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Balance Sheet Details (Details) - USD ($)
$ in Thousands
Jun. 30, 2017
Dec. 31, 2016
Other current assets:    
Restricted cash and cash equivalents $ 16,064 $ 20,271
Other 13,721 14,336
Other current assets 29,785 34,607
Fixed assets:    
Furniture and equipment 27,333 25,582
Software 120,389 112,405
Leasehold improvements 8,810 6,832
Fixed assets, gross 156,532 144,819
Accumulated depreciation (91,164) (84,865)
Fixed assets, net 65,368 59,954
Other assets:    
Life insurance cash surrender value 41,562 32,190
Other 30,032 25,344
Other assets 71,594 57,534
Accounts payable and accrued expenses:    
Trade accounts payable 27,268 33,392
Subcontractor payable 37,109 51,973
Accrued expenses 41,329 37,251
Professional liability reserve 6,559 10,254
Other 6,678 4,642
Accounts payable and accrued expenses 118,943 137,512
Accrued compensation and benefits:    
Accrued payroll 31,457 30,917
Accrued bonuses 15,315 26,992
Accrued travel expense 3,205 2,972
Accrued health insurance reserve 3,369 3,189
Accrued workers compensation reserve 8,461 8,406
Deferred compensation 42,823 32,690
Other 2,653 2,827
Accrued compensation and benefits 107,283 107,993
Other current liabilities:    
Acquisition related liabilities 5,164 6,921
Other 7,223 9,690
Other current liabilities 12,387 16,611
Other long-term liabilities:    
Workers’ compensation reserve 18,755 18,708
Professional liability reserve 38,841 37,338
Deferred rent 14,199 13,274
Unrecognized tax benefits 8,693 8,464
Other 1,813 4,312
Other long-term liabilities $ 82,301 $ 82,096