10-Q Filing

AMN HEALTHCARE SERVICES INC CIK: 1142750 Q3 2016

Filing Information

Form Type	10-Q
Accession Number	`0001142750-16-000024`
Period End Date	20160930
Filing Date	20161104
Fiscal Year	2016
Fiscal Period	Q3
XBRL Instance	ahs-20160930.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 88 Income Statement 76 Cash Flow Statement 118

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`	$7.89M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$76.68M	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$84.94M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$15.71M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$14.41M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$9.58M	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$67.33M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$13.07M	USD	Point-in-time
Accumulated amortization	`FiniteLivedIntangibleAssetsAccumulatedAmortization`	$53.75M	USD	Point-in-time
Accounts receivable, net of allowances of $7,886 and $7,691 at September 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, net of allowances of $7,886 and $7,691 at September 30, 2016 and December 31, 2015, respectively	`AccountsReceivableNetCurrent`	$331.22M	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`	$42.09M	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$13.93M	USD	Point-in-time
Prepaid expenses	`PrepaidExpenseCurrent`	$13.53M	USD	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred stock, shares issued	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Other current assets	`OtherAssetsCurrent`	$23.72M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$30.71M	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
Common stock, par value (in dollars per share)	`CommonStockParOrStatedValuePerShare`	$0.01	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`	$433.66M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	200.00M	shares	Point-in-time
Restricted cash, cash equivalents and investments	`RestrictedCashAndInvestmentsNoncurrent`	$28.22M	USD	Point-in-time
Restricted cash, cash equivalents and investments	`RestrictedCashAndInvestmentsNoncurrent`	$27.35M	USD	Point-in-time
Common stock, shares authorized	`CommonStockSharesAuthorized`	200.00M	shares	Point-in-time
Common stock, shares issued	`CommonStockSharesIssued`	48.05M	shares	Point-in-time
Fixed assets, net of accumulated depreciation of $84,940 and $76,680 at September 30, 2016 and December 31, 2015, respectively	`PropertyPlantAndEquipmentNet`	$57.97M	USD	Point-in-time
Fixed assets, net of accumulated depreciation of $84,940 and $76,680 at September 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 outstanding	`CommonStockSharesOutstanding`	47.71M	shares	Point-in-time
Other assets	`OtherAssetsNoncurrent`	$57.30M	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`	$204.78M	USD	Point-in-time
Goodwill	`Goodwill`	$342.17M	USD	Point-in-time
Intangible assets, net of accumulated amortization of $67,326 and $53,747 at September 30, 2016 and December 31, 2015, respectively	`IntangibleAssetsNetExcludingGoodwill`	$250.46M	USD	Point-in-time
Intangible assets, net of accumulated amortization of $67,326 and $53,747 at September 30, 2016 and December 31, 2015, respectively	`IntangibleAssetsNetExcludingGoodwill`	$174.97M	USD	Point-in-time
Total assets	`Assets`	$880.43M	USD	Point-in-time
Total assets	`Assets`	$1.17B	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableCurrent`	$118.82M	USD	Point-in-time
Accounts payable and accrued expenses	`AccountsPayableCurrent`	$118.29M	USD	Point-in-time
Accrued compensation and benefits	`EmployeeRelatedLiabilitiesCurrent`	$83.70M	USD	Point-in-time
Accrued compensation and benefits	`EmployeeRelatedLiabilitiesCurrent`	$99.63M	USD	Point-in-time
Current portion of revolving credit facility	`LinesOfCreditCurrent`	-	USD	Point-in-time
Current portion of revolving credit facility	`LinesOfCreditCurrent`	$30.00M	USD	Point-in-time
Current portion of notes payable	`NotesPayableCurrent`	$3.75M	USD	Point-in-time
Current portion of notes payable	`NotesPayableCurrent`	$7.50M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$5.62M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$8.45M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$5.37M	USD	Point-in-time
Other current liabilities	`OtherLiabilitiesCurrent`	$9.96M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$251.02M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$240.08M	USD	Point-in-time
Revolving credit facility	`LongTermLineOfCredit`	$52.50M	USD	Point-in-time
Revolving credit facility	`LongTermLineOfCredit`	$182.50M	USD	Point-in-time
Notes payable, less unamortized fees	`LongTermNotesPayable`	$128.49M	USD	Point-in-time
Notes payable, less unamortized fees	`LongTermNotesPayable`	$198.79M	USD	Point-in-time
Deferred income taxes, net	`DeferredTaxLiabilitiesNoncurrent`	$22.43M	USD	Point-in-time
Deferred income taxes, net	`DeferredTaxLiabilitiesNoncurrent`	$28.28M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$78.13M	USD	Point-in-time
Other long-term liabilities	`OtherLiabilitiesNoncurrent`	$86.95M	USD	Point-in-time
Total liabilities	`Liabilities`	$736.60M	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 September 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 September 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 September 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 September 30, 2016 and December 31, 2015, respectively	`CommonStockValue`	$480.00K	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$443.73M	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapital`	$449.73M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-96.17M	USD	Point-in-time
Accumulated deficit	`RetainedEarningsAccumulatedDeficit`	$-16.68M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-361.00K	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-183.00K	USD	Point-in-time
Total stockholders equity	`StockholdersEquity`	$347.86M	USD	Point-in-time
Total stockholders equity	`StockholdersEquity`	$433.17M	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$1.17B	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$880.43M	USD	Point-in-time

Income Statement 76 line items

Line Item	Tag	Value	Unit	Period
Revenue	`Revenues`	$1.06B	USD	3 Qtrs
Revenue	`Revenues`	$382.86M	USD	1 Quarter
Revenue	`Revenues`	$1.41B	USD	3 Qtrs
Revenue	`Revenues`	$472.64M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$318.17M	USD	1 Quarter
Cost of revenue	`CostOfRevenue`	$953.25M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$722.95M	USD	3 Qtrs
Cost of revenue	`CostOfRevenue`	$256.85M	USD	1 Quarter
Gross profit	`GrossProfit`	$126.01M	USD	1 Quarter
Gross profit	`GrossProfit`	$461.12M	USD	3 Qtrs
Gross profit	`GrossProfit`	$337.56M	USD	3 Qtrs
Gross profit	`GrossProfit`	$154.47M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$229.38M	USD	3 Qtrs
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$83.10M	USD	1 Quarter
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$297.36M	USD	3 Qtrs
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$100.00M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$5.30M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$21.89M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$15.63M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$7.79M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$245.01M	USD	3 Qtrs
Total operating expenses	`OperatingExpenses`	$88.40M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$107.78M	USD	1 Quarter
Total operating expenses	`OperatingExpenses`	$319.25M	USD	3 Qtrs
Income from operations	`OperatingIncomeLoss`	$141.87M	USD	3 Qtrs
Income from operations	`OperatingIncomeLoss`	$46.68M	USD	1 Quarter
Income from operations	`OperatingIncomeLoss`	$37.61M	USD	1 Quarter
Income from operations	`OperatingIncomeLoss`	$92.55M	USD	3 Qtrs
Interest expense, net, and other	`InterestExpense`	$2.01M	USD	1 Quarter
Interest expense, net, and other	`InterestExpense`	$5.80M	USD	3 Qtrs
Interest expense, net, and other	`InterestExpense`	$3.02M	USD	1 Quarter
Interest expense, net, and other	`InterestExpense`	$9.06M	USD	3 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$86.75M	USD	3 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$132.81M	USD	3 Qtrs
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$35.59M	USD	1 Quarter
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$43.67M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$1.95M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$16.37M	USD	1 Quarter
Income tax expense	`IncomeTaxExpenseBenefit`	$53.32M	USD	3 Qtrs
Income tax expense	`IncomeTaxExpenseBenefit`	$25.03M	USD	3 Qtrs
Net income	`NetIncomeLoss`	$79.49M	USD	3 Qtrs
Net income	`NetIncomeLoss`	$27.30M	USD	1 Quarter
Net income	`NetIncomeLoss`	$33.65M	USD	1 Quarter
Net income	`NetIncomeLoss`	$61.73M	USD	3 Qtrs
Foreign currency translation and other	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$54.00K	USD	1 Quarter
Foreign currency translation and other	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$165.00K	USD	3 Qtrs
Foreign currency translation and other	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$40.00K	USD	1 Quarter
Foreign currency translation and other	`OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent`	$42.00K	USD	3 Qtrs
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-331.00K	USD	3 Qtrs
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-367.00K	USD	1 Quarter
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-343.00K	USD	3 Qtrs
Unrealized gain (loss) on cash flow hedge, net of income taxes	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$231.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$271.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-289.00K	USD	3 Qtrs
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-313.00K	USD	1 Quarter
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToParent`	$-178.00K	USD	3 Qtrs
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$61.44M	USD	3 Qtrs
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$27.57M	USD	1 Quarter
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$79.31M	USD	3 Qtrs
Comprehensive income	`ComprehensiveIncomeNetOfTax`	$33.33M	USD	1 Quarter
Basic (in dollars per share)	`EarningsPerShareBasic`	$1.66	USD	3 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$1.30	USD	3 Qtrs
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.57	USD	1 Quarter
Basic (in dollars per share)	`EarningsPerShareBasic`	$0.71	USD	1 Quarter
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$1.61	USD	3 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.69	USD	1 Quarter
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$1.27	USD	3 Qtrs
Diluted (in dollars per share)	`EarningsPerShareDiluted`	$0.55	USD	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.99M	shares	3 Qtrs
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.67M	shares	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	48.05M	shares	1 Quarter
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	47.47M	shares	3 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.98M	shares	1 Quarter
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	49.29M	shares	3 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	48.74M	shares	3 Qtrs
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	49.41M	shares	1 Quarter

Cash Flow Statement 118 line items

Line Item	Tag	Value	Unit	Period
Interest capitalized	`InterestPaidCapitalized`	$173.00K	USD	3 Qtrs
Interest capitalized	`InterestPaidCapitalized`	$158.00K	USD	3 Qtrs
Net income	`NetIncomeLoss`	$79.49M	USD	3 Qtrs
Net income	`NetIncomeLoss`	$27.30M	USD	1 Quarter
Net income	`NetIncomeLoss`	$33.65M	USD	1 Quarter
Net income	`NetIncomeLoss`	$61.73M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$5.30M	USD	1 Quarter
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$21.89M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$15.63M	USD	3 Qtrs
Depreciation and amortization	`DepreciationDepletionAndAmortization`	$7.79M	USD	1 Quarter
Non-cash interest expense and other	`OtherNoncashExpense`	$1.45M	USD	3 Qtrs
Non-cash interest expense and other	`OtherNoncashExpense`	$1.18M	USD	3 Qtrs
Change in fair value of contingent consideration	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$-300.00K	USD	3 Qtrs
Change in fair value of contingent consideration	`BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1`	$-88.00K	USD	3 Qtrs
Increase in allowances for doubtful accounts and sales credits	`ProvisionForDoubtfulAccounts`	$5.32M	USD	3 Qtrs
Increase in allowances for doubtful accounts and sales credits	`ProvisionForDoubtfulAccounts`	$6.75M	USD	3 Qtrs
Provision for deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$-3.21M	USD	3 Qtrs
Provision for deferred income taxes	`DeferredIncomeTaxExpenseBenefit`	$17.68M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$8.79M	USD	3 Qtrs
Share-based compensation	`ShareBasedCompensation`	$2.70M	USD	1 Quarter
Share-based compensation	`ShareBasedCompensation`	$2.02M	USD	1 Quarter
Share-based compensation	`ShareBasedCompensation`	$6.55M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationOperatingActivities`	$7.27M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationOperatingActivities`	$2.76M	USD	3 Qtrs
Loss on disposal or sale of fixed assets	`GainLossOnDispositionOfAssets`	$-45.00K	USD	3 Qtrs
Loss on disposal or sale of fixed assets	`GainLossOnDispositionOfAssets`	$-3.00K	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$46.73M	USD	3 Qtrs
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$42.59M	USD	3 Qtrs
Accounts receivable, subcontractor	`IncreaseDecreaseinAccountsReceivablessubcontractor`	$21.08M	USD	3 Qtrs
Accounts receivable, subcontractor	`IncreaseDecreaseinAccountsReceivablessubcontractor`	$-8.68M	USD	3 Qtrs
Income taxes receivable	`IncreaseDecreaseInIncomeTaxesReceivable`	$-1.01M	USD	3 Qtrs
Income taxes receivable	`IncreaseDecreaseInIncomeTaxesReceivable`	$-6.16M	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$195.00K	USD	3 Qtrs
Prepaid expenses	`IncreaseDecreaseInPrepaidExpense`	$2.21M	USD	3 Qtrs
Other current assets	`IncreaseDecreaseInOtherCurrentAssets`	$10.11M	USD	3 Qtrs
Other current assets	`IncreaseDecreaseInOtherCurrentAssets`	$6.11M	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$3.45M	USD	3 Qtrs
Other assets	`IncreaseDecreaseInOtherOperatingAssets`	$4.29M	USD	3 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$-791.00K	USD	3 Qtrs
Accounts payable and accrued expenses	`IncreaseDecreaseInAccountsPayableAndAccruedLiabilities`	$25.81M	USD	3 Qtrs
Accrued compensation and benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$16.71M	USD	3 Qtrs
Accrued compensation and benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$10.76M	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$-4.37M	USD	3 Qtrs
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$5.74M	USD	3 Qtrs
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$256.00K	USD	3 Qtrs
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$1.14M	USD	3 Qtrs
Restricted cash, cash equivalents and investments balance	`IncreaseDecreaseInRestrictedCashAndInvestmentsForOperatingActivities`	$870.00K	USD	3 Qtrs
Restricted cash, cash equivalents and investments balance	`IncreaseDecreaseInRestrictedCashAndInvestmentsForOperatingActivities`	$5.86M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$84.82M	USD	3 Qtrs
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$55.64M	USD	3 Qtrs
Purchase and development of fixed assets	`PaymentsToAcquirePropertyPlantAndEquipment`	$17.70M	USD	3 Qtrs
Purchase and development of fixed assets	`PaymentsToAcquirePropertyPlantAndEquipment`	$21.12M	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`	-	USD	3 Qtrs
Payments to fund deferred compensation plan	`PaymentsToAcquireLifeInsurancePolicies`	$5.67M	USD	3 Qtrs
Payments to fund deferred compensation plan	`PaymentsToAcquireLifeInsurancePolicies`	$2.25M	USD	3 Qtrs
Cash paid for acquisitions, net of cash received	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$216.55M	USD	3 Qtrs
Cash paid for acquisitions, net of cash received	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$81.10M	USD	3 Qtrs
Cash paid for working capital adjustments and holdback liability for prior year acquisitions	`PaymentsForPreviousAcquisition`	$1.35M	USD	3 Qtrs
Cash paid for working capital adjustments and holdback liability for prior year acquisitions	`PaymentsForPreviousAcquisition`	$165.00K	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-105.63M	USD	3 Qtrs
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-241.27M	USD	3 Qtrs
Capital lease repayments	`RepaymentsOfLongTermCapitalLeaseObligations`	$6.00K	USD	3 Qtrs
Capital lease repayments	`RepaymentsOfLongTermCapitalLeaseObligations`	$4.00K	USD	3 Qtrs
Payments on term loan	`RepaymentsOfSecuredDebt`	$8.44M	USD	3 Qtrs
Payments on term loan	`RepaymentsOfSecuredDebt`	$5.62M	USD	3 Qtrs
Proceeds from term loan	`ProceedsFromIssuanceOfSecuredDebt`	$75.00M	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`	$24.00M	USD	3 Qtrs
Proceeds from revolving credit facility	`ProceedsFromLinesOfCredit`	$124.00M	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`	$448.00K	USD	3 Qtrs
Earn-out payment for prior acquisition	`PaymentsForPreviousAcquisitionEarnOutPayment`	-	USD	3 Qtrs
Earn-out payment for prior acquisition	`PaymentsForPreviousAcquisitionEarnOutPayment`	$900.00K	USD	3 Qtrs
Proceeds from exercise of equity awards	`ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions`	-	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`	$5.55M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationFinancingActivities`	$2.76M	USD	3 Qtrs
Excess tax benefits from share-based compensation	`ExcessTaxBenefitFromShareBasedCompensationFinancingActivities`	$7.27M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$162.42M	USD	3 Qtrs
Net cash provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$51.29M	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashAndCashEquivalents`	$42.00K	USD	3 Qtrs
Effect of exchange rate changes on cash	`EffectOfExchangeRateOnCashAndCashEquivalents`	$165.00K	USD	3 Qtrs
Net increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$6.13M	USD	3 Qtrs
Net increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$1.33M	USD	3 Qtrs
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$15.71M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$14.41M	USD	Point-in-time
Cash and cash equivalents at beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$9.58M	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`	$15.71M	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`	$9.58M	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 $158 and $173 capitalized for the nine months ended September 30, 2016 and 2015, respectively)	`InterestPaidNet`	$4.33M	USD	3 Qtrs
Cash paid for interest (net of $158 and $173 capitalized for the nine months ended September 30, 2016 and 2015, respectively)	`InterestPaidNet`	$7.11M	USD	3 Qtrs
Cash paid for income taxes	`IncomeTaxesPaidNet`	$52.68M	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`	$18.79M	USD	3 Qtrs
Goodwill	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesGoodwill`	$136.52M	USD	3 Qtrs
Goodwill	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesGoodwill`	$46.89M	USD	3 Qtrs
Intangible assets	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesIntangibleAssets`	$89.06M	USD	3 Qtrs
Intangible assets	`SupplementalDisclosuresOfNonCashInvestingAndFinancingActivitiesIntangibleAssets`	$33.59M	USD	3 Qtrs
Liabilities assumed	`LiabilitiesAssumed1`	$21.92M	USD	3 Qtrs
Liabilities assumed	`LiabilitiesAssumed1`	$22.53M	USD	3 Qtrs
Holdback provision	`NoncashOrPartNoncashAcquisitionHoldbackProvision`	$500.00K	USD	3 Qtrs
Holdback provision	`NoncashOrPartNoncashAcquisitionHoldbackProvision`	$1.83M	USD	3 Qtrs
Earn-out liabilities	`NoncashOrPartNoncashAcquisitionEarnOutLiability`	$4.07M	USD	3 Qtrs
Earn-out liabilities	`NoncashOrPartNoncashAcquisitionEarnOutLiability`	$2.70M	USD	3 Qtrs
Net cash paid for acquisitions	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$216.55M	USD	3 Qtrs
Net cash paid for acquisitions	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$81.10M	USD	3 Qtrs
Purchase of fixed assets recorded in accounts payable and accrued expenses	`Purchaseoffixedassetsrecordedinaccountspayableandaccruedexpenses`	$2.21M	USD	3 Qtrs
Purchase of fixed assets recorded in accounts payable and accrued expenses	`Purchaseoffixedassetsrecordedinaccountspayableandaccruedexpenses`	$1.37M	USD	3 Qtrs
Convertible loan converted to equity method investment in Pipeline Health Holdings LLC	`ConvertibleLoanConvertedToEquityMethodInvestment`	-	USD	3 Qtrs
Convertible loan converted to equity method investment in Pipeline Health Holdings LLC	`ConvertibleLoanConvertedToEquityMethodInvestment`	$1.00M	USD	3 Qtrs

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