD	1 Quarter
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$28.10M	USD	2 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$1.09	USD	2 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.33	USD	1 Quarter
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.55	USD	1 Quarter
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.59	USD	2 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$1.06	USD	2 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.58	USD	2 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.32	USD	1 Quarter
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.53	USD	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.57M	shares	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.36M	shares	2 Qtrs
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.96M	shares	2 Qtrs
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	48.03M	shares	1 Quarter
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	49.23M	shares	2 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	49.35M	shares	1 Quarter
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.62M	shares	2 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.86M	shares	1 Quarter

Cash Flow Statement 116 line items

Line Item	Tag	Value	Unit	Period
Interest capitalized	`InterestPaidCapitalized`	$101.00K	USD	2 Qtrs
Interest capitalized	`InterestPaidCapitalized`	$154.00K	USD	2 Qtrs
Net income	`NetIncomeLoss`	$26.32M	USD	1 Quarter
Net income	`NetIncomeLoss`	$15.87M	USD	1 Quarter
Net income	`NetIncomeLoss`	$28.08M	USD	2 Qtrs
Net income	`NetIncomeLoss`	$52.19M	USD	2 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$10.33M	USD	2 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$14.10M	USD	2 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$5.23M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$7.33M	USD	1 Quarter
Non-cash interest expense and other	`OtherNoncashExpense`	$991.00K	USD	2 Qtrs
Non-cash interest expense and other	`OtherNoncashExpense`	$725.00K	USD	2 Qtrs
Change in fair value of contingent consideration	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$214.00K	USD	2 Qtrs
Change in fair value of contingent consideration	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	-	USD	2 Qtrs
Increase in allowances for doubtful accounts and sales credits	`ProvisionForDoubtfulAccounts`	$4.08M	USD	2 Qtrs
Increase in allowances for doubtful accounts and sales credits	`ProvisionForDoubtfulAccounts`	$5.45M	USD	2 Qtrs
Provision for deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$6.23M	USD	2 Qtrs
Provision for deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-419.00K	USD	2 Qtrs
Share-based compensation	`ShareBasedCompensation`	$4.53M	USD	2 Qtrs
Share-based compensation	`ShareBasedCompensation`	$2.15M	USD	1 Quarter
Share-based compensation	`ShareBasedCompensation`	$6.09M	USD	2 Qtrs
Share-based compensation	`ShareBasedCompensation`	$2.71M	USD	1 Quarter
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationOperatingActivities`	$6.81M	USD	2 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationOperatingActivities`	$2.76M	USD	2 Qtrs
Loss on disposal or sale of fixed assets	`GainLossOnDispositionOfAssets`	-	USD	2 Qtrs
Loss on disposal or sale of fixed assets	`GainLossOnDispositionOfAssets`	$-23.00K	USD	2 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$41.43M	USD	2 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$27.34M	USD	2 Qtrs
Accounts receivable, subcontractor	`IncreaseDecreaseinAccountsReceivablessubcontractor`	$8.47M	USD	2 Qtrs
Accounts receivable, subcontractor	`IncreaseDecreaseinAccountsReceivablessubcontractor`	$-4.45M	USD	2 Qtrs
Income taxes receivable	`IncreaseDecreaseInIncomeTaxesReceivable`	$-5.20M	USD	2 Qtrs
Income taxes receivable	`IncreaseDecreaseInIncomeTaxesReceivable`	$-5.45M	USD	2 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$2.70M	USD	2 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$2.01M	USD	2 Qtrs
Other current assets	`IncreaseDecreaseInOtherCurrentAssets`	$7.39M	USD	2 Qtrs
Other current assets	`IncreaseDecreaseInOtherCurrentAssets`	$5.62M	USD	2 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$2.69M	USD	2 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$4.04M	USD	2 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$14.06M	USD	2 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$12.56M	USD	2 Qtrs
Accrued compensation and benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$5.34M	USD	2 Qtrs
Accrued compensation and benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$13.65M	USD	2 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$8.80M	USD	2 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$1.62M	USD	2 Qtrs
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$-2.04M	USD	2 Qtrs
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$1.81M	USD	2 Qtrs
Restricted cash and cash equivalents balance	`IncreaseDecreaseInRestrictedCashForOperatingActivities`	$1.14M	USD	2 Qtrs
Restricted cash and cash equivalents balance	`IncreaseDecreaseInRestrictedCashForOperatingActivities`	$2.13M	USD	2 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$55.28M	USD	2 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$33.69M	USD	2 Qtrs
Purchase and development of fixed assets	`PaymentsToAcquirePropertyPlantAndEquipment`	$12.89M	USD	2 Qtrs
Purchase and development of fixed assets	`PaymentsToAcquirePropertyPlantAndEquipment`	$14.60M	USD	2 Qtrs
Loan to Pipeline Health Holdings LLC	`PaymentsForProceedsFromLoansReceivable`	-	USD	2 Qtrs
Loan to Pipeline Health Holdings LLC	`PaymentsForProceedsFromLoansReceivable`	$1.00M	USD	2 Qtrs
Payments to fund deferred compensation plan	`PaymentsToAcquireLifeInsurancePolicies`	$2.15M	USD	2 Qtrs
Payments to fund deferred compensation plan	`PaymentsToAcquireLifeInsurancePolicies`	$3.06M	USD	2 Qtrs
Cash paid for acquisitions, net of cash received	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$76.94M	USD	2 Qtrs
Cash paid for acquisitions, net of cash received	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$216.35M	USD	2 Qtrs
Cash paid for working capital adjustments and holdback liability for prior year acquisitions	`PaymentsForPreviousAcquisition`	$165.00K	USD	2 Qtrs
Cash paid for working capital adjustments and holdback liability for prior year acquisitions	`PaymentsForPreviousAcquisition`	$848.00K	USD	2 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-233.15M	USD	2 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-94.87M	USD	2 Qtrs
Capital lease repayments	`RepaymentsOfLongTermCapitalLeaseObligations`	$2.00K	USD	2 Qtrs
Capital lease repayments	`RepaymentsOfLongTermCapitalLeaseObligations`	$4.00K	USD	2 Qtrs
Payments on term loan	`RepaymentsOfSecuredDebt`	$3.75M	USD	2 Qtrs
Payments on term loan	`RepaymentsOfSecuredDebt`	$5.62M	USD	2 Qtrs
Proceeds from term loan	`ProceedsFromIssuanceOfSecuredDebt`	$75.00M	USD	2 Qtrs
Proceeds from term loan	`ProceedsFromIssuanceOfSecuredDebt`	-	USD	2 Qtrs
Payments on revolving credit facility	`RepaymentsOfLinesOfCredit`	$17.00M	USD	2 Qtrs
Payments on revolving credit facility	`RepaymentsOfLinesOfCredit`	-	USD	2 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLinesOfCredit`	$124.00M	USD	2 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLinesOfCredit`	$84.50M	USD	2 Qtrs
Payment of financing costs	`PaymentsOfFinancingCosts`	$448.00K	USD	2 Qtrs
Payment of financing costs	`PaymentsOfFinancingCosts`	-	USD	2 Qtrs
Earn-out payment for prior acquisition	`PaymentsForPreviousAcquisitionEarnOutPayment`	-	USD	2 Qtrs
Earn-out payment for prior acquisition	`PaymentsForPreviousAcquisitionEarnOutPayment`	$900.00K	USD	2 Qtrs
Proceeds from exercise of equity awards	`ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions`	-	USD	2 Qtrs
Proceeds from exercise of equity awards	`ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions`	$3.35M	USD	2 Qtrs
Cash paid for shares withheld for taxes	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$11.32M	USD	2 Qtrs
Cash paid for shares withheld for taxes	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$5.55M	USD	2 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationFinancingActivities`	$2.76M	USD	2 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationFinancingActivities`	$6.81M	USD	2 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$189.24M	USD	2 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$62.59M	USD	2 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashAndCashEquivalents`	$-12.00K	USD	2 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashAndCashEquivalents`	$125.00K	USD	2 Qtrs
Net increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$11.49M	USD	2 Qtrs
Net increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$1.40M	USD	2 Qtrs
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$9.58M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$14.47M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$21.06M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$9.58M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$14.47M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Cash and cash equivalents at end of period	`CashAndCashEquivalentsAtCarryingValue`	$21.06M	USD	Point-in-time
Cash paid for interest (net of $154 and $101 capitalized for the six months ended June 30, 2016 and 2015, respectively)	`InterestPaidNet`	$4.68M	USD	2 Qtrs
Cash paid for interest (net of $154 and $101 capitalized for the six months ended June 30, 2016 and 2015, respectively)	`InterestPaidNet`	$2.74M	USD	2 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$7.38M	USD	2 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$34.11M	USD	2 Qtrs
Fair value of tangible assets acquired in acquisitions, net of cash received	`FairValueOfAssetsAcquired`	$18.18M	USD	2 Qtrs
Fair value of tangible assets acquired in acquisitions, net of cash received	`FairValueOfAssetsAcquired`	$25.61M	USD	2 Qtrs
Goodwill	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesGoodwill`	$42.77M	USD	2 Qtrs
Goodwill	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesGoodwill`	$137.17M	USD	2 Qtrs
Intangible assets	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesIntangibleAssets`	$89.08M	USD	2 Qtrs
Intangible assets	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesIntangibleAssets`	$30.22M	USD	2 Qtrs
Liabilities assumed	`LiabilitiesAssumed1`	$21.89M	USD	2 Qtrs
Liabilities assumed	`LiabilitiesAssumed1`	$21.66M	USD	2 Qtrs
Holdback provision	`NoncashOrPartNoncashAcquisitionHoldbackProvision`	-	USD	2 Qtrs
Holdback provision	`NoncashOrPartNoncashAcquisitionHoldbackProvision`	$2.12M	USD	2 Qtrs
Earn-out liabilities	`NoncashOrPartNoncashAcquisitionEarnOutLiability`	-	USD	2 Qtrs
Earn-out liabilities	`NoncashOrPartNoncashAcquisitionEarnOutLiability`	$4.07M	USD	2 Qtrs
Net cash paid for acquisitions	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$76.94M	USD	2 Qtrs
Net cash paid for acquisitions	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$216.35M	USD	2 Qtrs
Purchase of fixed assets recorded in accounts payable and accrued expenses	`Purchaseoffixedassetsrecordedinaccountspayableandaccruedexpenses`	$2.61M	USD	2 Qtrs
Purchase of fixed assets recorded in accounts payable and accrued expenses	`Purchaseoffixedassetsrecordedinaccountspayableandaccruedexpenses`	$1.72M	USD	2 Qtrs

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