10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

x Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. For the quarterly period ended March 31, 2012.

¨ Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.

Commission File Number: 001-34930

EXAMWORKS GROUP, INC.

(Exact name of registrant as specified in its charter)

Delaware	27-2909425
(State or other jurisdiction of Incorporation or Organization)	(I.R.S. Employer Identification No.)

3280 PEACHTREE ROAD, N.E., SUITE 2625

ATLANTA, GEORGIA 30305

(Address of principal executive offices)

Telephone Number (404) 952-2400

(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days: Yes x No ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x No ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check One):

Large accelerated filer	x	Accelerated filer	¨
Non-accelerated filer	¨	Smaller reporting company	¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act): Yes ¨ No x

As of May 1, 2012, ExamWorks Group, Inc. had 34,078,844 shares of Common Stock outstanding.

i

EXAMWORKS GROUP, INC.  AND SUBSIDIARIES

MARCH 31, 2012

FORM 10-Q QUARTERLY REPORT

TABLE OF CONTENTS

		Page
PART I – Financial Information		2
Item 1.	Financial Statements	2
	Consolidated Balance Sheets as of December 31, 2011 and  March 31, 2012 (Unaudited)	2
	Consolidated Statements of Operations and Comprehensive Income (Loss) for the three months ended March 31, 2011 and 2012 (Unaudited)	3
	Consolidated Statements of Cash Flows for the three months ended March 31, 2011 and 2012 (Unaudited)	4
	Notes to Consolidated Financial Statements (Unaudited)	5
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	28
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	41
Item 4.	Controls and Procedures	42
PART II – Other Information		42
Item 1.	Legal Proceedings	42
Item 1A.	Risk Factors	42
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	42
Item 3.	Defaults Upon Senior Securities	43
Item 4.	Mine Safety Disclosures	43
Item 5.	Other Information	43
Item 6.	Exhibits	43
Signatures		45

1

PART 1. FINANCIAL INFORMATION

        ITEM 1. FINANCIAL STATEMENTS

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Consolidated Balance Sheets

(In thousands, except share and per share amounts)

(Unaudited)

Assets	December 31, 2011			March 31, 2012
Current assets:
Cash and cash equivalents	$	8,416		$	8,466
Accounts receivable, net		144,041			149,760
Other receivables		40			65
Prepaid expenses		4,487			4,951
Deferred tax assets		1,640			1,509
Other current assets		1,173			1,212
Total current assets		159,797			165,963
Property, equipment and leasehold improvements, net		8,918			9,833
Goodwill		300,260			303,019
Intangible assets, net		146,168			135,216
Deferred tax assets, noncurrent		—			988
Deferred financing costs, net		11,458			11,343
Other assets		438			432
Total assets	$	627,039		$	626,794
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	42,642		$	43,115
Accrued expenses		28,410			37,293
Accrued interest expense		10,247			4,819
Deferred revenue		1,332			1,920
Current portion of subordinated unsecured notes payable		1,932			1,629
Current portion of contingent earnout obligation		91			91
Other current liabilities		5,459			5,082
Total current liabilities		90,113			93,949
Senior unsecured notes payable		250,000			250,000
Senior secured revolving credit facility and working capital facilities		44,063			41,557
Long-term subordinated unsecured notes payable, less current portion		717			513
Long-term contingent earnout obligation, less current portion		86			86
Deferred tax liability, noncurrent		2,159			—
Other long-term liabilities		1,977			1,863
Total liabilities		389,115			387,968
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.0001 par value; Authorized 50,000,000 shares; no shares issued and outstanding at December 31, 2011 and March 31, 2012		—			—
Common stock, $0.0001 par value; Authorized 250,000,000 shares; issued and outstanding 34,090,618 and 34,062,008 shares at December 31, 2011 and March 31, 2012, respectively		3			3
Additional paid-in capital		268,162			271,324
Accumulated other comprehensive income (loss)		(1,429	)		1,021
Accumulated deficit		(21,549	)		(25,872	)
Treasury stock, at cost; Outstanding 805,613 and 844,613 shares at December 31, 2011 and March 31, 2012, respectively		(7,263	)		(7,650	)
Total stockholders’ equity		237,924			238,826
Total liabilities and stockholders' equity	$	627,039		$	626,794

The accompanying notes are an integral part of these consolidated financial statements.

2

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Consolidated Statements of Operations and Comprehensive Income (Loss)

(In thousands, except share and per share amounts)

(Unaudited)

	For the three months ended March 31,
	2011			2012
Revenues	$	66,588		$	123,738
Costs and expenses:
Costs of revenues		43,569			81,173
Selling, general and administrative expenses		14,328			28,632
Depreciation and amortization		8,609			14,025
Total costs and expenses		66,506			123,830
Income (loss) from operations		82			(92	)
Interest and other expenses, net:
Interest expense, net		1,182			6,462
Other expense		—			165
Gain on interest rate swap		(170	)		(54	)
Total interest and other expenses, net		1,012			6,573
Loss before income taxes		(930	)		(6,665	)
Benefit for income taxes		(371	)		(2,342	)
Net loss	$	(559	)	$	(4,323	)
Per share data:
Net loss per share:
Basic and diluted	$	(0.02	)	$	(0.13	)
Weighted average number of common shares outstanding:
Basic and diluted		32,739,428			34,085,761
Comprehensive Income (Loss):
Net loss	$	(559	)	$	(4,323	)
Foreign currency translation adjustments, net of tax		844			2,450
Total comprehensive income (loss)	$	285		$	(1,873	)

The accompanying notes are an integral part of these consolidated financial statements.

3

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

	For the three months ended March 31,
	2011			2012
Operating activities:
Net loss	$	(559	)	$	(4,323	)
Adjustments to reconcile net loss to net cash provided by operating activities:
Gain on interest rate swap		(170	)		(54	)
Depreciation and amortization		8,609			14,025
Amortization of deferred rent		(56	)		(143	)
Share-based compensation		977			4,696
Provision for doubtful accounts		149			1,095
Amortization of deferred financing costs		406			514
Deferred income taxes		(2,576	)		(3,937	)
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable		(1,975	)		(4,910	)
Prepaid expenses and other current assets		(926	)		(357	)
Accounts payable and accrued expenses		2,679			3,469
Accrued interest expense		427			(5,428	)
Deferred revenue and customer deposits		(537	)		539
Other liabilities		(182	)		(387	)
Net cash provided by operating activities		6,266			4,799
Investing activities:
Cash paid for acquisitions, net		(187,303	)		—
Purchases of equipment and leasehold improvements, net		(1,968	)		(552	)
Working capital and other settlements for acquisitions		(325	)		908
Net cash (used in) provided by investing activities		(189,596	)		356
Financing activities:
Borrowings under senior secured revolving credit facility		165,000			11,000
Proceeds from the exercise of options and warrants		263			50
Excess tax benefit related to share-based compensation		438			—
Purchases of stock for treasury		—			(387	)
Payment of deferred financing costs		(445	)		(414	)
Repayment of subordinated unsecured notes payable		(361	)		(546	)
Net borrowings (repayments) under working capital facilities		130			(3,789	)
Repayment under senior secured revolving credit facility		—			(11,000	)
Other		(18	)		(95	)
Net cash provided by (used in) financing activities		165,007			(5,181	)
Exchange rate impact on cash and cash equivalents		80			76
Net increase (decrease) in cash and cash equivalents		(18,243	)		50
Cash and cash equivalents, beginning of period		33,624			8,416
Cash and cash equivalents, end of period	$	15,381		$	8,466
Supplemental disclosure of noncash investing and financing activities:
Issuance of common stock for acquisitions	$	30,269		$	—
Supplemental disclosures of cash flow information:
Cash paid for interest	$	988		$	11,570
Cash paid for income taxes	$	1,430		$	1,228

The accompanying notes are an integral part of these consolidated financial statements.

4

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

(1)          Nature of Operations and Basis of Presentation

ExamWorks Group, Inc. (‘ExamWorks” or the “Company”) is a leading provider of independent medical examinations (“IMEs”), peer and bill reviews and related services (“IME services” or the “IME industry”). ExamWorks, Inc. was incorporated as a Delaware corporation on April 27, 2007. In 2008, ExamWorks, Inc. acquired three companies operating in the IME industry. In 2009, ExamWorks, Inc. acquired 11 other IME companies, including a provider of software solutions to the IME industry. In 2010, ExamWorks, Inc. acquired 14 additional IME companies. In 2011, ExamWorks, Inc. acquired nine other IME companies.  As of March 31, 2012, ExamWorks, Inc. operates out of 45 service centers serving all 50 United States, Canada and the United Kingdom. In June 2010, ExamWorks, Inc. effected a corporate reorganization creating a holding company, ExamWorks Group, Inc., with ExamWorks, Inc. becoming a wholly-owned subsidiary of ExamWorks Group, Inc. In the fourth quarter of 2010, the Company completed an Initial Public Offering (“IPO”) of 9.3 million shares of common stock. 

The consolidated financial statements of the Company as of March 31, 2011 and 2012 included herein have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) and have not been audited by its independent registered public accounting firm. In the opinion of management, all adjustments of a normal and recurring nature necessary to present fairly the financial position and results of operations and cash flows for all periods presented have been made. Pursuant to SEC rules and regulations, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted from these statements unless significant changes have taken place since the end of the Company's most recent fiscal year. The Company's December 31, 2011 Consolidated Balance Sheet was derived from audited consolidated financial statements and notes included in the Company's Annual Report on Form 10-K for the year ended December 31, 2011, but does not include all disclosures required by GAAP. It is suggested that these consolidated financial statements be read in conjunction with the consolidated financial statements and notes included in the aforementioned Form 10-K. The results of operations for the three months ended March 31, 2012 are not necessarily indicative of the results that may be expected for the year ending December 31, 2012.

The consolidated financial statements include the accounts of ExamWorks, its wholly-owned subsidiaries and other entities controlled by ExamWorks. Significant intercompany accounts and transactions have been eliminated in consolidation.

(2)           Summary of Significant Accounting Policies

(a)           Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management bases its estimates on certain assumptions which they believe are reasonable in the circumstances and actual results could differ from those estimates. The more significant estimates reflected in these consolidated financial statements include purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts and the valuation of share-based compensation and derivative instruments.

(b)           Foreign Currencies

Assets and liabilities recorded in foreign currencies are translated into U.S. dollars at the exchange rate in effect on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the periods. Translation adjustments resulting from this process are recorded to other comprehensive income.

(c)           Cash and Cash Equivalents

The Company considers all highly liquid investments with original maturities of three months or less when purchased to be cash equivalents. The Company had no cash equivalents as of December 31, 2011 and March 31, 2012.

(d)           Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable consist of amounts owed to the Company for services provided in the normal course of business and are reported net of allowance for doubtful accounts, which amounted to $2.7 million and $3.4 million as of December 31, 2011 and March 31, 2012, respectively. Generally, no collateral is received from customers and additions to the allowance are based on ongoing credit evaluations of customers with general credit experience being within the range of management’s expectations. Accounts are reviewed regularly for collectability and those deemed uncollectible are written off.

5

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

(e)           Concentrations of Credit Risk

The Company routinely assesses the financial strength of its customers and establishes an allowance for doubtful accounts based upon factors surrounding the credit risk of specific customers, historical trends and other information. For the three months ended March 31, 2011 and 2012, no individual customer accounted for more than 10% of revenues. At December 31, 2011 and March 31, 2012, there were no individual customers that accounted for greater than 10% of the accounts receivable balance.

As of March 31, 2012, the Company had cash and cash equivalents totaling approximately $8.5 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $5.7 million were held in the U.S. The U.S. amounts are insured in full against bank failure through June 30, 2012 under the Federal Deposit Insurance Corporation Temporary Liquidity Guarantee Program.

(f)           Property, Equipment and Leasehold Improvements

Property, equipment and leasehold improvements are recorded at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the respective assets and accelerated methods for income tax purposes. Leasehold improvements are amortized over the lesser of their expected useful life or the remaining lease term. Maintenance and repair costs are expensed as incurred.

(g)           Long-Lived Assets

In accordance with Impairment or Disposal of Long-Lived Assets, Subsections of Financial Accounting Standards Board (“FASB”) ASC Subtopic 360-10 (“ASC 360”), Property, Plant, and Equipment — Overall, long-lived assets, such as equipment and purchased intangible assets subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. If circumstances require a long-lived asset or asset group be tested for possible impairment, the Company first compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying value. If the carrying value of the long-lived asset or asset group is not recoverable on an undiscounted cash flow basis, an impairment is recognized to the extent that the carrying value exceeds its fair value. Fair value is determined through various valuation techniques including discounted cash flow models, quoted market values and third-party independent appraisals, as considered necessary. At December 31, 2011 and March 31, 2012, no impairment was noted.

(h)           Goodwill and Other Intangible Assets

Goodwill is an asset representing the future economic benefits arising from assets acquired in a business combination that are not individually identified and separately recognized. Goodwill is reviewed for impairment at least annually in accordance with the provisions of FASB ASC Topic 350, Intangibles — Goodwill and Other (“ASC 350”). The goodwill impairment test is a two-step test. Under the first step, the fair value of the reporting unit is compared with its carrying value (including goodwill). If the fair value of the reporting unit is less than its carrying value, an indication of goodwill impairment exists for the reporting unit and the enterprise must perform step two of the impairment test (measurement). Under step two, an impairment loss is recognized for any excess of the carrying amount of the reporting unit’s goodwill over the implied fair value of that goodwill. The implied fair value of goodwill is determined by allocating the fair value of the reporting unit in a manner similar to a purchase price allocation and the residual fair value after this allocation is the implied fair value of the reporting unit goodwill. Fair value of the reporting unit is determined using a discounted cash flow analysis. If the fair value of the reporting unit exceeds its carrying value, step two does not need to be performed.

The Company performed its annual impairment review of goodwill in October of 2011 and it was determined that the carrying amount of goodwill was not impaired and there have been no subsequent developments that would indicate impairment exists as of December 31, 2011 and March 31, 2012. The goodwill impairment review will continue to be performed annually or more frequently if facts and circumstances warrant a review.

ASC 350 also requires that intangible assets with definite lives be amortized over their estimated useful lives. Currently, customer relationships, trade names, covenants not-to-compete and technology are amortized using the straight-line method over estimated useful lives.

6

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

(i)           Deferred Financing Costs

In November 2010, the Company entered in to a senior secured revolving credit facility with Bank of America N.A. (“Senior Secured Revolving Credit Facility”) (see Note 10) and has incurred deferred financing costs through March 31, 2012 of $7.8 million, of which $445,000 and $402,000 were incurred in the three months ended March 31, 2011 and 2012, respectively.  In July 2011, the Company reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million.  In conjunction with this reduction, the Company recognized debt extinguishment costs of approximately $621,000 in July 2011 for the unamortized portion of the loan costs which were recorded as other interest expense.  Additionally, in July 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (“Senior Unsecured Notes”), and incurred deferred financing costs of $6.7 million associated therewith, of which $12,000 were incurred in the three months ended March 31, 2012.

The deferred financing costs associated with the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes will be amortized to interest expense over the five-year term of the facility, as amended, and the eight-year term of the notes, respectively, using the straight-line method which approximates the effective interest method.

For the three months ended March 31, 2011 and 2012, the Company amortized $406,000 and $514,000 to interest expense, respectively.

(j)           Revenue Recognition

Revenue related to IMEs, peer reviews, bill reviews and administrative support services is recognized at the time services have been performed and the report is shipped to the end user. The Company believes that recognizing revenue at the time the report is shipped is appropriate because the Company’s revenue policies meet the following four criteria in accordance with ASC 605-10-S25, Revenue Recognition: Overall, (i) persuasive evidence that an arrangement exists, (ii) shipment has occurred, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured. The Company reports revenues net of any sales, use and value added taxes.

Revenue related to other IME services, including litigation support services and medical record retrieval services, where no report is generated, is recognized at the time the service is performed. The Company believes that recognizing revenue at the time the service is performed is appropriate because the Company’s revenue policies meet the following four criteria in accordance with ASC 605-10-S25, (i) persuasive evidence that an arrangement exists, (ii) services have been rendered, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.

Certain agreements with customers in the U.K. include provisions whereby collection of the amounts billed are contingent on the favorable outcome of the claim.  The Company has deemed these provisions to preclude revenue recognition at the time of sale, as collectability is not reasonably assured and the sales are contingent, and is deferring these revenues, net of estimated costs, until the case has been settled and the contingency has been resolved.  As of December 31, 2011, the Company had deferred $2.6 million in contingent revenues and $1.6 million in costs associated with the contingent revenues.  For the three months ended March 31, 2012, the Company deferred an additional $2.5 million in contingent revenues and $1.7 million in costs and expenses associated with contingent revenues.

Should changes in conditions cause management to determine these criteria are not met for certain future transactions, revenue recognized for any reporting period could be adversely affected.

(k)           Costs of Revenues

Costs of revenues are comprised of fees paid to members of the Company’s medical panel; other direct costs including transcription, film and medical record obtainment and transportation; and indirect costs including labor and overhead related to the generation of revenues.

(l)           Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The Company applies the provisions of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes, (included in FASB ASC Subtopic 740-10, Income Taxes — Overall), and recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Prior to the adoption of FASB Interpretation No. 48, the Company recognized the effect of income tax positions only if such positions were probable of being sustained.

7

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

The Company records interest and penalties related to unrecognized tax benefits in income tax expense.

(m)           Loss Per Common Share

Basic loss per share is calculated by dividing net loss by the weighted-average number of common shares outstanding during each period. Diluted loss per common share is calculated by dividing net loss, adjusted on an “as if converted” basis, by the weighted-average number of actual shares outstanding and, when dilutive, the share equivalents that would arise from the assumed conversion of convertible instruments. The effect of potentially dilutive stock options and warrants is calculated using the treasury stock method.

For the three months ended March 31, 2011, the potentially dilutive securities include options and warrants exercisable into 6.9 million shares of common stock, 83,000 shares of common stock issuable to settle the equity component of an earnout obligation, and 135,000 shares of common stock issuable, at the holder’s option, to settle a subordinated unsecured note.  For the three months ended March 31, 2012, the potentially dilutive securities include options and warrants exercisable into 9.9 million shares of common stock and 68,000 shares of common stock issuable, at the holder’s option, to settle a subordinated unsecured note.

For the three months ended March 31, 2011 and 2012, all of the potentially dilutive securities were excluded from the calculation of shares applicable to loss per share, because their inclusion would have been anti-dilutive.

(n)           Share-Based Compensation

The Company has an Amended and Restated 2008 Stock Incentive Plan, as amended, (the “Plan”) that provides for granting of stock options. The Company accounts for share-based awards in accordance with ASC Topic 718, Compensation — Stock Compensation (“ASC 718”). ASC 718 requires measurement of compensation cost for all share-based awards at fair value on the grant date (or measurement date if different) and recognition of compensation expense, net of forfeitures, over the requisite service period for awards expected to vest.

The fair value of stock option grants is determined using the Black-Scholes valuation model. The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable, characteristics not present in these employee stock options. Additionally, option valuation models require the input of highly subjective assumptions, including the expected volatility of the stock price. Because the Company’s employee stock options have characteristics significantly different from those of traded options and because changes in the subjective input assumptions can materially affect the fair value estimates, in management’s opinion, the existing models may not provide a reliable single measure of the fair value of its share-based awards.  The Company’s expected volatility assumptions are based on the Company’s peer group median implied volatility. Expected life assumptions are based upon the “simplified” method for those options issued in the first quarter of 2012 which were determined to be issued approximately at-the-money. The risk-free interest rate was selected based upon yields of U.S. Treasury issues with a term equal to the expected life of the option being valued.

The assumptions utilized for stock option grants during the three months ended March 31, 2012 were as follows:

	Three months ended March 31, 2012
Volatility		45.86	%
Expected life (years)		6.00
Risk-free interest rate		1.15	%
Dividend yield		-
Fair value	$	4.23

8

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

In the first three months of 2012, the Company issued approximately 2.3 million stock option awards. The weighted average fair value of each stock option was $4.23 per option and the aggregate fair value was $9.8 million. All of these awards vest over a three-year period. Additionally, all these options could vest earlier in the event of a change in control or merger or other acquisition. Share-based compensation expense related to stock option awards was $878,000 for the three months ended March 31, 2011, all of which was recorded in selling, general and administrative ("SGA") expenses, and $3.0 million for the three months ended March 31, 2012, of which $744,000 was included in costs of revenues and $2.2 million was recorded in SGA expenses.

At March 31, 2012, the unrecognized compensation expense related to stock option grants was $28.4 million, with a remaining weighted average life of 1.8 years.

A summary of option activity for the three months ended March 31, 2012 is as follows:

	Number of options			Weighted average exercise price		Weighted average remaining contractual life	Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2011		7,371,304		$	12.48
Options granted		2,314,976			9.53
Options forfeited		(247,306	)		17.13
Options exercised		(8,077	)		5.91
Outstanding at March 31, 2012		9,430,897		$	11.64	8.73 years	$	30,229
Exercisable at March 31, 2012		3,255,916		$	8.37	7.83 years	$	17,679

Aggregate intrinsic value represents the value of the Company’s closing stock price on the last trading day of the fiscal period in excess of the weighted average exercise price multiplied by the number of options outstanding or exercisable. The total intrinsic value of stock options exercised during the three month ended March 31, 2012 was approximately $43,000.

During the three months ended March 31, 2012, the Company did not issue any restricted stock units or shares of restricted stock. The Company issued 2,000 shares of common stock for vested restricted stock units with 9,000 shares remaining to be issued upon vesting as of March 31, 2012. For the three months ended March 31, 2011 and 2012, share-based compensation expense related to these awards was $99,000 and $149,000, respectively.  At December 31, 2011 and March 31, 2012, the unrecognized compensation expense related to restricted stock units and shares of restricted stock is $360,000 and $211,000, respectively, with a remaining weighted average life of 0.7 and 0.4 years, respectively.

During the three months ended March 31, 2012, the Company recorded share-based compensation expense of $1.6 million related to a 2012 incentive compensation plan, all of which was recorded in SGA expenses. Share-based compensation expense related to the plan will be recorded during the requisite service period, the year ended December 31, 2012, with the settlement occurring thereafter via an indeterminate number of restricted stock units. There was no share-based compensation expense recorded related to incentive compensation plans in the three months ended March 31, 2011.

(o)           Fair Value Measurements

In September 2006, the FASB issued authoritative guidance codified as ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”). ASC 820 defines fair value, establishes a framework for measuring fair value in U.S. generally accepted accounting principles and expands disclosure about fair value measurements. ASC 820 is effective for interim reporting periods in fiscal years beginning after November 15, 2007. The Company adopted the applicable provisions of ASC 820 effective January 1, 2008.

ASC Topic 825, Financial Instruments (“ASC 825”), delayed the effective date of the application of ASC 820 to fiscal years beginning after November 15, 2008 for all nonfinancial assets and nonfinancial liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis. Nonrecurring nonfinancial assets and nonfinancial liabilities for which the Company has not applied the provisions of ASC 820 primarily include those measured at fair value in goodwill and long-lived asset impairment testing, those initially measured at fair value in a business combination, and nonfinancial liabilities for exit or disposal activities.

9

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

ASC 820 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a fair value hierarchy, which prioritizes the inputs used in measuring fair value into the following levels:

In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as consider counterpart credit risk in its assessment of fair value.

Level 1 – Quoted prices in active markets for identical assets or liabilities.

Level 2 – Inputs, other than quoted prices in active markets, that are observable either directly or indirectly.

Level 3 – Unobservable inputs based on the company’s own assumptions.

The Company’s financial liabilities, which are measured at fair value on a recurring basis, are categorized using the fair value hierarchy at December 31, 2011 and March 31, 2012, and are as follows (in thousands):

	Level 1		Level 2		Level 3		Total
As of December 31, 2011
Financial instruments:
Interest rate swap	$	—	$	326	$	—	$	326
Contingent consideration		—		—		1,621		1,621
As of March 31, 2012
Financial instruments:
Interest rate swap	$	—	$	272	$	—	$	272
Contingent consideration		—		—		1,265		1,265

The fair value of the interest rate swap is determined using observable market inputs, such as current interest rates, and considers nonperformance risk of the Company and that of its counterparties.

The contingent consideration relates to earn-out provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010.  Of the total decrease in fair value of the contingent consideration of $356,000 in 2012, $249,000 was settled as cash consideration to satisfy installments related to a 2009 acquisition, approximately $111,000 of the change in value relates to the release of a restriction associated with shares previously issued related to a 2009 acquisition and approximately $4,000 was recorded in interest and other expenses, net in the Consolidated Statements of Operations due to changes  in the fair value of the contingent consideration.  

In February 2007, the FASB issued authoritative guidance codified as ASC 825, which permits entities to choose to measure many financial instruments and certain other items at fair value. This provision of ASC 825 is effective for fiscal years beginning after November 15, 2007. As the Company did not elect the fair value option, the adoption of this provision of ASC 825 did not have a material impact on the Company’s consolidated financial position, results of operations and cash flows for the year and three months ended December 31, 2011 and March 31, 2012, respectively.

(u)           Comprehensive Income (Loss)

Comprehensive income (loss) consists of two components, net loss and other comprehensive income (loss). Other comprehensive income (loss) refers to revenues, expenses, gains and losses that under GAAP are recorded as a component of stockholders’ equity but are excluded from net loss. The Company’s other comprehensive income (loss) consists of foreign currency translation adjustments from those business units not using the U.S. dollar as their functional currency.

10

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

(v)           Recent Accounting Pronouncements

Recently Adopted Accounting Pronouncements

In May 2011, the FASB issued Accounting Standards Update (“ASU”) No. 2011-04, Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS. This ASU represents the converged guidance of the FASB and the International Accounting Standards Board on fair value measurement. These amendments have resulted in common requirements for measuring fair value and for disclosing information about fair value measurements, including a consistent meaning of the term “fair value.” The common requirements are expected to result in greater comparability of fair value measurements presented and disclosed in financial statements prepared in accordance with U.S. GAAP and International Financial Reporting Standards. The amendments are to be applied prospectively and are effective for fiscal years beginning after December 15, 2011.  The Company adopted these provisions effective January 1, 2012. Adoption of these provisions did not have a material impact on the Company’s consolidated financial position, results of operations and cash flows.

In June and December 2011, the FASB issued ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income” (“ASU 2011-05”) and ASU 2011-12, Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05 (ASC 220, Comprehensive Income), respectively. These update amend ASC Topic 220, “Comprehensive Income” to provide that total comprehensive income is to be be reported in one continuous statement or two separate but consecutive statements of financial performance. Presentation of total comprehensive income in the statement of stockholders' equity or the footnotes is no longer allowed. The calculation of net income and basic and diluted net income per share is not affected. These ASUs are effective for fiscal years, and interim periods within those years, beginning on or after December 15, 2011.  The Company adopted these provisions effective January 1, 2012 and the adoption of ASU 2011-05 did have a significant impact on its financial position, results of operations and cash flows.

In September 2011, FASB issued ASU No. 2011-08, Intangibles-Goodwill and Other (Topic 350): Testing Goodwill for Impairment. This ASU is intended to simplify goodwill impairment testing by adding a qualitative review step to assess whether the required quantitative impairment analysis that exists previously is necessary. The fair value calculation for goodwill is required unless the Company concludes, based on the qualitative assessment, that it is more likely than not that the fair value of a reporting unit is less than its book value. If such a decline in fair value is deemed more likely than not to have occurred, then the quantitative goodwill impairment test must be completed; otherwise, goodwill is deemed to be not impaired and no further testing is required until the next annual test date (or sooner if conditions or events before that date raise concerns of potential impairment in the business). The amended goodwill impairment guidance does not affect the manner in which a company estimates fair value. The new standard is effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011, with early adoption permitted. The Company adopted these provisions effective January 1, 2012.  Adoption of these provisions is not expected to have a material impact on the Company’s consolidated financial statements.

(3)           Acquisitions

ExamWorks operates in a highly fragmented industry and has completed numerous acquisitions since July 14, 2008. A key component of ExamWorks’ acquisition strategy is growth through acquisitions that expand its geographic coverage, provide new or complementary lines of business, expand its portfolio of services and that increase its market share.

The Company has accounted for all business combinations using the purchase method to record a new cost basis for the assets acquired and liabilities assumed. The Company recorded, based on a preliminary purchase price allocation, intangible assets representing customer relationships, tradenames, covenants not to compete, and technology and the excess of purchase price over the estimated fair value of the tangible assets acquired and liabilities assumed and the separately recognized intangible assets has been recorded as goodwill in the accompanying consolidated financial statements. The goodwill is attributable to synergies achieved through the streamlining of operations combined with improved margins attainable through increased market presence. The results of operations are reflected in the consolidated financial statements of the Company from the date of acquisition.

(a)           2011 Acquisitions

MES Group Acquisition

On February 28, 2011, the Company completed the acquisition of 100% of the outstanding stock of MES Group, Inc. (“MES”) for aggregate consideration of $215.0 million, comprised of $175.0 million cash consideration, 1,424,501 shares of Company common stock with a fair value of $30.0 million  (using a value of  $21.07 per share, the closing price of the Company’s common stock on February 28, 2011), and $10.0 million of assumed indebtedness under MES’ credit facility, which was paid off at closing. In conjunction with the MES acquisition, the Company incurred transaction costs of $2.0 million, of which $439,000 were incurred in the three months ended March 31, 2011 and none of which were incurred in the three months ended March 31, 2012, and are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Operations.  The MES acquisition broadened the Company’s product portfolio and customer base and increased the Company’s market share in the U.S.

11

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

The final allocation of consideration for the MES acquisition is summarized as follows (in thousands):

	Preliminary purchase price allocation December 31, 2011			Adjustments/ reclassifications			Final purchase price allocation March 31, 2012
Building, equipment and leasehold improvements	$	1,800		$	—		$	1,800
Customer relationships		38,190			—			38,190
Tradename		17,426			—			17,426
Covenants not to compete		511			—			511
Technology		762			—			762
Goodwill		159,988			2,048			162,036
Net deferred tax liability associated with step-up in book basis		(18,244	)		693			(17,551	)
Assets acquired and liabilities assumed, net		14,581			(2,741	)		11,840
Totals	$	215,014		$	—		$	215,014

In 2012, the Company finalized the purchase price allocation with limited adjustments to the purchase price. The goodwill and other intangible assets resulting from the MES acquisition are not expected to be deductible for tax purposes.

Premex Group Acquisition

On May 10, 2011, the Company completed the acquisition of 100% of the outstanding share capital of Premex Group Limited (“Premex”) for $108.4 million.  The Company paid total consideration consisting of $66.5 million in cash, 661,610 shares of Company common stock with a fair value of approximately $15.1 million (using a value of $22.85 per share, the closing price of the Company’s common stock on May 10, 2011) and $26.8 million of assumed indebtedness under Premex’s receivables facility which was paid off at closing.   In conjunction with the Premex acquisition, the Company incurred transaction costs of $646,000, of which $19,000 were incurred in the three months ended March 31, 2011 and none of which were incurred in the three months ended March 31, 2012, and are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Operations.  The Premex acquisition increased the Company’s market share in the U.K. and broadened the Company’s product portfolio and customer base in the U.K.

The preliminary allocation of consideration for the Premex acquisition is summarized as follows (in thousands):

	Preliminary purchase price allocation December 31, 2011		Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2012
Equipment and leasehold improvements	$	650	$	—		$	650
Customer relationships		32,886		—			32,886
Tradename		10,602		—			10,602
Covenants not to compete		109		—			109
Technology		2,356		—			2,356
Goodwill		28,131		163			28,294
Deferred tax asset associated with step-up in book basis		603		—			603
Assets acquired and liabilities assumed, net		33,019		(163	)		32,856
Totals	$	108,356	$	—		$	108,356

12

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

The goodwill and other intangible assets resulting from the Premex acquisition are expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed, but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change.  The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.

Other 2011 Acquisitions

Additionally, in 2011, the Company completed the following individually insignificant acquisitions with an aggregate purchase price of $45.1 million, comprised of $43.7 million cash consideration less cash acquired of $564,000, and 214,926 shares of the Company’s common stock with an estimated fair value of $2.0 million. In conjunction with the other 2011 acquisitions, the Company incurred transaction costs of $630,000, of which $4,000 and $21,000 were incurred in the three months ended March 31, 2011 and 2012, respectively, and are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Operations. These acquisitions expanded the geographic coverage and, to a lesser extent, enhanced the service offering of the Company.

Company name	Form of acquisition	Date of acquisition
National IME Centres Inc.	100% of the outstanding common stock	February 18, 2011
MLS Group of Companies, Inc.	100% of the outstanding common stock	September 28, 2011
Medicolegal Services, Inc.	Substantially all of the assets and assumed certain liabilities	September 28, 2011
North York Rehabilitation Centre Inc.	Substantially all of the assets and assumed certain liabilities	October 3, 2011
Capital Vocational Specialist Inc.	Substantially all of the assets and assumed certain liabilities	October 3, 2011
Matrix Health Management Inc.	Substantially all of the assets and assumed certain liabilities	October 24, 2011
Bronshvag	Substantially all of the assets and assumed certain liabilities	October 27, 2011

The preliminary allocation of consideration for these acquisitions is summarized as follows (in thousands):

	Preliminary purchase price allocation December 31, 2011			Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2012
Equipment and leasehold improvements	$	213		$	—		$	213
Customer relationships		18,577			—			18,577
Tradename		2,989			—			2,989
Covenants not to compete		197			—			197
Technology		334			—			334
Goodwill		21,500			(1,133	)		20,367
Net deferred tax liability associated with step-up in book basis		(356	)		—			(356	)
Assets acquired and liabilities assumed, net		2,598			225			2,823
Totals	$	46,052		$	(908	)	$	45,144

In 2012, the Company recorded adjustments to working capital resulting in a reduction of total consideration paid of $908,000. Goodwill of $18.8 million and other intangible assets of $20.8 million are expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change. Such changes are not expected to be significant. The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.

(b)           Pro forma Financial Information

The unaudited pro forma results of operations for the three months ended March 31, 2011 assumes that the 2011 acquisitions were completed on January 1, 2010. There we no acquisitions completed in the three months ended March 31, 2012 and thus there are no differences between the reported and pro forma results of operations.

For the three months ended March 31, 2011, pro forma revenues and net loss were $121.3 million and $157,000, respectively.  Pro forma net loss per share, on both a basic and diluted basis, was nil.

13

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

For the three months ended March 31, 2011, the pro forma results include adjustments to reflect additional interest expense of $3.3 million associated with the funding of the acquisitions assuming that acquisition related debt was incurred on January 1, 2010. In addition, incremental depreciation and amortization expense was recorded as if the acquisitions had occurred on January 1, 2010 and amounted to $5.8 million for the three months ended March 31, 2011. Finally, adjustments of $5.2 million were made to SGA expenses for the three months ended March 31, 2011, principally related to certain salary and other personal expenses attributable to the previous owners of the acquired businesses. These adjustments represent contractual reductions and are considered to be non-recurring and are not expected to have a continuing impact on the operations of the Company.

The pro forma financial information presented above is not necessarily indicative of either the results of operations that would have occurred had the acquisitions been effective as of January 1, 2010 or of future operations of the Company.

(4)           Property, Equipment and Leasehold Improvements

Property, equipment and leasehold improvements at December 31, 2011 and March 31, 2012, consist of the following (in thousands):

	Estimated useful lives	December 31, 2011		March 31, 2012
Building	15 years	$	600	$	600
Computer and office equipment	3 years		10,742		12,619
Furniture and fixtures	3 – 5 years		1,682		1,844
Leasehold improvements	Lease term		627		735
			13,651		15,798
Less accumulated depreciation and amortization			4,733		5,965
Total		$	8,918	$	9,833

Depreciation expense for the three months ended March 31, 2011 and 2012 was $736,000 and $1.2 million, respectively.

(5)           Goodwill and Intangible Assets

Goodwill at December 31, 2011 and March 31, 2012 consists of the following (in thousands):

	December 31, 2011			March 31, 2012
Balance at beginning of period	$	90,582		$	300,260
Goodwill acquired during the period		209,619			—
Adjustments to prior year acquisitions		1,799			1,078
Effect of foreign currency translation		(1,740	)		1,681
Balance at end of period	$	300,260		$	303,019

Intangible assets at December 31, 2011 and March 31, 2012, consist of the following (in thousands):

		December 31, 2011
	Estimated useful lives	Gross carrying amount		Accumulated amortization			Net carrying carrying value
Amortizable intangible assets:
Customer relationships	40 to 60 months	$	157,826	$	(50,438	)	$	107,388
Tradenames	45 to 84 months		48,046		(13,277	)		34,769
Covenants not to compete	36 months		2,784		(1,587	)		1,197
Technology	24 to 40 months		6,750		(3,936	)		2,814
Totals		$	215,406	$	(69,238	)	$	146,168

14

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

		March 31, 2012
	Estimated useful lives	Gross carrying amount		Accumulated amortization			Net carrying carrying value
Amortizable intangible assets:
Customer relationships	40 to 60 months	$	159,601	$	(60,037	)	$	99,564
Tradenames	45 to 84 months		48,521		(16,072	)		32,449
Covenants not to compete	36 months		2,799		(1,795	)		1,004
Technology	24 to 40 months		6,833		(4,634	)		2,199
Totals		$	217,754	$	(82,538	)	$	135,216

The aggregate intangible amortization expense was $7.9 million and $12.8 million for the three months ended March 31, 2011 and 2012, respectively.  The estimated future amortization expense of intangible assets is as follows (in thousands):

	Amount
Nine months ended December 31, 2012	$	36,752
Year ended December 31:
2013		43,405
2014		27,357
2015		18,651
2016		6,173
Thereafter		2,878
Total	$	135,216

(6)           Accrued Expenses

Accrued expenses at December 31, 2011 and March 31, 2012 consist of the following (in thousands):

	December 31, 2011		March 31, 2012
Accrued compensation and benefits	$	3,323	$	7,923
Accrued selling and professional fees		4,112		6,019
Accrued income and other taxes		1,546		1,890
Accrued medical panel fees		1,880		2,406
Accrued value added tax		15,812		17,481
Other accrued expenses		1,737		1,574
Total	$	28,410	$	37,293

(7)           Stockholders’ Equity

During the three months ended March 31, 2012, the Company issued approximately 8,000 shares of common stock to settle stock options exercised during the period.

During the three months ended March 31, 2012, the Company issued approximately 2,000 shares of common stock to settle vested restricted stock units granted in the prior year to an outside consultant as compensation to be provided in the upcoming year.  The Company records the expense related to these awards in SGA expenses over the requisite service period.

During the three months ended March 31, 2012, the Company repurchased approximately 39,000 shares of its common stock under its share repurchase program.  These shares were repurchased at an average cost of $9.91 per share for a total cost of approximately $387,000.

15

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

Repurchased shares of the Company’s common stock are held as treasury shares until they are reissued or retired. When the Company reissues treasury stock, if the value of the transaction is greater than the average price paid to acquire the shares, an increase in additional paid-in capital is recorded. Conversely, if the value of the transaction is less than the average price paid to acquire the shares, a decrease is recorded to additional paid-in capital to the extent of increases previously recorded for similar transactions, and a decrease is recorded in retained earnings for any remaining amount.

(8)           Related Party Transactions

The Senior Secured Revolving Credit Facility contains a provision requiring the Company to use a third party to perform financial due diligence for acquisitions exceeding a certain size. With the approval of the senior lender, the Company engaged RedRidge Finance Group ("Redridge") to assist it with financial due diligence and incurred $44,000  in fees pertaining to acquisition-related work performed during the three months ended March 31, 2011.  There were no such fees incurred in the three months ended March 31, 2012.   P&P Investment, LLC (“P&P”), a company owned by Richard Perlman and James Price, the Chairman and Chief Executive Officer, respectively, of the Company, are minority owners of RedRidge.  P&P, Mr. Perlman and Mr. Price have waived any right P&P had to any portion of the diligence fees paid by the Company to RedRidge.

In June 2010, the Company entered into a lease agreement with Compass Partners ("Compass") for corporate office space located at 655 Madison Avenue, 23rd Floor, New York, NY. Pursuant to the lease, which runs from April 1, 2010 through June 30, 2014, the Company paid Compass a rental fee of $10,080 per month in 2010, which fee was subject to increase commencing January 1, 2011 based on a proportionate pass through of base rent increases and increases for property taxes and building operating expenses. In the three months ended March 31, 2011 and 2012, the Company paid Compass $33,000 and $32,000 in rental payments, respectively.

(9)           Commitments and Contingencies

(a)           Lease Commitments

The Company and its subsidiaries lease office space and office related equipment under noncancelable operating leases with various expiration dates from 2012 through 2019.

Future minimum lease payments under the operating leases for the nine months ended December 31, 2012 and in each of the years subsequent to December 31, 2012 are as follows (in thousands):

	Amount
Nine months ended December 31, 2012	$	6,197
Year ended December 31:
2013		6,633
2014		5,077
2015		3,962
2016		2,836
Thereafter		3,476
Total	$	28,181

Related rent expense was $1.5 million and $2.3 million for the three months ended March 31, 2011 and 2012, respectively.

(b)           Employee Benefit Plans

The Company and its subsidiaries each sponsor a separate voluntary defined contribution pension plan under Section 401(k) of the Internal Revenue Code. The plans cover substantially all employees that meet specific age and length of service requirements. The Company and its subsidiaries have various matching and vesting arrangements within their individual plans. The Company did not record any compensation expense related to these plans for the three months ended March 31, 2011.  For the three months ended March 31, 2012, the Company recorded $98,000 in compensation expense related to these plans.

16

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

(c)           Letters of Credit

As of December 31, 2011 and March 31, 2012, the Company had $190,000 and $273,000 outstanding under letters of credit which are used to secure two of the Company’s leased office facilities.

(10)         Long-Term Debt

	December 31, 2011		March 31, 2012
	(In thousands)
Senior Unsecured Notes Payable (a)	$	250,000	$	250,000
Senior Secured Revolving Credit Facility, Bank of America, N.A. (b)		5,000		5,000
Working capital facilities, Barclays (c)		39,063		36,557
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)		2,649		2,142
		296,712		293,699
Less current portion		1,932		1,629
	$	294,780	$	292,070

(a)        On July 19, 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the “Senior Unsecured Notes”). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks’ existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under the Company’s Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions.

The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the “Indenture”), among the Company, the Guarantors and U.S. Bank, National Association, as trustee (the “Trustee”).  The Senior Unsecured Notes are the Company’s general senior unsecured obligations, and rank equally with the Company’s existing and future senior unsecured obligations and senior to all of the Company’s further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012.

At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest.

The Indenture includes covenants which, subject to certain exceptions, limit the ability of the Company and its restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of the Company or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), the Company may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.

In connection with the issuance of the Senior Unsecured Notes, the Company and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the “Registration Rights Agreement”). The Registration Rights Agreement requires the Company to register with the Securities and Exchange Commission (“SEC”) new 9.0% Senior Unsecured Notes due 2019 (the “Exchange Notes”) having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the “Exchange Offer”) or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes. Failure of the Company to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require the Company to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured.

17

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

The Company filed a Registration Statement on Form S-4 (the “Registration Statement”) with the SEC on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012. The Company expects to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.

(b)     The Company entered into a credit agreement dated November 2, 2010 with Bank of America, N.A. (the "Senior Secured Revolving Credit Facility").  The Senior Secured Revolving Credit Facility initially consisted of a $180.0 million revolving credit facility. The Senior Secured Revolving Credit Facility is available to finance the Company’s acquisition program and working capital needs. On February 9, 2011, the Company exercised the accordion feature of the Senior Secured Revolving Credit Facility, increasing the facility from $180.0 million to $245.0 million.

On May 6, 2011, the Company increased and fully exercised the accordion features of the Senior Secured Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.

On July 7, 2011, the Company entered into a second amendment to its Senior Secured Revolving Credit Facility (the “Second Amendment”) which became effective simultaneously with the consummation of the Company’s private offering of the Senior Unsecured Notes.  The Second Amendment amended the Senior Secured Revolving Credit Facility to, among other things, (i) extend the maturity date of the Senior Secured Revolving Credit Facility from November 2013 to July 2016; (ii) permit the issuance and sale of the Senior Unsecured Notes; (iii) replace the consolidated senior leverage ratio with a consolidated senior secured leverage ratio while permitting the maximum consolidated senior secured leverage ratio to be 3.00 to 1; (iv) permit the Company’s maximum consolidated leverage ratio to increase from 3.5 to 1 to 4.75 to 1; (v) reduce the borrowing cost; and (vi) allow the Company to complete acquisitions with a purchase price of up to $75.0 million (previously $50.0 million) without prior lender consent. The Second Amendment also reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million, subject to the Company’s right to increase the aggregate revolving commitments by $37.5 million for a maximum commitment of $300.0 million, so long as the Company is not in default and the Company satisfies certain other customary conditions.

On February 27, 2012, the Company entered into a third amendment to its Senior Secured Revolving Credit Facility (the “Third Amendment”). The Third Amendment amended the Senior Secured Revolving Credit Facility as to the definitions of consolidated fixed charges and consolidated fixed charge coverage ratio and does not permit the consolidated fixed charge coverage ratio as of the end of any fiscal quarter to be less than (i) for an fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for an fiscal quarter ending thereafter, 2.00 to 1.00.

Borrowings under the Senior Secured Revolving Credit Facility, as amended, bear interest, at either (i) LIBOR plus the applicable margin or (ii) a base rate (equal to the highest of (a) the federal funds rate plus 0.5%, (b) the Bank of America prime rate and (c) LIBOR (using a one month-period) plus 1.0%), plus the applicable margin, as the Company elects. The applicable margin means a percentage per annum determined in accordance with the following table:

Pricing Tier	Consolidated Leverage Ratio	Commitment Fee/Unused Line Fee	Letter of Credit Fee	Eurocurrency Rate Loans	Base Rate Loans
1	≥ 2.50 to 1.0	0.50%	3.75%	3.75%	2.75%
2	≥ 2.00 to 1.0 but < 2.50 to 1.0	0.45%	3.50%	3.50%	2.50%
3	≥ 1.50 to 1.0 but < 2.00 to 1.0	0.40%	3.25%	3.25%	2.25%
4	≥ 1.00 to 1.0 but < 1.50 to 1.0	0.35%	3.00%	3.00%	2.00%
5	< 1.00 to 1.0	0.30%	2.75%	2.75%	1.75%

In the event of default, the outstanding indebtedness under the facility will bear interest at an additional 2%.

The Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants requiring the Company to not exceed a maximum consolidated senior secured leverage coverage ratio and a maximum total consolidated leverage ratio and to maintain a minimum consolidated fixed charge coverage ratio. The Senior Secured Revolving Credit Facility also restricts the Company’s ability (subject to certain exceptions) to incur indebtedness, prepay or amend other indebtedness, create liens, make certain fundamental changes including mergers or dissolutions, pay dividends and make other payments in respect of capital stock, make certain investments, sell assets, change its lines of business, enter into transactions with affiliates and other corporate actions.

18

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

As of March 31, 2012, the Company had $5.0 million outstanding under the Senior Secured Revolving Credit Facility, bearing interest at a rate of 3.00%, resulting in $257.5 million of undrawn commitments (without taking into account $273,000 outstanding under letters of credit). However, the credit agreement governing the Company’s Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants which may limit the amount of borrowings available.

(c)           On September 29, 2010, the Company’s indirect wholly-owned subsidiary UK Independent Medical Systems ("UKIM") entered into a Sales Finance Agreement (the “UKIM SFA”) with Barclays Bank PLC (“Barclays”), pursuant to which Barclays will provide UKIM a working capital facility of up to £5,000,000, subject to the terms and conditions of the UKIM SFA. The working capital facility bears a discount margin of 2.5% over Base Rate (0.5% rate on March 31, 2012) and serves to finance UKIM’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, the Company had $6.6 million outstanding under the working capital facility, resulting in approximately $1.4 million in availability.

On May 12, 2011, the Company’s indirect wholly-owned subsidiary Premex entered into a Sales Finance Agreement (the “Premex SFA”) with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the Premex SFA. The working capital facility bears a discount margin of 2.4% over Base Rate (0.5% rate on March 31, 2012) and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, the Company had $30.0 million outstanding under the working capital facility, resulting in approximately $12.4 million in availability.

(d)           During 2009 and 2010, the Company issued seller debt in the form of subordinated unsecured notes payable with an estimated fair value of approximately $5.5 million relating to certain acquisitions.  These notes are unsecured and subordinated to the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes issued in July 2011. Five notes payable totaling $4.4 million bear interest at 6%, and are payable quarterly with amounts ranging between $50,000 and $76,000, with maturity dates ranging from August 2011 through March 2013. The remaining balance of the notes payable, $1.1 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $333,000, maturing in 2014. The Company made principal payments totaling $532,000 during the three months ended March 31, 2012.

As of March 31, 2012, future maturities of long-term debt were as follows (in thousands):

	Amount
Nine months ended December 31, 2012	$	1,417
Year ended December 31:
2013		6,976
2014		30,306
2015		—
2016		5,000
Thereafter		250,000
Total	$	293,699

(11)         Financial Instruments

The FASB issued ASC 815 which establishes accounting and reporting standards for derivative instruments. ASC 815 requires an entity to recognize all derivatives as either assets or liabilities and measure those instruments at fair value. Derivatives that do not qualify as a hedge must be adjusted to fair value in earnings. If the derivative does qualify as a hedge under ASC 815, changes in the fair value will either be offset against the change in fair value of the hedged assets, liabilities or firm commitments or recognized in accumulated other comprehensive income until the hedged item is recognized in earnings. The ineffective portion of a hedge’s change in fair value will be immediately recognized in earnings.

19

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

In August 2008, in order to protect against interest rate exposure on its variable-rate debt, the Company entered into an interest rate swap to fix the interest rate applicable to certain of its variable-rate debt. The agreement swaps one-month LIBOR for a fixed interest rate of 4.36% with a notional amount of $6.6 million and $6.1 million as of December 31, 2011 and March 31, 2012, respectively. The Company did not meet the criteria for hedge accounting under ASC 815, thus the difference between its amortized cost and its fair value resulted in an unrealized gain at March 31, 2011 and 2012 of $170,000 and $54,000 respectively, and such amount was reported in interest and other expenses, net on the accompanying Consolidated Statements of Operations.

The Company does not enter into derivative transactions for speculative purposes.

(12)         Income Taxes

In preparing its financial statements, the Company estimates income taxes in each of the jurisdictions in which it operates. This process involves estimating actual current tax exposure together with assessing temporary differences resulting from differing treatment of items for tax and financial reporting purposes. These differences result in deferred income tax assets and liabilities.

As of December 31, 2011, the Company had $2.4 million in estimated federal net operating losses (“NOLs”) to offset against future federal taxable income. These NOLs are subject to the change in control provisions in Section 382 of the Internal Revenue Code (“IRC Section 382”) and expire in 2030. As of December 31, 2011, the Company had estimated alternative minimum tax (“AMT”) credit carryforwards of $355,000 and $2.1 million in estimated foreign tax credits related to income taxes payable at certain of our business units located in the U.K., which may be used to offset future federal tax liabilities.

Additionally, the Company currently has significant deferred tax assets and other deductible temporary differences including basis differences between intangible assets. The Company does not provide a valuation allowance against its deferred tax assets as the Company believes that it is more likely than not that all of the deferred tax assets will be realized based on available evidence including scheduled reversal of deferred tax liabilities, projected future taxable income and other tax planning considerations.

The Company applies the provisions of ASC 740 as it relates to uncertain tax positions. This interpretation prescribes a comprehensive model for how a company should recognize, measure, present and disclose in its financial statements uncertain tax positions that the company has taken or expects to take on a tax return. ASC 740 states that a tax benefit from an uncertain tax position may be recognized only if it is “more likely than not” that the position is sustainable, based on its technical merits. The tax benefit of a qualifying position is the largest amount of tax benefit that is greater than 50% likely of being realized upon settlement with a taxing authority having full knowledge of all relevant information.

As of December 31, 2011, the liability related to unrecognized tax benefits was $308,000. The Company recorded an additional liability for unrecognized tax benefits in the three months ended March 31, 2012 of $5,000 related to acquired liabilities for unrecognized tax benefits and interest and penalties on prior year tax positions.  The Company recognizes interest and penalties accrued related to unrecognized tax benefits in income tax expense.

The following table summarizes the activity related to the unrecognized tax benefits for the period ended March 31, 2012 (in thousands):

Balance at January 1, 2012	$	308
Increase to prior year tax positions		5
Increase to current year tax positions		—
Expiration of the statute of limitations for the assessment of taxes		—
Decrease related to settlements		—
Balance at March 31, 2012	$	313

20

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

The Company is no longer subject to U.S. federal income or state tax return examinations by tax authorities for tax years before 2007 and 2006, respectively, which periods relate to certain acquired businesses. The Internal Revenue Service (“IRS”) commenced an examination of the Company’s U.S. income tax returns for 2009 during the second quarter of 2011 and in January 2012, the Company received a closure letter from the IRS stating that no adjustments were identified. The Company operates in multiple taxing jurisdictions and faces audits from various tax authorities. The Company remains subject to examination until the statute of limitations expires for the respective tax jurisdiction. The Company does not anticipate that the amount of the unrecognized benefit will significantly increase or decrease within the next twelve months.

Undistributed earnings of the Company’s foreign subsidiaries are considered indefinitely reinvested and, accordingly, no provision for U.S. federal income taxes has been recorded. Deferred taxes are provided for earnings outside the United States when those earnings are not considered indefinitely reinvested.

(13)         Segment and Geographical Information

The Company applies the provisions of ASC Topic 280, Segment Reporting, (“ASC Topic 280”). ASC 280, which is based on a management approach to segment reporting, establishes requirements to report selected segment information quarterly and to report annually entity-wide disclosures about products, major customers and the geographies in which the entity holds material assets and reports revenue. An operating segment is defined as a component that engages in business activities whose operating results are reviewed by the chief operating decision maker and for which discrete financial information is available. Based on the provisions of ASC 280, the Company has determined that it operates in one segment. The Company manages its resources and assesses its performance on an enterprise-wide basis. The Company’s product groups qualify for aggregation under ASC 280 due to their similarities in customer base, economic characteristics, and the nature of products and services provided.   Information relating to the Company’s revenues and long-lived assets is as follows (in thousands):

Revenues:	For the three months ended March 31,
	2011		2012
United States	$	56,858	$	87,195
Canada		4,700		6,886
United Kingdom		5,030		29,657
Total	$	66,588	$	123,738

Long-lived assets: (1)	December 31,		March 31,
	2011		2012
United States	$	340,955	$	336,032
Canada		42,377		40,300
United Kingdom		72,452		72,168
Total	$	455,784	$	448,500

(1) Long-lived assets are noncurrent assets excluding deferred tax assets and deferred financing costs.

21

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

(14)         Condensed Consolidating Financial Information of Guarantor Subsidiaries

The Company has outstanding certain indebtedness that is guaranteed by all of its U.S. subsidiaries. However, the indebtedness is not guaranteed by the Company’s foreign subsidiaries. The guarantor subsidiaries are wholly owned and the guarantees are made on a joint and several basis, and are full and unconditional. Separate consolidated financial statements of the guarantor subsidiaries have not been presented because management believes that such information would not be material to investors. However, condensed consolidating financial information as of December 31, 2011and March 31, 2012, and for the three months ended March 31, 2011 and 2012 is presented below. The Company (issuer of the Senior Unsecured Notes) was formed in June 2010 to implement a holding company organizational structure. As a result, all operating activities are conducted through the Company’s wholly-owned subsidiaries.

Condensed Consolidating Statement of Operations for the three months ended March 31, 2011

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	56,858		$	9,730		$	—	$	66,588
Costs and expenses:
Costs of revenues		37,862			5,707			—		43,569
Selling, general and administrative expenses		12,094			2,234			—		14,328
Depreciation and amortization		7,156			1,453			—		8,609
Total costs and expenses		57,112			9,394			—		66,506
Income (loss) from operations		(254	)		336			—		82
Interest and other expenses, net		430			582			—		1,012
Loss before income taxes		(684	)		(246	)		—		(930	)
Benefit for income taxes		(318	)		(53	)		—		(371	)
Net loss	$	(366	)	$	(193	)	$	—	$	(559	)

22

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

Condensed Consolidating Statement of Operations for the three months ended March 31, 2012

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	87,195		$	36,543		$	—	$	123,738
Costs and expenses:
Costs of revenues		60,415			20,758			—		81,173
Selling, general and administrative expenses		17,022			11,610			—		28,632
Depreciation and amortization		8,719			5,306			—		14,025
Total costs and expenses		86,156			37,674			—		123,830
Income (loss) from operations		1,039			(1,131	)		—		(92	)
Interest and other expenses, net		5,312			1,261			—		6,573
Loss before income taxes		(4,273	)		(2,392	)		—		(6,665	)
Provision (benefit) for income taxes		(2,485	)		143			—		(2,342	)
Net loss	$	(1,788	)	$	(2,535	)	$	—	$	(4,323	)

23

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

Condensed Consolidating Balance Sheet as of December 31, 2011

(In thousands)

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	6,044	$	2,372	$	—		$	—		$	8,416
Accounts receivable, net		44,690		99,351		—			—			144,041
Other receivables		26		14		—			—			40
Prepaid expenses		2,694		1,793		—			—			4,487
Deferred tax assets		1,373		267		—			—			1,640
Other current assets		14		1,159		—			—			1,173
Total current assets		54,841		104,956		—			—			159,797
Property, equipment and leasehold improvements, net		7,745		1,173		—			—			8,918
Goodwill		240,252		60,008		—			—			300,260
Intangible assets, net		84,833		61,335		—			—			146,168
Deferred tax assets, noncurrent		—		1,913		—			(1,913	)		—
Deferred financing costs, net		—		—		11,458			—			11,458
Other assets		438		—		—			—			438
Total assets	$	388,109	$	229,385	$	11,458		$	(1,913	)	$	627,039
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	16,728	$	25,914	$	—		$	—		$	42,642
Accrued expenses		4,272		24,138		—			—			28,410
Accrued interest expense		—		3,236		7,011			—			10,247
Deferred revenue		192		1,140		—			—			1,332
Current portion of subordinated unsecured notes payable		1,932		—		—			—			1,932
Current portion of contingent earnout obligation		91		—		—			—			91
Other current liabilities		2,925		2,534		—			—			5,459
Total current liabilities		26,140		56,962		7,011			—			90,113
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities		—		39,063		5,000			—			44,063
Long-term subordinated unsecured notes payable, less current portion		717		—		—			—			717
Long-term contingent earnout obligation, less current portion		86		—		—			—			86
Deferred tax liability, noncurrent		4,072		—		—			(1,913	)		2,159
Other long-term liabilities		1,691		286		—			—			1,977
Total liabilities		32,706		96,311		262,011			(1,913	)		389,115
Commitments and contingencies
Stockholders’ equity (1)		355,403		133,074		(250,553	)		—			237,924
Total liabilities and stockholders' equity	$	388,109	$	229,385	$	11,458		$	(1,913	)	$	627,039

(1)  Includes intercompany investments in subsidiaries.

24

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

Condensed Consolidating Balance Sheet as of March 31, 2012

(In thousands)

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	5,690	$	2,776	$	—		$	—		$	8,466
Accounts receivable, net		43,586		106,174		—			—			149,760
Other receivables		65		—		—			—			65
Prepaid expenses		2,278		2,673		—			—			4,951
Deferred tax assets		1,509		—		—			—			1,509
Other current assets		13		1,199		—			—			1,212
Total current assets		53,141		112,822		—			—			165,963
Property, equipment and leasehold improvements, net		8,629		1,204		—			—			9,833
Goodwill		242,111		60,908		—			—			303,019
Intangible assets, net		77,174		58,042		—			—			135,216
Deferred tax assets, noncurrent		—		2,869		—			(1,881	)		988
Deferred financing costs, net		—		—		11,343			—			11,343
Other assets		432		—		—			—			432
Total assets	$	381,487	$	235,845	$	11,343		$	(1,881	)	$	626,794
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	15,117	$	27,998	$	—		$	—		$	43,115
Accrued expenses		9,300		27,993		—			—			37,293
Accrued interest expense		—		4,502		317			—			4,819
Deferred revenue		174		1,746		—			—			1,920
Current portion of subordinated unsecured notes payable		1,629		—		—			—			1,629
Current portion of contingent earnout obligation		91		—		—			—			91
Other current liabilities		2,378		2,704		—			—			5,082
Total current liabilities		28,689		64,943		317			—			93,949
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities		—		36,557		5,000			—			41,557
Long-term subordinated unsecured notes payable, less current portion		513		—		—			—			513
Long-term contingent earnout obligation, less current portion		86		—		—			—			86
Deferred tax liability, noncurrent		1,881		—		—			(1,881	)		—
Other long-term liabilities		1,527		336		—			—			1,863
Total liabilities		32,696		101,836		255,317			(1,881	)		387,968
Commitments and contingencies
Stockholders’ equity (1)		348,791		134,009		(243,974	)		—			238,826
Total liabilities and stockholders' equity	$	381,487	$	235,845	$	11,343		$	(1,881	)	$	626,794

(1)  Includes intercompany investments in subsidiaries.

25

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

Condensed Consolidating Statement of Cash Flows for the three months ended March 31, 2011

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by operating activities	$	4,953		$	1,313		$	—		$	6,266
Investing activities:
Cash paid for acquisitions, net		(185,000	)		(2,303	)		—			(187,303	)
Purchases of equipment and leasehold improvements, net		(1,872	)		(96	)		—			(1,968	)
Working capital and other settlements for acquisitions		49			(374	)		—			(325	)
Net cash used in investing activities		(186,823	)		(2,773	)		—			(189,596	)
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			165,000			165,000
Proceeds from the exercise of options and warrants		—			—			263			263
Excess tax benefit related to share-based compensation		438			—			—			438
Payment of deferred financing costs		—			—			(445	)		(445	)
Repayment of subordinated unsecured notes payable		(361	)		—			—			(361	)
Net borrowings under working capital facilities		—			130			—			130
Intercompany investments and other		164,800			—			(164,818	)		(18	)
Net cash provided by financing activities		164,877			130			—			165,007
Exchange rate impact on cash and cash equivalents		—			80			—			80
Net decrease in cash and cash equivalents		(16,993	)		(1,250	)		—			(18,243	)
Cash and cash equivalents, beginning of period		31,192			2,432			—			33,624
Cash and cash equivalents, end of period	$	14,199		$	1,182		$	—		$	15,381

26

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements Unaudited)

Condensed Consolidating Statement of Cash Flows for the three months ended March 31, 2012

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by operating activities	$	1,398		$	3,401		$	—		$	4,799
Investing activities:
Purchases of equipment and leasehold improvements, net		(407	)		(145	)		—			(552	)
Working capital and other settlements for acquisitions		47			861			—			908
Net cash provided by (used in) investing activities		(360	)		716			—			356
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			11,000			11,000
Proceeds from the exercise of options and warrants		—			—			50			50
Purchases of stock for treasury		—			—			(387	)		(387	)
Payment of deferred financing costs		—			—			(414	)		(414	)
Repayment of subordinated unsecured notes payable		(546	)		—			—			(546	)
Net repayments of working capital facilities		—			(3,789	)		—			(3,789	)
Repayment under credit facilities		—			—			(11,000	)		(11,000	)
Intercompany investments and other		(846	)		—			751			(95	)
Net cash used in financing activities		(1,392	)		(3,789	)		—			(5,181	)
Exchange rate impact on cash and cash equivalents		—			76			—			76
Net increase (decrease) in cash and cash equivalents		(354	)		404			—			50
Cash and cash equivalents, beginning of period		6,044			2,372			—			8,416
Cash and cash equivalents, end of period	$	5,690		$	2,776		$	—		$	8,466

(15)         Subsequent Events

The Company filed a Registration Statement on Form S-4 with the Securities and Exchange Commission on April 4, 2012 to effect the Exchange Offer with respect to the Senior Unsecured Notes. The Registration Statement was declared effective by the SEC on April 30, 2012. See Note 10 for further discussion of the Exchange Offer.

27

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Item 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Forward-looking Statements

Unless the context indicates otherwise, references in this Quarterly Report on Form 10-Q to “ExamWorks”, “the Company,” “we,” “our,” and “us” mean ExamWorks Group, Inc. and its consolidated subsidiaries.

The following discussion and analysis of our financial condition and results of operations should be read together with our consolidated financial statements and the related notes and the other financial information appearing elsewhere in this Quarterly Report on Form 10-Q.  This Quarterly Report on Form 10-Q contains forward-looking statements, within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, that involve risks and uncertainties.  Forward-looking statements convey current expectations or forecasts of future events for ExamWorks. All statements contained in this report other than statements of historical fact, including statements regarding our future results of operations and financial position, business strategy and plans, and our objectives for future operations, are forward-looking. You can identify forward-looking statements by terminology such as “project,” “believe,” “anticipate,” “plan,” “expect,” “estimate,” “intend,” “should,” “would,” “could,” “will,” “can,” “continue,” or “may,” or the negative of these terms or other similar expressions that convey uncertainty of future events or outcomes. Such forward-looking statements are subject to risks, uncertainties and other factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in the section titled “Risk Factors,” set forth in Part II, Item 1A of this Quarterly Report on Form 10-Q and elsewhere in this report, and in the Company’s Annual Report on Form 10-K for the year ended December 31, 2011. The forward-looking statements in this Quarterly Report on Form 10-Q represent our views as of the date of this report. Subsequent events and developments may cause our views to change. While we may elect to update these forward-looking statements at some point in the future, we have no current intention of doing so except to the extent required by applicable law. You should, therefore, not rely on these forward-looking statements as representing our views as of any date subsequent to the date of this report.

Our Business

We are a leading provider of IMEs, peer and bill reviews, and related services, which include legal support services, administrative support services and medical record retrieval services. We were incorporated as a Delaware corporation on April 27, 2007. From July 14, 2008 through the date of this filing, we have acquired 37 IME businesses, including a leading provider of software solutions to the IME industry. We currently operate out of 45 service centers servicing all 50 U.S. states, Canada and the United Kingdom.

We provide our services to property and casualty insurance carriers, law firms, third-party claim administrators, government agencies, and state funds that use independent services to confirm the veracity of claims by sick or injured individuals for workers’ compensation, automotive, personal injury liability and disability insurance coverage. We help our clients manage costs and enhance their risk management processes by verifying the validity, nature, cause and extent of claims, identifying fraud and providing fast, efficient and quality IME services.

We provide our clients with the local presence, expertise and broad geographic coverage they increasingly require. Our size and geographic reach give our clients access to our medical panel of credentialed physicians and other medical providers and our proprietary information technology infrastructure that has been specifically designed to streamline the complex process of coordinating referrals, scheduling appointments, complying with regulations and client reporting. Our primary service is to provide IMEs that give our clients authoritative and accurate answers to questions regarding the nature and permanency of medical conditions or personal injury, their cause and appropriate treatment. Additionally, we provide peer and bill reviews, which consist of medical opinions by members of our medical panel without conducting physical exams, and the review of physician and hospital bills to examine medical care rendered and its conformity to accepted standards of care. Prior to the MES acquisition in February 2011, we marketed our services primarily under the ExamWorks brand.  Initially with the MES acquisition and subsequently with the Premex acquisition, we began to market our services under several brands, including but not limited to, ExamWorks, MES and Premex. 

We operate in a highly fragmented industry and have completed numerous acquisitions. A key component of our business strategy is growth through acquisitions that expand our geographic coverage, provide new or complementary lines of business, expand our portfolio of services, and increase our market share. Another central feature of our business strategy is to grow our business organically by selling additional services to existing clients, cross-selling into additional insurance lines of business and expanding our geographic footprint with existing clients. To date, we have completed the following 37 acquisitions:

28

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Acquisition Date	Name
October 27, 2011	•	Bronshvag
October 24, 2011	•	Matrix Health Management
October 3, 2011	•	Capital Vocational Specialist
	•	North York Rehabilitation Centre
September 28, 2011	•	MLS Group of Companies
	•	Medicolegal Services
May 10, 2011	•	Premex Group
February 28, 2011	•	MES Group
February 18, 2011	•	National IME Centres
December 20, 2010	•	Royal Medical Consultants
October 1, 2010	•	BMEGateway
September 7, 2010	•	UK Independent Medical Services
September 1, 2010	•	Health Cost Management
August 6, 2010	•	Verity Medical
	•	Exigere
June 30, 2010	•	SOMA Medical Assessments
	•	Direct IME
	•	Network Medical Review
	•	Independent Medical Services
	•	401 Diagnostics
March 26, 2010	•	Metro Medical Services
March 15, 2010	•	American Medical Bill Review
	•	Medical Evaluations
December 31, 2009	•	Abeton
	•	Medical Assurance Group
	•	MedNet I.M.S.
	•	Qualmed
	•	IME Operations of Physicians' Practice
August 14, 2009	•	The Evaluation Group
August 4, 2009	•	Benchmark Medical Consultants
July 7, 2009	•	IME Software Solutions
May 21, 2009	•	Florida Medical Specialists
	•	Marquis Medical Administrators
April 17, 2009	•	Ricwel
July 14, 2008	•	CFO Medical Services
	•	Crossland Medical Review Services
	•	Southwest Medical

29

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Sources of Revenues and Expenses

Revenues

We derive revenue primarily from fees charged for independent medical examinations, peer and bill reviews and other related services, which include litigation support services, administrative support services and medical record retrieval services. Revenues are recognized at the time services have been performed and, if applicable, at the time the report is shipped to the end user. We expect revenue to continue to increase through acquisition and organic growth.  Our revenue is derived from services performed in different geographic areas.

Certain agreements with customers in the U.K. include provisions whereby collection of the amounts billed are contingent on the favorable outcome of the claim.  We have deemed these provisions to preclude revenue recognition at the time of sale, as collectability is not reasonably assured and the sales are contingent, and are deferring these revenues, net of estimated costs, until the case has been settled and the contingency has been resolved.

Costs of revenues

Costs of revenues are comprised of fees paid to members of our medical panel; other direct costs including transcription, film and medical record obtainment and transportation; and indirect costs including labor and overhead related to the generation of revenue. We expect these operationally driven costs to increase to support future revenue growth and as we continue to grow through acquisitions.

Selling, general and administrative expenses

Selling, general and administrative (“SGA”) expenses consist primarily of expenses for administrative, human resource related, corporate information technology support, legal (primarily from transaction costs related to acquisitions), finance and accounting personnel, professional fees (primarily from transaction costs related to acquisitions), insurance and other corporate expenses. We expect that SGA expenses will increase as we continue to add personnel to support the growth of our business and pursue acquisition growth. In addition, we anticipate that we will incur additional personnel expenses, professional service fees, including audit and legal, investor relations, costs of compliance with securities laws and regulations, and higher director and officer insurance costs related to operating as a public company. As a result, we expect that our SGA expenses will continue to increase in the future but decrease as a percentage of revenue over time as our revenue increases.

Depreciation and amortization

Depreciation and amortization (“D&A”) expense consists primarily of amortization of our finite lived intangible assets obtained through acquisitions completed to date and, to a lesser extent, depreciation of equipment and leasehold improvements. We expect that depreciation and amortization expense will increase as we continue our acquisition strategy.

Results of Operations

The following table sets forth our consolidated statements of operations data for each of the periods indicated (in thousands):

	For the three months ended March 31,
	2011			2012
Revenues	$	66,588		$	123,738
Costs and expenses:
Costs of revenues		43,569			81,173
Selling, general and administrative expenses		14,328			28,632
Depreciation and amortization		8,609			14,025
Total costs and expenses		66,506			123,830
Income (loss) from operations		82			(92	)
Interest and other expenses, net		1,012			6,573
Loss before income tax benefit		(930	)		(6,665	)
Benefit for income taxes		(371	)		(2,342	)
Net loss	$	(559	)	$	(4,323	)
Net loss per share attributable to common stockholders
Basic and diluted	$	(0.02	)	$	(0.13	)
Weighted average shares outstanding - common stock - basic and diluted		32,739,428			34,085,761
Other Financial Data:
Adjusted EBITDA (1)	$	10,902		$	18,829

(1) Adjusted EBITDA is a non-GAAP measure that is described and reconciled to net loss in the next section and is not a substitute for the GAAP equivalent.

30

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Adjusted EBITDA

In connection with the ongoing operation of our business, our management regularly reviews Adjusted EBITDA, a non-GAAP financial measure, to assess our performance. We define Adjusted EBITDA as earnings before interest, taxes, depreciation, amortization, acquisition-related transaction costs, share-based compensation expenses, and other non-recurring costs. We believe that Adjusted EBITDA is an important measure of our operating performance because it allows management, lenders, investors and analysts to evaluate and assess our core operating results from period to period after removing the impact of changes to our capitalization structure, acquisition related costs, income tax status, and other items of a non-operational nature that affect comparability.

We believe that various forms of the Adjusted EBITDA metric are often used by analysts, investors and other interested parties to evaluate companies such as ours for the reasons discussed above. Additionally, Adjusted EBITDA is used to measure certain financial covenants in our Senior Secured Revolving Credit Facility. Adjusted EBITDA is also used for planning purposes and in presentations to our Board of Directors as well as in our incentive compensation programs for our employees, excluding our senior management.

Non-GAAP information should not be construed as an alternative to GAAP information, as the items excluded from the non-GAAP measures often have a material impact on our financial results. Management uses, and investors should use, non-GAAP measures in conjunction with our GAAP results.

The following table presents a reconciliation of Adjusted EBITDA to net loss, the most comparable GAAP measure, for each of the periods indicated (in thousands):

	For the three months ended March 31,
Reconciliation of Adjusted EBITDA	2011			2012
Net loss	$	(559	)	$	(4,323	)
Share-based compensation expense (i)		977			4,696
Depreciation and amortization expense		8,609			14,025
Acquisition-related transaction costs		767			145
Other non-recurring costs(ii)		467			55
Interest and other expenses, net		1,012			6,573
Benefit for income taxes		(371	)		(2,342	)
Adjusted EBITDA	$	10,902		$	18,829

(i) For the three months ended March 31, 2012, share-based compensation expense of $744,000 is included in costs of revenues and the remainder is included in SGA expenses. For the three months ended March 31, 2011, all share-based compensation expense is included in SGA expenses.

(ii) Other non-recurring costs consist of severance and facility termination costs.

31

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Comparison of the Three Months Ended March 31, 2012 and 2011

Revenues. Revenues were $123.7 million for the three months ended March 31, 2012 compared to $66.6 million for the three months ended March 31, 2011, an increase of $57.1 million, or 86%. The change in revenues over the 2011 period was due primarily to acquisitions completed in 2011, offset by slight declines in the IME service volume in our ExamWorks brand.

Actual revenues were $123.7 million for the three months ended March 31, 2012 compared to pro forma revenues of $121.3 million for the three months ended March 31, 2011, an increase of 2%.  The increase is due in part to growth in the U.S. and the U.K., offset by declines in our Canadian businesses.  Pro forma revenues for the three months ended March 31, 2011 assumes that the 2011 acquisitions were completed on January 1, 2010.

Costs of revenues. Costs of revenues were $81.2 million for the three months ended March 31, 2012 compared to $43.6 million for the three months ended March 31, 2011, an increase of $37.6 million, or 86%. The change in cost of revenues over the 2011 period was due to acquisitions completed in 2011.  Costs of revenues as a percentage of revenues remained consistent at 65.4% for the three months ended March 31, 2011 and 65.6% for the period ended March 31, 2012.

Selling, general and administrative. SGA expenses were $28.6 million for the three months ended March 31, 2012 compared to $14.3 million for the three months ended March 31, 2011, an increase of $14.3 million, or 100%.  The change in SGA expenses over 2011 was due primarily to acquisitions completed in 2011, with personnel expenses accounting for $8.1 million of this increase and the remainder resulting primarily from increases in rent, travel, phone, legal, insurance, sales and marketing, and other professional expenses, offset by a decrease in acquisition related transaction costs.

Depreciation and amortization. D&A expenses were $14.0 million for the three months ended March 31, 2012 compared to $8.6 million for the three months ended March 31, 2011, an increase of $5.4 million, or 63%. The increase in D&A expenses over the 2011 period was due primarily to additional amortization of finite-lived intangible and tangible assets related to acquisitions completed during 2011.

Interest and other expenses, net. Interest and other expenses, net were $6.6 million for the three months ended March 31, 2012 compared to $1.0 million for the three months ended March 31, 2011, an increase of approximately $5.6 million, or 560%.  Interest and other expenses, net increased primarily due to interest expenses and deferred loan costs amortization associated with the $250.0 million Senior Unsecured Notes.

Income tax benefit. Income tax benefit was $2.3 million for the three months ended March 31, 2012 compared with $371,000 for the three months ended March 31, 2011, an increase of $2.0 million or 531%.  Our effective income tax rate was 32% and 40% for the three months ended March 31, 2012 and 2011, respectively.

Net loss. For the foregoing reasons, net loss was $4.3 million for the three months ended March 31, 2012 compared to $559,000 for the three months ended March 31, 2011, an increase of $3.8 million or 673%.

Liquidity and Capital Resources

Our principal capital requirements are to fund operations and acquisitions. To date, we have funded our capital needs from cash flow generated from operations, private placements of our common and preferred stock, our initial public offering ("IPO"), borrowings under the Senior Secured Revolving Credit Facility and the private offering of the Senior Unsecured Notes, as defined below.  We have also funded our acquisition program with equity issuances to sellers and with seller debt financing. We expect that cash and cash equivalents, availability under our existing Senior Secured Revolving Credit Facility, and cash flow from operations will be sufficient to support our operations, planned capital expenditures and acquisitions for at least the next 12 months.

Although we believe that our current cash and cash equivalents and funds available under our Senior Secured Revolving Credit Facility will be sufficient to meet our working capital and acquisition plans for at least the next 12 months, we may need to raise additional funds through the issuance of equity or convertible debt securities or increase borrowings to fund acquisitions. If we raise additional funds through the issuance of equity or convertible debt securities, the percentage ownership of our existing stockholders will be reduced and these securities might have rights, preferences and privileges senior to those of our current stockholders. Additional financing may not be available or, if available, such financing may not be obtained on terms favorable to our stockholders and us.

32

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Credit Facilities

Credit Facility

We entered into a credit agreement dated November 2, 2010 with Bank of America, N.A. (the "Senior Secured Revolving Credit Facility").  The Senior Secured Revolving Credit Facility initially consisted of a $180.0 million revolving credit facility. The Senior Secured Revolving Credit Facility is available to finance our acquisition program and working capital needs. On February 9, 2011, we exercised the accordion feature of the Senior Secured Revolving Credit Facility, increasing the facility from $180.0 million to $245.0 million.

On May 6, 2011, we increased and fully exercised the accordion features of the Senior Secured Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.

On July 7, 2011, we entered into a second amendment to our Senior Secured Revolving Credit Facility (the “Second Amendment”) which became effective simultaneously with the consummation of our private offering of the Senior Unsecured Notes.  The Second Amendment amended the Senior Secured Revolving Credit Facility to, among other things, (i) extend the maturity date of the Senior Secured Revolving Credit Facility from November 2013 to July 2016; (ii) permit the issuance and sale of the Senior Unsecured Notes; (iii) replace the consolidated senior leverage ratio with a consolidated senior secured leverage ratio while permitting the maximum consolidated senior secured leverage ratio to be 3.00 to 1; (iv) permit our maximum consolidated leverage ratio to increase from 3.5 to 1 to 4.75 to 1; (v) reduce the borrowing cost; and (vi) allow us to complete acquisitions with a purchase price of up to $75.0 million (previously $50.0 million) without prior lender consent. The Second Amendment also reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million, subject to our right to increase the aggregate revolving commitments by $37.5 million for a maximum commitment of $300.0 million, so long as we are not in default and the we satisfies certain other customary conditions.

On February 27, 2012, we entered into a third amendment to its Senior Secured Revolving Credit Facility (the “Third Amendment”). The Third Amendment amended the Senior Secured Revolving Credit Facility as to the definitions of consolidated fixed charges and consolidated fixed charge coverage ratio and does not permit the consolidated fixed charge coverage ratio as of the end of any fiscal quarter to be less than (i) for an fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for an fiscal quarter ending thereafter, 2.00 to 1.00.

Borrowings under the Senior Secured Revolving Credit Facility, as amended, bear interest, at either (i) LIBOR plus the applicable margin or (ii) a base rate (equal to the highest of (a) the federal funds rate plus 0.5%, (b) the Bank of America prime rate and (c) LIBOR (using a one month-period) plus 1.0%), plus the applicable margin, as we elect. The applicable margin means a percentage per annum determined in accordance with the following table:

Pricing Tier	Consolidated Leverage Ratio	Commitment Fee/Unused Line Fee	Letter of Credit Fee	Eurocurrency Rate Loans	Base Rate Loans
1	≥ 2.50 to 1.0	0.50%	3.75%	3.75%	2.75%
2	≥ 2.00 to 1.0 but < 2.50 to 1.0	0.45%	3.50%	3.50%	2.50%
3	≥ 1.50 to 1.0 but < 2.00 to 1.0	0.40%	3.25%	3.25%	2.25%
4	≥ 1.00 to 1.0 but < 1.50 to 1.0	0.35%	3.00%	3.00%	2.00%
5	< 1.00 to 1.0	0.30%	2.75%	2.75%	1.75%

In the event of default, the outstanding indebtedness under the facility will bear interest at an additional 2%.

The Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants requiring us to not exceed a maximum consolidated senior secured leverage coverage ratio and a maximum total consolidated leverage ratio and to maintain a minimum consolidated fixed charge coverage ratio. The Senior Secured Revolving Credit Facility also restricts our ability (subject to certain exceptions) to incur indebtedness, prepay or amend other indebtedness, create liens, make certain fundamental changes including mergers or dissolutions, pay dividends and make other payments in respect of capital stock, make certain investments, sell assets, change its lines of business, enter into transactions with affiliates and other corporate actions.

As of March 31, 2012, we had $5.0 million outstanding under the Senior Secured Revolving Credit Facility, bearing interest at a rate of 3.00%, resulting in $257.5 million of undrawn commitments (without taking into account $273,000 outstanding under letters of credit). However, the credit agreement governing our Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants which may limit the amount of borrowings available.

33

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Working Capital Facilities

On September 29, 2010, our indirect wholly-owned subsidiary UK Independent Medical Systems ("UKIM") entered into a Sales Finance Agreement (the “UKIM SFA”) with Barclays Bank PLC (“Barclays”), pursuant to which Barclays will provide UKIM a working capital facility of up to £5,000,000, subject to the terms and conditions of the UKIM SFA. The working capital facility bears a discount margin of 2.5% over Base Rate (0.5% rate on March 31, 2012) and serves to finance UKIM’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, we had $6.6 million outstanding under the working capital facility, resulting in approximately $1.4 million in availability.

On May 12, 2011, our indirect wholly-owned subsidiary Premex entered into a Sales Finance Agreement (the “Premex SFA”) with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the Premex SFA. The working capital facility bears a discount margin of 2.4% over Base Rate (0.5% rate on March 31, 2012) and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, we had $30.0 million outstanding under the working capital facility, resulting in approximately $12.4 million in availability.

Senior Unsecured Notes

On July 19, 2011, we closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the “Senior Unsecured Notes”). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks’ existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under our Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions.

The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the “Indenture”), among us, the Guarantors and U.S. Bank, National Association, as trustee (the “Trustee”).  The Senior Unsecured Notes are our general senior unsecured obligations, and rank equally with our existing and future senior unsecured obligations and senior to all of our further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012.

At any time on or after July 15, 2015, we may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, we may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, we may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest.

The Indenture includes covenants which, subject to certain exceptions, limits our ability and the ability of our restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of us or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), we may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.

In connection with the issuance of the Senior Unsecured Notes, we and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the “Registration Rights Agreement”). The Registration Rights Agreement requires us to register with the Securities and Exchange Commission (“SEC”) new 9.0% Senior Unsecured Notes due 2019 (the “Exchange Notes”) having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the “Exchange Offer”) or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes.  Failure to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require us to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured.

34

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

We filed a Registration Statement on Form S-4 (the “Registration Statement”) with the Securities and Exchange Commission on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012.  We expect to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.

Cash Flow Summary

Cash and cash equivalents were $8.5 million at March 31, 2012 as compared with $15.4 million at March 31, 2011.

Our cash flows from operating, investing and financing activities, as reported in our Consolidated Financial Statements included elsewhere in this report, are summarized as follows (in thousands):

	For the three months ended March 31,
	2011			2012
Net cash provided by operating activities	$	6,266		$	4,799
Net cash provided by (used in) investing activities		(189,596	)		356
Net cash provided by (used in) financing activities		165,007			(5,181	)
Exchange rate impact on cash and cash equivalents		80			76
Net increase (decrease) in cash and cash equivalents	$	(18,243	)	$	50

Operating Activities.Net cash provided by operating activities was $4.8 million for the three months ended March 31, 2012 as compared with net cash provided by operating activities of $6.3 million for the three months ended March 31, 2011.  Net cash provided by operating activities for 2012 consisted of our net loss of $4.3 million and a net increase in working capital of approximately $7.1 million which was offset by net non-cash charges of $16.2 million (principally including $14.0 million in depreciation and amortization and $4.7 million in share-based compensation and $1.1 million in provision for bad debts, offset by a net decrease in deferred income taxes of $3.9 million). The increase in working capital primarily consisted of increases in accounts receivable in our U.K. business, prepaid expenses and other current assets and decreased accrued interest expense, offset by increased accrued accounts payable.

Net cash provided by operating activities for 2011 consisted of our net loss of $559,000 which was offset by net non-cash charges of $7.3 million (including $8.6 million in depreciation and amortization and $977,000 from share based compensation expenses, offset by a net decrease in deferred income taxes of $2.6 million) and a decrease in working capital of approximately $514,000 in 2011 (primarily driven by increases in accounts receivable and prepaid expenses and other current assets offset by increases in accounts payable).

Investing Activities.Net cash provided by investing activities was $356,000 for the three months ended March 31, 2012 as compared with net cash used in investing activities of $189.6 million for the three months ended March 31, 2011.  The cash provided by investing activities for the three months ended March 31, 2012 consists of $908,000 provided through working capital and other acquisition-related settlements, offset by capital asset purchases of $552,000.

Net cash used in investing activities of $189.6 million for the three months ended March 31, 2011 consisted primarily of the use of $187.3 million, $2.0 million and $325,000 for cash paid for acquisitions, purchases of capital assets and other acquisition-related settlements, respectively.

Financing Activities. Net cash used in financing activities was $5.2 million for the three months ended March 31, 2012 compared with net cash provided by financing activities of $165.0 million for the three months ended March 31, 2011.  This use of cash was primarily driven by net repayments of $3.8 million under our working capital facilities, repayments of unsecured notes payable of $546,000, payment of deferred financing costs of $414,000 and repurchases of stock for treasury of $387,000.

The net cash provided by financing activities for the three months ended March 31, 2011 was primarily attributable to borrowings under the Senior Secured Revolving Credit Facility of $165.0 million, which was used to the fund the MES acquisition. 

35

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Contingencies

We record contingent liabilities resulting from asserted and unasserted claims against us when it is probable that a liability has been incurred and the amount of the loss is reasonably estimable. We disclose contingent liabilities when there is a reasonable possibility that the ultimate loss will exceed the recorded liability. Estimating probable losses requires analysis of multiple factors, in some cases including judgments about the potential actions of third-party claimants and courts. Therefore, actual losses in any future period are inherently uncertain. We currently are not involved in any material legal proceedings. It is possible, however, that future results of operations for any particular quarterly or annual period could be materially affected by changes in our assumptions or the effectiveness of our strategies related to any future proceedings. Contingent liabilities are described in Note 9 to the consolidated financial statements included elsewhere in this report.

Contractual Obligations and Commitments

Our contractual cash payment obligations as of March 31, 2012 are set forth below (in thousands):

					Payments due by year ending December 31,
	Total		Period from April 1, 2012 through December 31, 2012		2013		2014		2015		2016		Thereafter
Amounts outstanding under senior unsecured notes payable	$	250,000	$	—	$	—	$	—	$	—	$	—	$	250,000
Amounts outstanding under senior secured revolving credit facility		5,000		—		—		—		—		5,000		—
Operating leases		28,181		6,197		6,633		5,077		3,962		2,836		3,476
Amounts outstanding under working capital facilities		36,557		—		6,538		30,019		—		—		—
Subordinated unsecured notes payable and deferred payments		2,177		1,452		438		287		—		—		—
Total:	$	321,915	$	7,649	$	13,609	$	35,383	$	3,962	$	7,836	$	253,476

As of March 31, 2012, we leased our office spaces for our corporate locations in Atlanta, Georgia and New York, New York and also for 44 of our 45 service centers in various cities under non-cancelable lease agreements. We own an office facility in Warren, Michigan.

We have certain contractual obligations including various debt agreements with requirements to make interest payments. Amounts outstanding under the Senior Unsecured Notes are subject to a fixed interest rate of 9.0% and interest is expected to be $22.5 million annually with semi-annual payments beginning in January 2012 and ending July 2019.  Additionally, certain amounts are subject to the level of borrowings in future periods and the interest rate for the applicable periods, and therefore the amounts of these payments are not determinable. Based upon amounts outstanding at March 31, 2012 and applicable interest rates currently ranging between 0.0% and 6.0%, interest amounts are expected to be approximately $943,000 for the nine months ended December 31, 2012, approximately $1.2 million for the year ended December 31, 2013, approximately $514,000 for the year ended December 31, 2014, and approximately $151,000 for the years ended December 31, 2015 and 2016.

Off-Balance Sheet Arrangements

We engage in no activities, obligations or exposures associated with off-balance sheet arrangements.

36

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Critical Accounting Policies and Estimates

Overview and Definitions

We have identified the policies below as critical to our business operations and understanding of our results of operations. The impact and any associated risks related to these policies on our business operations are discussed throughout this management’s discussion and analysis of financial condition and results of operations where such policies affect our reported and expected financial results. Our consolidated financial statements, which have been prepared in accordance with U.S. generally accepted accounting principles, require us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenue and expenses, cash flow and related disclosure of contingent assets and liabilities. Our estimates include those related to accounts receivable reserves, goodwill and other intangible assets, share-based compensation other equity instruments, income and other taxes, derivative instruments and contingent obligations. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances. Actual results may differ from these estimates, and the impact of changes in key assumptions may not be linear. Our management has reviewed the application of these policies with the audit committee of our Board of Directors. For a detailed discussion on the application of these and other accounting policies, see Note 2 to the consolidated financial statements included elsewhere in this report. We believe that our most critical accounting policies and estimates relate to the following:

Revenue Recognition

Revenue related to IMEs, peer reviews, bill reviews and administrative support services is recognized at the time services have been performed and the report is shipped to the end user. We believe that recognizing revenue at the time the report is shipped is appropriate because we meet the following four criteria in accordance with ASC 605-10-S25, Revenue Recognition: Overall, (i) persuasive evidence that an arrangement exists, (ii) shipment has occurred, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured. We report revenues net of any sales, use and value added taxes.

Revenue related to other IME services, including litigation support services and medical record retrieval services, where no report is generated, is recognized at the time the service is performed. We believe that recognizing revenue at the time the service is performed is appropriate because we meet the following four criteria in accordance with ASC 605-10-S25, (i) persuasive evidence that an arrangement exists, (ii) services have been rendered, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.

Certain agreements with customers in the U.K. include provisions whereby collection of the amounts billed are contingent on the favorable outcome of the claim.  We have deemed these provisions to preclude revenue recognition at the time of sale, as collectability is not reasonably assured and the sales are contingent, and are deferring these revenues, net of estimated costs, until the case has been settled and the contingency has been resolved.  As of December 31, 2011, we had deferred $2.6 million in contingent revenues and $1.6 million in costs associated with the contingent revenues.  For the three months ended March 31, 2012, we deferred an additional $2.5 million in contingent revenues and $1.7 million in costs and expenses associated with contingent revenues.

Should changes in conditions cause management to determine these criteria are not met for certain future transactions, revenue recognized for any reporting period could be adversely affected.

Trade Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable balances consist of amounts owed to us for services provided in the normal course of business and are reported net of an allowance for doubtful accounts. Generally, no collateral is received from clients and the collectability of trade receivable balances is regularly evaluated based on a combination of factors such as client credit-worthiness, past transaction history with the customer, current economic industry trends and changes in customer payment patterns and additions to the allowance are made based on these trends. Accounts are reviewed regularly for collectability and those deemed uncollectible are written off.

Goodwill and Other Intangible Assets

Goodwill is an asset representing the future economic benefits arising from assets acquired in a business combination that are not individually identified and separately recognized. Based on the provisions of ASC 350, Intangibles—Goodwill and Other (“ASC 350”), goodwill and indefinite lived intangible assets are tested for impairment annually or more frequently if impairment indicators arise. We evaluate the carrying value of goodwill during the fourth quarter of each fiscal year and between annual valuations if events occur or circumstances change that would more likely than not reduce the fair value of the reporting unit below its carrying amount. Such circumstances include: (1) a significant adverse change in legal factors or in business climate, (2) unanticipated competition, or (3) an adverse action or assessment by a regulator. When evaluating whether goodwill is impaired, we compare the fair value of the reporting unit to which the goodwill is assigned to the reporting unit’s carrying amount, including goodwill. The fair value of the reporting unit is estimated using primarily the income, or discounted cash flows, approach. If the carrying amount of a reporting unit exceeds its fair value, then the amount of the impairment loss must be measured. The impairment loss is calculated by comparing the implied fair value of the reporting unit’s goodwill to its carrying amount. In calculating the implied fair value of the reporting unit’s goodwill, the fair value of the reporting unit is allocated to all of the other assets and liabilities of that unit based on their fair values. The excess of the fair value of a reporting unit over the amount assigned to its other assets and liabilities is the implied fair value of goodwill. An impairment loss would be recognized when the carrying amount of goodwill exceeds its implied fair value.

37

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Intangible assets, including client relationships, trade names, covenants not to compete and technology that have finite lives are amortized over their useful lives.

We performed our annual impairment review of goodwill in October 2011 and reviewed subsequent events through March 31, 2012 and determined that the carrying value of goodwill was not impaired as of year end. Further, we believe that there have been no facts or circumstances through the date of this filing that indicate an impairment of goodwill exists.

Deferred Income Taxes

In preparing our consolidated financial statements, we are required to estimate our income taxes in each of the jurisdictions in which we operate. This process involves estimating actual current tax exposure together with assessing temporary differences resulting from differing treatment of items for tax and financial reporting purposes. These differences result in deferred income tax assets and liabilities.

As of December 31, 2011, we had $2.4 million in estimated federal net operating losses (“NOLs”) to offset against future federal taxable income. These NOLs are subject to the change in control provisions in Section 382 of the Internal Revenue Code (“IRC Section 382”) and expire in 2030. As of December 31, 2011, we had estimated alternative minimum tax (“AMT”) credit carryforwards of $355,000 and $2.1 million in estimated foreign tax credits related to income taxes payable at certain of our business units located in the U.K., which may be used to offset future federal tax liabilities.

Additionally, we currently have significant deferred tax assets and other deductible temporary differences including basis differences between intangible assets. We do not provide a valuation allowance against our deferred tax assets as we believe that it is more likely than not that all of the deferred tax assets will be realized based on available evidence including scheduled reversal of deferred tax liabilities, projected future taxable income and other tax planning considerations.

We apply the provisions of ASC 740, Income Taxes (“ASC 740”), as it relates to uncertain tax positions. This guidance prescribes a comprehensive model for how a company should recognize, measure, present and disclose in its financial statements uncertain tax positions that a company has taken or expects to take on a tax return. ASC 740 states that a tax benefit from an uncertain tax position may be recognized only if it is “more likely than not” that the position is sustainable, based on its technical merits. The tax benefit of a qualifying position is the largest amount of tax benefit that is greater than 50% likely of being realized upon settlement with a taxing authority having full knowledge of all relevant information. As of December 31, 2011, the liability related to unrecognized tax benefits was approximately $308,000. We recorded an additional liability of $5,000 in the three months ended March 31, 2012, related to interest and penalties on prior year tax positions. We recognize interest and penalties accrued related to unrecognized tax benefits in income tax expense.

We are no longer subject to U.S. federal income or state tax return examinations by tax authorities before 2007 and 2006, respectively, which periods relate to certain acquired businesses. The Internal Revenue Service (“IRS”) commenced an examination of our U.S. income tax returns for 2009 during the second quarter of 2011 and in January of 2012, we received a closure letter from the IRS stating that no adjustments were identified. We operate in multiple taxing jurisdictions and face audits from various tax authorities. We remain subject to examination until the statute of limitations expires for the respective tax jurisdiction. We do not anticipate that the amount of the unrecognized benefit will significantly increase or decrease within the next twelve months.

38

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Undistributed earnings of our foreign subsidiaries are considered indefinitely reinvested and, accordingly, no provision for U.S. federal income taxes has been recorded. Deferred taxes are provided for earnings outside the United States when those earnings are not considered indefinitely reinvested.

Share-Based Compensation and Other Equity Instruments

Our stock incentive plan provides for the granting of stock options and share-based awards in accordance with ASC Topic 718, Compensation—Stock Compensation (“ASC 718”). ASC 718 requires measurement of compensation cost for all share-based awards at fair value on the grant date (or measurement date, if different) and recognition of compensation expense, net of forfeitures, over the requisite service period for awards expected to vest. We use the straight-line amortization method for recognizing share-based compensation expense.

The fair value of stock option grants is determined using the Black-Scholes valuation model. The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable, characteristics not present in these employee stock options. Additionally, option valuation models require the input of highly subjective assumptions, including the expected volatility of the stock price. Because our employee stock options have characteristics significantly different from those of traded options and because changes in the subjective input assumptions can materially affect the fair value estimates, in our opinion, the existing models may not provide a reliable single measure of the fair value of its share-based awards.

Our expected volatility assumptions are based on our peer group average implied volatility for 2009 and 2010 and are based upon our peer group median implied volatility for 2011. Expected life assumptions for 2009 and the first three quarters of 2010 are based upon the average of the “simplified” method as described in Securities and Exchange Commission Staff Accounting Bulletin No. 107, which is the midpoint between the vesting date and the end of the contractual term, and the contractual term of the option, in accordance with ASC 718, which states that if no amount within the range is more or less likely than any other amount, an average of the range (its expected value) should be used for those options issued significantly out-of-the-money, or the “simplified” method for those options issued in the fourth quarter of 2010 and through the first quarter of 2012 which were determined to be issued approximately at-the-money. The risk-free interest rate was selected based upon yields of U.S. Treasury issues with a term equal to the expected life of the option being valued.

In the first quarter of 2012, we issued approximately 2.3 million stock option awards. The weighted average fair value of each stock option was $4.23 per option and the aggregate fair value was $9.8 million. All of these awards vest over a three-year period. All of these options could vest earlier in the event of a change in control or merger or other acquisition. Share-based compensation expense related to stock options, shares of restricted stock and restricted stock units and expense related to a 2012 incentive compensation plan was $977,000 and $4.7 million for the three months ended March 31, 2011 and 2012, respectively, all of which was recorded in SGA expenses in 2011 and of which $744,000 and $4.0 million was recorded in costs of revenues and SGA, respectively in 2012.    At March 31, 2012, the unrecognized compensation expense related to stock option grants was $28.4 million with a remaining weighted average life of 1.8 years.

Accounting for Acquisitions

Accounting for acquisitions requires us to recognize and measure identifiable assets acquired, liabilities assumed and any non-controlling interest in the acquired entity. Our accounting for acquisitions involves significant judgments and estimates, including the fair value of certain forms of consideration such as our common stock, the fair value of acquired intangible assets, which involve projections of future revenues, cash flows and terminal value, which are then discounted at an estimated discount rate, the fair value of other acquired assets and assumed liabilities, including potential contingencies, and the useful lives of the assets. The projections are developed using internal forecasts, available industry and market data and estimates of long-term rates of growth for our business. The impact of prior or future acquisitions on our financial position or results of operations may be materially impacted by the change in or initial selection of assumptions and estimates.

Financial Instruments

In September 2006, the Financial Accounting Standards Board (“FASB”) issued authoritative guidance codified as ASC 820, Fair Value Measurements and Disclosures (“ASC 820”). ASC 820 defines fair value, establishes a framework for measuring fair value in U.S generally accepted accounting principles and expands disclosure about fair value measurements.

39

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

ASC 825, Financial Instruments (“ASC 825”), delayed the effective date of the application of ASC 820 to fiscal years beginning after November 15, 2008 for all nonfinancial assets and nonfinancial liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis. Nonrecurring nonfinancial assets and nonfinancial liabilities for which the Company has not applied the provisions of ASC 820 primarily include those measured at fair value in goodwill and long-lived asset impairment testing, those initially measured at fair value in a business combination, and nonfinancial liabilities for exit or disposal activities.

ASC 820 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a fair value hierarchy, which prioritizes the inputs used in measuring fair value into the following levels:

In determining fair value, we utilize valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as consider counterpart credit risk in the assessment of fair value.

Level 1 — Quoted prices in active markets for identical assets or liabilities.

Level 2 — Inputs, other than quoted prices in active markets, that are observable either directly or indirectly.

Level 3 — Unobservable inputs based on the company’s own assumptions.

Our financial liabilities, which are measured at fair value on a recurring basis, are categorized using the fair value hierarchy as of December 31, 2011 and March 31, 2012 were as follows:

	Level 1		Level 2		Level 3		Total
As of December 31, 2011
Financial instruments:
Interest rate swap	$	—	$	326	$	—	$	326
Contingent consideration		—		—		1,621		1,621
As of March 31, 2012
Financial instruments:
Interest rate swap	$	—	$	272	$	—	$	272
Contingent consideration		—		—		1,265		1,265

The fair value of the interest rate swap is determined using observable market inputs, such as current interest rates, and considers nonperformance risk of the Company and that of our counterparties.

The contingent consideration relates to earn-out provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010.  Of the total decrease in fair value of the contingent consideration of $356,000 in 2012, $249,000 was settled as cash consideration to satisfy installments related to a 2009 acquisition, approximately $111,000 of the change in value relates to the release of a restriction associated with shares previously issued related to a 2009 acquisition and approximately $4,000 was recorded in interest and other expenses, net in the Consolidated Statements of Operations due to changes  in the fair value of the contingent consideration.  

Recently Adopted Accounting Pronouncements

In May 2011, the FASB issued Accounting Standards Update (“ASU”) No. 2011-04, Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS. This ASU represents the converged guidance of the FASB and the International Accounting Standards Board on fair value measurement. These amendments have resulted in common requirements for measuring fair value and for disclosing information about fair value measurements, including a consistent meaning of the term “fair value.” The common requirements are expected to result in greater comparability of fair value measurements presented and disclosed in financial statements prepared in accordance with U.S. GAAP and International Financial Reporting Standards. The amendments are to be applied prospectively and are effective for fiscal years beginning after December 15, 2011.  We adopted these provisions effective January 1, 2012. Adoption of these provisions did not have a material impact on our consolidated financial position, results of operations and cash flows.

40

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

In June and December 2011, the FASB issued ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income” (“ASU 2011-05”) and ASU 2011-12, Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05 (ASC 220, Comprehensive Income), respectively. These update amend ASC Topic 220, “Comprehensive Income” to provide that total comprehensive income is to be be reported in one continuous statement or two separate but consecutive statements of financial performance. Presentation of total comprehensive income in the statement of stockholders' equity or the footnotes is no longer allowed. The calculation of net income and basic and diluted net income per share is not affected. These ASUs are effective for fiscal years, and interim periods within those years, beginning on or after December 15, 2011.  We adopted these provisions effective January 1, 2012 and the adoption of ASU 2011-05 did have a significant impact on our financial position, results of operations and cash flows.

In September 2011, FASB issued ASU No. 2011-08, Intangibles-Goodwill and Other (Topic 350): Testing Goodwill for Impairment. This ASU is intended to simplify goodwill impairment testing by adding a qualitative review step to assess whether the required quantitative impairment analysis that exists previously is necessary. The fair value calculation for goodwill is required unless the Company concludes, based on the qualitative assessment, that it is more likely than not that the fair value of a reporting unit is less than its book value. If such a decline in fair value is deemed more likely than not to have occurred, then the quantitative goodwill impairment test must be completed; otherwise, goodwill is deemed to be not impaired and no further testing is required until the next annual test date (or sooner if conditions or events before that date raise concerns of potential impairment in the business). The amended goodwill impairment guidance does not affect the manner in which a company estimates fair value. The new standard is effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011, with early adoption permitted. We adopted these provisions effective January 1, 2012.  Adoption of these provisions is not expected to have a material impact on our consolidated financial statements.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

Market risk represents the risk of loss that may impact our financial position due to adverse changes in financial market prices and rates. Our market risk exposure results primarily from fluctuations in interest rates as well as inflation. In the normal course of business, we are exposed to market risks, including changes in interest rates which affect our debt as well as cash flows. We may also face additional exchange rate risk in the future as we expand our business internationally.

Interest Rate Risk. As of March 31, 2012, we had cash and cash equivalents totaling approximately $8.5 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $5.7 million were held in the U.S. Therefore, the U.S. amounts are insured in full through June 30, 2012 against bank failure under the Federal Deposit Insurance Corporation Temporary Liquidity Guarantee Program.

Our outstanding debts of $36.6 million and $5.0 million at March 31, 2012 related to indebtedness under our working capital facilities and Senior Secured Revolving Credit Facility, respectively, contain floating interest rates. Thus, our interest rate is subject to market risk in the form of fluctuations in interest rates. The effect of a hypothetical one percentage point increase in our variable rate debt would result in an increase of approximately $416,000 in our annual pre-tax net loss assuming no further changes in the amount of borrowings subject to variable rate interest from amounts outstanding at March 31, 2012.

In August 2008, as required under our then existing credit facility, in order to protect against interest rate exposure on its variable-rate debt, we entered into an interest rate swap to fix the interest rate applicable to our variable-rate debt. The agreement swaps one-month LIBOR for a fixed interest rate of 4.36%. We do not, and do not intend to, engage in the practice of trading derivative securities for profit.

Foreign Exchange Risk. As of March 31, 2012, we have foreign currency risks related to our revenues and operating expenses denominated in currencies other than the U.S. dollar, including the Canadian dollar and the Pound Sterling. Our financial results could be affected by factors such as changes in foreign currency exchange rates or weak economic conditions in foreign markets. We do not currently hedge our exposure to foreign currency exchange rate fluctuations given that the net difference between foreign currency denominated revenue and expenses is immaterial. In the future, however, we may hedge such exposure to foreign currency exchange rate fluctuations.

41

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Item 4. Controls and Procedures

As required by Rule 13a-15 under the Securities Exchange Act of 1934, an evaluation was carried out under the supervision and with the participation of our management, including the Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of March 31, 2012.  Based upon our evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of March 31, 2012, our disclosure controls and procedures were effective to provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported within the time periods specified in the applicable rules and forms, and that it is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

There were no changes in our internal control over financial reporting during the period ended March 31, 2012 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

The Company is currently a party to various legal proceedings arising from the normal course of business activities.  While the Company does not presently believe that the ultimate outcome of such proceedings will have a material impact on its business, operating results or financial condition, litigation is subject to inherent uncertainties.  If an unfavorable ruling were to occur, it is possible that such ruling could have a material adverse impact on our business, operating results or financial condition in the period in which the ruling occurs.  Our current estimates of the potential impact from such legal proceedings could change in the future.

Item 1A. Risk Factors

There have been no material changes in the risks facing the Company as described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2011.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Share Issuances

None

Share Repurchases

During the quarter ended March 31, 2012, the Company repurchased 39,000 shares of common stock under the share repurchase program, as set forth in the following table.  These shares were repurchased at an average cost of $9.91 per share for a total cost of approximately $387,000.

Period	Total Number of Shares Purchased		Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs (a)		Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs (a)
January 1 - January 31		—	$	—		—	$	10,578,694
February 1 - February 29		—	$	—		—	$	10,578,694
March 1 - March 31		39,000	$	9.91		39,000	$	10,192,204
Total		39,000	$	9.91		39,000	$	10,192,204

(a)     On August 8, 2011, the Company announced that its Board of Directors had authorized the implementation of a share repurchase program to repurchase up to $20.0 million of outstanding shares of the Company’s common stock. The program calls for the repurchases to be made at management’s discretion in the open market or privately negotiated transactions, subject to cash requirements for other purposes, and other relevant factors, such as trading price, trading volume, general market and business conditions, and the Company’s compliance with certain covenants under its contractual obligations.  There is no guarantee as to the exact number of shares, if any, that may be repurchased by the Company, and the Board of Directors may suspend or discontinue the repurchase program at any time.

42

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Dividend Policy

Since the Company’s incorporation in 2007, the Company has not declared or paid any dividends on its common stock.  The Company currently intends to retain all of the Company’s future earnings, if any, to finance the growth and development of the Company’s business and does not anticipate paying cash dividends for the foreseeable future.  The Company’s existing credit facility and the Indenture restricts the Company's ability to pay cash dividends, and any future financing agreements may restrict the Company from paying any type of dividends.

Item 3. Defaults Upon Senior Securities

None

Item 4. Mine Safety Disclosures

Not applicable

Item 5. Other Information

None

Item 6. Exhibits

2.1	Agreement and Plan of Merger, dated June 23, 2010, by and among ExamWorks Group, Inc., ExamWorks, Inc. and ExamWorks Merger Sub, Inc. (filed as Exhibit 2.1 to ExamWorks’ Registration Statement on Form S-1 filed with the Securities and Exchange Commission on August 13, 2010 and incorporated by reference herein).
2.2	Stock Purchase Agreement dated as of January 11, 2011, by and among ExamWorks Group, Inc., ExamWorks, Inc., MES Group, Inc., George C. Turek and the minority shareholders of MES Group, Inc. set forth therein (filed as Exhibit 2.1 to Form 8-K filed with the Securities and Exchange Commission on January 13, 2011 and incorporated by reference herein).

2.3* Agreement for the sale and purchase of the entire issued share capital of Premex Group Limited dated May 10, 2011, among ExamWorks Group, Inc., ExamWorks UK Ltd. and the shareholders of Premex Group Limited set forth therein (filed as Exhibit 2.1 to Form 8-K filed with the Securities and Exchange Commission on May 13, 2011 and incorporated by reference herein).

2.4* Tax Deed dated May 10, 2011, relating to the sale and purchase of the entire issued share capital of Premex Group between ExamWorks UK Ltd. And Covenantors set forth therein (filed as Exhibit 2.2 to Form 8-K filed with the Securities and Exchange Commission on May 13, 2011 and incorporated by reference herein).

3.1.1 Amended and Restated Certificate of Incorporation of ExamWorks (incorporated by reference to Exhibit 3.1 to Form 10-K filed March 11, 2011).

3.1.2 Amended and Restated Bylaws of ExamWorks (incorporated by reference to Exhibit 3.2 to Form 10-K filed March 11, 2011).

4.1 Form of Common Stock Certificate of ExamWorks (filed as Exhibit 4.1 to Amendment No. 3 to ExamWorks’ Registration Statement on Form S-1 filed with the Securities and Exchange Commission on October 21, 2010 and incorporated by reference herein).

4.2 Indenture dated July 19, 2011, by and among ExamWorks Group, Inc., the Guarantors party thereto, and U.S. Bank, National Association, as Trustee (including Form of 9% Senior Unsecured Note Due 2019) (filed as Exhibit 4.1 to Form 8-K filed with the Securities and Exchange Commission on July 22, 2011 and incorporated by reference herein).

4.3 Registration Rights Agreement dated July 19, 2011 by and among ExamWorks Group, Inc., the Guarantors party thereto, and Merrill Lynch, Pierce, Fenner & Smith Incorporated, as representative of the several Initial Purchasers (filed as Exhibit 4.2 to Form 8-K filed with the Securities and Exchange Commission on July 22, 2011 and incorporated by reference herein).

43

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

4.4	Form of 9% Senior Unsecured Exchange Note Due 2019 and Form of Exchange Guarantee (filed as Exhibit 4.4 to From S-4 filed with the Securities and Exchange Commission on April 4, 2012 and incorporated by reference herein)
10.1	Third Amendment to Credit Agreement, dated as of February 27, 2012, by and among ExamWorks Group, Inc., as Borrower, Bank of America, N.A., as Administrative Agent, and the Guarantors and Lenders party thereto (filed as Exhibit 10.19.4 to Form 10-K filed with the Securities and Exchange Commission on February 29, 2012 and incorporated by reference herein).

31.1 Rule 13a-14(a)/15d -14(a) Certification of the Chief Executive Officer as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2 Rule 13a-14(a)/15d -14(a) Certification of the Chief Financial Officer as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32 Certifications pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS**	XBRL Instance Document
101 SCH**	XBRL Taxonomy Extension Schema Document
101.CAL**	XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF**	XBRL Taxonomy Extension Definition Linkbase Document
101.LAB**	XBRL Taxonomy Extension Label Linkbase Document
101.PRE**	XBRL Taxonomy Extension Presentation Linkbase Document
*	Schedules to this exhibit have been omitted pursuant to Item 601(b)(2) of Regulation S-K.  The Company agrees to furnish supplementary copies of any omitted schedules to the Securities and Exchange Commission upon request.
**	XBRL (eXtensible Business Reporting Language) interactive data files are furnished and not filed or a part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, is deemed not filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and otherwise is not subject to liability under those sections.

44

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

	EXAMWORKS GROUP, INC.
Date: May 9, 2012	By:	/s/ J. Miguel Fernandez de Castro
		J. Miguel Fernandez de Castro
		Senior Executive Vice President and Chief Financial Officer
		(Principal Financial Officer)

45

EX-31.1

Exhibit 31.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, James K. Price, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of ExamWorks Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 9, 2012	By:	/s/    James K. Price
		James K. Price
		Chief Executive Officer (Principal Executive Officer)

EX-31.2

Exhibit 31.2

CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, J. Miguel Fernandez de Castro, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of ExamWorks Group, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 9, 2012	By:	/s/    J. Miguel Fernandez de Castro
		J. Miguel Fernandez de Castro
		Senior Executive Vice President and Chief Financial Officer (Principal Financial Officer)

EX-32

Exhibit 32

CERTIFICATIONS PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with this Quarterly Report on Form 10-Q of ExamWorks Group, Inc. (the “Company”) for the three months ended March 31, 2012, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), each of the undersigned officers of the Company hereby certifies, pursuant to 18 U.S.C. Section 1350, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: May 9, 2012	By:	/s/    James K. Price
		James K. Price
		Chief Executive Officer
Date: May 9, 2012	By:	/s/    J. Miguel Fernandez de Castro
		J. Miguel Fernandez de Castro
		Senior Executive Vice President and Chief Financial Officer

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

XML

Note 4 - Property, Equipment and Leasehold Improvements (Detail) (USD $)	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Depreciation	$ 1,200,000	$ 736,000

XML

Note 11 - Financial Instruments (Detail) (USD $)			3 Months Ended
	Mar. 31, 2012	Dec. 31, 2011	Mar. 31, 2012 Interest Expense [Member]	Mar. 31, 2011 Interest Expense [Member]
Derivative, Fixed Interest Rate	4.36%
Derivative, Notional Amount	$ 6,100,000	$ 6,600,000
Unrealized Gain (Loss) on Derivatives			$ 54,000	$ 170,000

XML

Note 9 - Commitments and Contingencies (Detail) (USD $)	3 Months Ended	12 Months Ended
	Mar. 31, 2012	Dec. 31, 2011
Operating Leases, Rent Expense	$ 2,300,000	$ 1,500,000
Defined Contribution Plan, Cost Recognized	98,000
Letters of Credit Outstanding, Amount	$ 273,000	$ 190,000

XML

Note 12 - Income Taxes (Detail) (USD $)	3 Months Ended
	Mar. 31, 2012	Dec. 31, 2011
Operating Loss Carryforwards		$ 2,400,000
Tax Credit Carryforward, Amount		355,000
Unrecognized Tax Benefits	313,000	308,000
Unrecognized Tax Benefits, Period Increase (Decrease)	5,000
Foreign Tax Credit [Member]
Tax Credit Carryforward, Amount		$ 2,100,000

XML

Note 7 - Stockholders' Equity (Detail) (USD $) In Millions, except Share data, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2012	Dec. 31, 2011
Treasury Stock, Shares, Acquired	39,000
Treasury Stock Acquired, Average Cost Per Share (in Dollars per share)		$ 9.91
Treasury Stock, Value, Acquired, Cost Method (in Dollars)		$ 387,000
Stock Options [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period	8,000
Restricted Stock [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period	2,000

XML

Note 2 - Summary of Significant Accounting Policies (Detail) - The Assumptions Utilized for Stock Option Grants (USD $)	3 Months Ended
	Mar. 31, 2012
Volatility	45.86%
Expected life (years)	6 years
Risk-free interest rate	1.15%
Dividend yield	0.00%
Fair value (in Dollars per share)	$ 4.23

XML

Note 13 - Segment and Geographical Information (Detail) - Revenues by Geographic Area (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Revenues by Country	$ 123,738	$ 66,588
United States [Member]
Revenues by Country	87,195	56,858
Canada [Member]
Revenues by Country	6,886	4,700
United Kingdom [Member]
Revenues by Country	$ 29,657	$ 5,030

XML

Note 5 - Goodwill and Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2012

Schedule of Goodwill [Table Text Block]

	December 31, 2011			March 31, 2012
Balance at beginning of period	$	90,582		$	300,260
Goodwill acquired during the period		209,619			—
Adjustments to prior year acquisitions		1,799			1,078
Effect of foreign currency translation		(1,740	)		1,681
Balance at end of period	$	300,260		$	303,019

Schedule of Finite-Lived Intangible Assets [Table Text Block]

		December 31, 2011
	Estimated useful lives	Gross carrying amount		Accumulated amortization			Net carrying carrying value
Amortizable intangible assets:
Customer relationships	40 to 60 months	$	157,826	$	(50,438	)	$	107,388
Tradenames	45 to 84 months		48,046		(13,277	)		34,769
Covenants not to compete	36 months		2,784		(1,587	)		1,197
Technology	24 to 40 months		6,750		(3,936	)		2,814
Totals		$	215,406	$	(69,238	)	$	146,168

		March 31, 2012
	Estimated useful lives	Gross carrying amount		Accumulated amortization			Net carrying carrying value
Amortizable intangible assets:
Customer relationships	40 to 60 months	$	159,601	$	(60,037	)	$	99,564
Tradenames	45 to 84 months		48,521		(16,072	)		32,449
Covenants not to compete	36 months		2,799		(1,795	)		1,004
Technology	24 to 40 months		6,833		(4,634	)		2,199
Totals		$	217,754	$	(82,538	)	$	135,216

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]

	Amount
Nine months ended December 31, 2012	$	36,752
Year ended December 31:
2013		43,405
2014		27,357
2015		18,651
2016		6,173
Thereafter		2,878
Total	$	135,216

XML

Note 10 - Long-Term Debt (Detail)	0 Months Ended		1 Months Ended		9 Months Ended	12 Months Ended		48 Months Ended									3 Months Ended		3 Months Ended
	Jul. 19, 2011 USD ($)	May 06, 2011 USD ($)	Feb. 27, 2012	Jul. 31, 2011 USD ($)	Sep. 30, 2011 USD ($)	Dec. 31, 2011 USD ($)		Jul. 15, 2015	Mar. 31, 2012 USD ($)		Jan. 15, 2012	Jul. 07, 2011 USD ($)	Feb. 09, 2011 USD ($)	Dec. 31, 2010 USD ($)	Nov. 02, 2010 USD ($)	Dec. 31, 2010 Minimum [Member] Noninterest Bearing [Member] USD ($)	Sep. 30, 2011 Minimum [Member] USD ($)	Dec. 31, 2010 Maximum [Member] Noninterest Bearing [Member] USD ($)	Sep. 30, 2011 Maximum [Member] USD ($)	Dec. 31, 2011 UKIM [Member] USD ($)	Sep. 29, 2010 UKIM [Member] GBP (£)	Dec. 31, 2011 Premex Group [Member] USD ($)	May 12, 2011 Premex Group [Member] GBP (£)	Jul. 07, 2011 Federal Funds Rate Base [Member]	Jul. 07, 2011 LIBOR Rate Base [Member]	Jul. 07, 2011 Default Rate [Member]	Dec. 31, 2010 Subordinated Unsecured Notes [Member] USD ($)	Dec. 31, 2010 Noninterest Bearing [Member] USD ($)
Senior Notes	$ 250,000,000
Debt Instrument, Interest Rate, Stated Percentage	9.00%					9.00%					9.00%															2.00%	6.00%
Proceeds from Issuance of Senior Long-term Debt	250,000,000
Debt Instrument, Call Feature								At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption.Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption.Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest
Debt Instrument Repurchase Percentage of Face Amount								101.00%
Line of Credit Facility, Covenant Terms			1.00			9.0%
Line of Credit Facility, Maximum Borrowing Capacity		300,000,000		262,500,000								262,500,000	245,000,000		180,000,000						5,000,000		26,500,000
Line of Credit Facility, Increase (Decrease), Other, Net		55,000,000		(37,500,000)
Line of Credit Facility, Capacity Available for Specific Purpose Other than for Trade Purchases		50,000,000										75,000,000
Line Of Credit Facility Increase Right						37,500,000
Line Of Credit Facility Increase Capacity												300,000,000
Debt Instrument, Basis Spread on Variable Rate																					2.50%		2.40%	0.50%	1.00%
Line of Credit Facility, Amount Outstanding									5,000,000											6,600,000		30,000,000
Line of Credit Facility, Interest Rate at Period End									3.00%
Line of Credit Facility, Remaining Borrowing Capacity									257,500,000											1,400,000		12,400,000
Letters of Credit Outstanding, Amount						190,000			273,000
Debt Instrument, Interest Rate at Period End																				0.50%		0.50%
Business Acquisition, Cost of Acquired Entity, Liabilities Incurred														5,500,000
Notes Payable						2,649,000	[1]		2,142,000	[1]																	4,400,000	1,100,000
Debt Instrument, Periodic Payment																	50,000		76,000
Debt Instrument, Annual Principal Payment																250,000		333,000
Repayments of Long-term Debt					$ 532,000

[1] During 2009 and 2010, the Company issued seller debt in the form of subordinated unsecured notes payable with an estimated fair value of approximately $5.5 million relating to certain acquisitions. These notes are unsecured and subordinated to the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes issued in July 2011. Five notes payable totaling $4.4 million bear interest at 6%, and are payable quarterly with amounts ranging between $50,000 and $76,000, with maturity dates ranging from August 2011 through March 2013. The remaining balance of the notes payable, $1.1 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $333,000, maturing in 2014. The Company made principal payments totaling $532,000 during the three months ended March 31, 2012.

XML

Note 5 - Goodwill and Intangible Assets (Detail) - Goodwill (USD $) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2012	Dec. 31, 2011
Balance at beginning of period	$ 300,260	$ 90,582
Goodwill acquired during the period		209,619
Adjustments to prior year acquisitions	1,078	1,799
Effect of foreign currency translation	1,681	(1,740)
Balance at end of period	$ 303,019	$ 300,260

XML

Note 3 - Acquisitions (Detail) - Final Allocation of Purchase Price (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012
Customer Relationships [Member] | Preliminary Purchase Price Allocation [Member]
Intangible Assets	$ 38,190
Customer Relationships [Member] | Final Purchase Price Allocation [Member]
Intangible Assets	38,190
Trade Names [Member] | Preliminary Purchase Price Allocation [Member]
Intangible Assets	17,426
Trade Names [Member] | Final Purchase Price Allocation [Member]
Intangible Assets	17,426
Noncompete Agreements [Member] | Preliminary Purchase Price Allocation [Member]
Intangible Assets	511
Noncompete Agreements [Member] | Final Purchase Price Allocation [Member]
Intangible Assets	511
Unpatented Technology [Member] | Preliminary Purchase Price Allocation [Member]
Intangible Assets	762
Unpatented Technology [Member] | Final Purchase Price Allocation [Member]
Intangible Assets	762
Goodwill [Member] | Preliminary Purchase Price Allocation [Member]
Intangible Assets	159,988
Goodwill [Member] | Purchase Price Adjustments and Reclassifications [Member]
Intangible Assets	2,048
Goodwill [Member] | Final Purchase Price Allocation [Member]
Intangible Assets	162,036
Preliminary Purchase Price Allocation [Member]
Building, equipment and leasehold improvements	1,800
Net deferred tax liability associated with step-up in book basis	(18,244)
Assets acquired and liabilities assumed, net	14,581
Totals	215,014
Purchase Price Adjustments and Reclassifications [Member]
Net deferred tax liability associated with step-up in book basis	693
Assets acquired and liabilities assumed, net	(2,741)
Final Purchase Price Allocation [Member]
Building, equipment and leasehold improvements	1,800
Net deferred tax liability associated with step-up in book basis	(17,551)
Assets acquired and liabilities assumed, net	11,840
Totals	$ 215,014

XML

Note 10 - Long-Term Debt (Detail) - Borrowings under the Senior Secured Revolving Credit Facility						3 Months Ended			3 Months Ended			3 Months Ended			3 Months Ended			3 Months Ended
	Jan. 15, 2012	Dec. 31, 2011	Jul. 19, 2011	Mar. 31, 2012 Pricing Tier 1 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 1 [Member] Base Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 1 [Member]	Mar. 31, 2012 Pricing Tier 2 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 2 [Member] Base Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 2 [Member]	Mar. 31, 2012 Pricing Tier 3 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 3 [Member] Base Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 3 [Member]	Mar. 31, 2012 Pricing Tier 4 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 4 [Member] Base Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 4 [Member]	Mar. 31, 2012 Pricing Tier 5 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 5 [Member] Base Rate Loans [Member]	Mar. 31, 2012 Pricing Tier 5 [Member]
Commitment Fee/Unused Line Fee						0.50%			0.45%			0.40%			0.35%			0.30%
Letter of Credit Fee						3.75%			3.50%			3.25%			3.00%			2.75%
Rate Loans	9.00%	9.00%	9.00%	3.75%	2.75%		3.50%	2.50%		3.25%	2.25%		3.00%	2.00%		2.75%	1.75%

XML

Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Statement of Cash Flows (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Net cash provided by operating activities	$ 4,799	$ 6,266
Investing activities:
Cash paid for acquisitions, net		(187,303)
Purchases of equipment and leasehold improvements, net	(552)	(1,968)
Working capital and other settlements for acquisitions	908	(325)
Net cash provided by (used in) investing activities	356	(189,596)
Financing activities:
Borrowings under credit facilities	11,000	165,000
Proceeds from the exercise of options and warrants	50	263
Purchases of stock for treasury	(387)
Excess tax benefit related to share-based compensation		438
Payment of deferred financing costs	(414)	(445)
Repayment of subordinated unsecured notes payable	(546)	(361)
Net borrowings (repayments) under working capital facilities	(3,789)	130
Repayment under credit facilities	(11,000)
Intercompany investments and other	(95)	(18)
Net cash provided by (used in) financing activities	(5,181)	165,007
Exchange rate impact on cash and cash equivalents	76	80
Net increase (decrease) in cash and cash equivalents	50	(18,243)
Cash and cash equivalents, beginning of period	8,416	33,624
Cash and cash equivalents, end of period	8,466	15,381
Guarantor Subsidiaries [Member]
Net cash provided by operating activities	1,398	4,953
Investing activities:
Cash paid for acquisitions, net		(185,000)
Purchases of equipment and leasehold improvements, net	(407)	(1,872)
Working capital and other settlements for acquisitions	47	49
Net cash provided by (used in) investing activities	(360)	(186,823)
Financing activities:
Excess tax benefit related to share-based compensation		438
Repayment of subordinated unsecured notes payable	(546)	(361)
Intercompany investments and other	(846)	164,800
Net cash provided by (used in) financing activities	(1,392)	164,877
Net increase (decrease) in cash and cash equivalents	(354)	(16,993)
Cash and cash equivalents, beginning of period	6,044	31,192
Cash and cash equivalents, end of period	5,690	14,199
Non-Guarantor Subsidiaries [Member]
Net cash provided by operating activities	3,401	1,313
Investing activities:
Cash paid for acquisitions, net		(2,303)
Purchases of equipment and leasehold improvements, net	(145)	(96)
Working capital and other settlements for acquisitions	861	(374)
Net cash provided by (used in) investing activities	716	(2,773)
Financing activities:
Net borrowings (repayments) under working capital facilities	(3,789)	130
Net cash provided by (used in) financing activities	(3,789)	130
Exchange rate impact on cash and cash equivalents	76	80
Net increase (decrease) in cash and cash equivalents	404	(1,250)
Cash and cash equivalents, beginning of period	2,372	2,432
Cash and cash equivalents, end of period	2,776	1,182
Parent Company [Member]
Financing activities:
Borrowings under credit facilities	11,000	165,000
Proceeds from the exercise of options and warrants	50	263
Purchases of stock for treasury	(387)
Payment of deferred financing costs	(414)	(445)
Repayment under credit facilities	(11,000)
Intercompany investments and other	$ 751	$ (164,818)

XML

Note 8 - Related Party Transactions (Detail) (USD $)	1 Months Ended	3 Months Ended
	Jun. 30, 2010	Mar. 31, 2012	Mar. 31, 2011
RedRidge Finance Group [Member]
Related Party Transaction, Expenses from Transactions with Related Party			$ 44,000
Compass [Member]
Related Party Transaction, Expenses from Transactions with Related Party	$ 10,080	$ 32,000	$ 33,000

XML

Note 4 - Property, Equipment and Leasehold Improvements

3 Months Ended

Mar. 31, 2012

Property, Plant and Equipment Disclosure [Text Block]

(4)           Property, Equipment and Leasehold Improvements

Property, equipment and leasehold improvements at December 31, 2011 and March 31, 2012, consist of the following (in thousands):

	Estimated useful lives	December 31, 2011		March 31, 2012
Building	15 years	$	600	$	600
Computer and office equipment	3 years		10,742		12,619
Furniture and fixtures	3 – 5 years		1,682		1,844
Leasehold improvements	Lease term		627		735
			13,651		15,798
Less accumulated depreciation and amortization			4,733		5,965
Total		$	8,918	$	9,833

Depreciation expense for the three months ended March 31, 2011 and 2012 was $736,000 and $1.2 million, respectively.

XML

Note 5 - Goodwill and Intangible Assets (Detail) - Intangible Assets (USD $) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2012	Dec. 31, 2011
Amortizable intangible assets:
Gross carrying amount	$ 217,754	$ 215,406
Accumulated amortization	(82,538)	(69,238)
Net carrying value	135,216	146,168
Customer Relationships [Member]
Amortizable intangible assets:
Estimated useful lives	40 to 60 months	40 to 60 months
Gross carrying amount	159,601	157,826
Accumulated amortization	(60,037)	(50,438)
Net carrying value	99,564	107,388
Trade Names [Member]
Amortizable intangible assets:
Estimated useful lives	45 to 84 months	45 to 84 months
Gross carrying amount	48,521	48,046
Accumulated amortization	(16,072)	(13,277)
Net carrying value	32,449	34,769
Noncompete Agreements [Member]
Amortizable intangible assets:
Estimated useful lives	36 months	36 months
Gross carrying amount	2,799	2,784
Accumulated amortization	(1,795)	(1,587)
Net carrying value	1,004	1,197
Unpatented Technology [Member]
Amortizable intangible assets:
Estimated useful lives	24 to 40 months	24 to 40 months
Gross carrying amount	6,833	6,750
Accumulated amortization	(4,634)	(3,936)
Net carrying value	$ 2,199	$ 2,814

XML

Note 12 - Income Taxes (Tables)

3 Months Ended

Mar. 31, 2012

Summary of Income Tax Contingencies [Table Text Block]

Balance at January 1, 2012	$	308
Increase to prior year tax positions		5
Increase to current year tax positions		—
Expiration of the statute of limitations for the assessment of taxes		—
Decrease related to settlements		—
Balance at March 31, 2012	$	313

XML

Note 10 - Long-Term Debt (Tables)

3 Months Ended

Mar. 31, 2012

Schedule of Debt [Table Text Block]

	December 31, 2011		March 31, 2012
	(In thousands)
Senior Unsecured Notes Payable (a)	$	250,000	$	250,000
Senior Secured Revolving Credit Facility, Bank of America, N.A. (b)		5,000		5,000
Working capital facilities, Barclays (c)		39,063		36,557
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)		2,649		2,142
		296,712		293,699
Less current portion		1,932		1,629
	$	294,780	$	292,070

Schedule of Guarantor Obligations [Table Text Block]

Pricing Tier	Consolidated Leverage Ratio	Commitment Fee/Unused Line Fee	Letter of Credit Fee	Eurocurrency Rate Loans	Base Rate Loans
1	≥ 2.50 to 1.0	0.50%	3.75%	3.75%	2.75%
2	≥ 2.00 to 1.0 but < 2.50 to 1.0	0.45%	3.50%	3.50%	2.50%
3	≥ 1.50 to 1.0 but < 2.00 to 1.0	0.40%	3.25%	3.25%	2.25%
4	≥ 1.00 to 1.0 but < 1.50 to 1.0	0.35%	3.00%	3.00%	2.00%
5	< 1.00 to 1.0	0.30%	2.75%	2.75%	1.75%

Schedule of Maturities of Long-term Debt [Table Text Block]

	Amount
Nine months ended December 31, 2012	$	1,417
Year ended December 31:
2013		6,976
2014		30,306
2015		—
2016		5,000
Thereafter		250,000
Total	$	293,699

XML

Note 12 - Income Taxes (Detail) - Unrecognized Tax Benefits (USD $)	3 Months Ended
	Mar. 31, 2012
Balance	$ 308,000
Increase to prior year tax positions	5,000
Increase to current year tax positions	0
Expiration of the statute of limitations for the assessment of taxes	0
Decrease related to settlements	0
Balance	$ 313,000

XML

Note 5 - Goodwill and Intangible Assets (Detail) - Intangible Amortization Expense (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Nine months ended December 31, 2012	$ 36,752
2013	43,405
2014	27,357
2015	18,651
2016	6,173
Thereafter	2,878
Total	$ 135,216	$ 146,168

XML

Note 13 - Segment and Geographical Information (Tables)

3 Months Ended

Mar. 31, 2012

Schedule of Revenue from External Customers Attributed to Foreign Countries by Geographic Area [Table Text Block]

Revenues:	For the three months ended March 31,
	2011		2012
United States	$	56,858	$	87,195
Canada		4,700		6,886
United Kingdom		5,030		29,657
Total	$	66,588	$	123,738

Disclosure on Geographic Areas, Long-Lived Assets

Long-lived assets: (1)	December 31,		March 31,
	2011		2012
United States	$	340,955	$	336,032
Canada		42,377		40,300
United Kingdom		72,452		72,168
Total	$	455,784	$	448,500

XML

Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Tables)

3 Months Ended

Mar. 31, 2012

Condensed Consolidating Statement Of Operations Table Text Block

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	56,858		$	9,730		$	—	$	66,588
Costs and expenses:
Costs of revenues		37,862			5,707			—		43,569
Selling, general and administrative expenses		12,094			2,234			—		14,328
Depreciation and amortization		7,156			1,453			—		8,609
Total costs and expenses		57,112			9,394			—		66,506
Income (loss) from operations		(254	)		336			—		82
Interest and other expenses, net		430			582			—		1,012
Loss before income taxes		(684	)		(246	)		—		(930	)
Benefit for income taxes		(318	)		(53	)		—		(371	)
Net loss	$	(366	)	$	(193	)	$	—	$	(559	)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	87,195		$	36,543		$	—	$	123,738
Costs and expenses:
Costs of revenues		60,415			20,758			—		81,173
Selling, general and administrative expenses		17,022			11,610			—		28,632
Depreciation and amortization		8,719			5,306			—		14,025
Total costs and expenses		86,156			37,674			—		123,830
Income (loss) from operations		1,039			(1,131	)		—		(92	)
Interest and other expenses, net		5,312			1,261			—		6,573
Loss before income taxes		(4,273	)		(2,392	)		—		(6,665	)
Provision (benefit) for income taxes		(2,485	)		143			—		(2,342	)
Net loss	$	(1,788	)	$	(2,535	)	$	—	$	(4,323	)

Condensed Consolidating Balance Sheet Table Text Block

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	6,044	$	2,372	$	—		$	—		$	8,416
Accounts receivable, net		44,690		99,351		—			—			144,041
Other receivables		26		14		—			—			40
Prepaid expenses		2,694		1,793		—			—			4,487
Deferred tax assets		1,373		267		—			—			1,640
Other current assets		14		1,159		—			—			1,173
Total current assets		54,841		104,956		—			—			159,797
Property, equipment and leasehold improvements, net		7,745		1,173		—			—			8,918
Goodwill		240,252		60,008		—			—			300,260
Intangible assets, net		84,833		61,335		—			—			146,168
Deferred tax assets, noncurrent		—		1,913		—			(1,913	)		—
Deferred financing costs, net		—		—		11,458			—			11,458
Other assets		438		—		—			—			438
Total assets	$	388,109	$	229,385	$	11,458		$	(1,913	)	$	627,039
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	16,728	$	25,914	$	—		$	—		$	42,642
Accrued expenses		4,272		24,138		—			—			28,410
Accrued interest expense		—		3,236		7,011			—			10,247
Deferred revenue		192		1,140		—			—			1,332
Current portion of subordinated unsecured notes payable		1,932		—		—			—			1,932
Current portion of contingent earnout obligation		91		—		—			—			91
Other current liabilities		2,925		2,534		—			—			5,459
Total current liabilities		26,140		56,962		7,011			—			90,113
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities		—		39,063		5,000			—			44,063
Long-term subordinated unsecured notes payable, less current portion		717		—		—			—			717
Long-term contingent earnout obligation, less current portion		86		—		—			—			86
Deferred tax liability, noncurrent		4,072		—		—			(1,913	)		2,159
Other long-term liabilities		1,691		286		—			—			1,977
Total liabilities		32,706		96,311		262,011			(1,913	)		389,115
Commitments and contingencies
Stockholders’ equity (1)		355,403		133,074		(250,553	)		—			237,924
Total liabilities and stockholders' equity	$	388,109	$	229,385	$	11,458		$	(1,913	)	$	627,039

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	5,690	$	2,776	$	—		$	—		$	8,466
Accounts receivable, net		43,586		106,174		—			—			149,760
Other receivables		65		—		—			—			65
Prepaid expenses		2,278		2,673		—			—			4,951
Deferred tax assets		1,509		—		—			—			1,509
Other current assets		13		1,199		—			—			1,212
Total current assets		53,141		112,822		—			—			165,963
Property, equipment and leasehold improvements, net		8,629		1,204		—			—			9,833
Goodwill		242,111		60,908		—			—			303,019
Intangible assets, net		77,174		58,042		—			—			135,216
Deferred tax assets, noncurrent		—		2,869		—			(1,881	)		988
Deferred financing costs, net		—		—		11,343			—			11,343
Other assets		432		—		—			—			432
Total assets	$	381,487	$	235,845	$	11,343		$	(1,881	)	$	626,794
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	15,117	$	27,998	$	—		$	—		$	43,115
Accrued expenses		9,300		27,993		—			—			37,293
Accrued interest expense		—		4,502		317			—			4,819
Deferred revenue		174		1,746		—			—			1,920
Current portion of subordinated unsecured notes payable		1,629		—		—			—			1,629
Current portion of contingent earnout obligation		91		—		—			—			91
Other current liabilities		2,378		2,704		—			—			5,082
Total current liabilities		28,689		64,943		317			—			93,949
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities		—		36,557		5,000			—			41,557
Long-term subordinated unsecured notes payable, less current portion		513		—		—			—			513
Long-term contingent earnout obligation, less current portion		86		—		—			—			86
Deferred tax liability, noncurrent		1,881		—		—			(1,881	)		—
Other long-term liabilities		1,527		336		—			—			1,863
Total liabilities		32,696		101,836		255,317			(1,881	)		387,968
Commitments and contingencies
Stockholders’ equity (1)		348,791		134,009		(243,974	)		—			238,826
Total liabilities and stockholders' equity	$	381,487	$	235,845	$	11,343		$	(1,881	)	$	626,794

Condensed Consolidating Statement Of Cash Flows Table Text Block

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by operating activities	$	4,953		$	1,313		$	—		$	6,266
Investing activities:
Cash paid for acquisitions, net		(185,000	)		(2,303	)		—			(187,303	)
Purchases of equipment and leasehold improvements, net		(1,872	)		(96	)		—			(1,968	)
Working capital and other settlements for acquisitions		49			(374	)		—			(325	)
Net cash used in investing activities		(186,823	)		(2,773	)		—			(189,596	)
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			165,000			165,000
Proceeds from the exercise of options and warrants		—			—			263			263
Excess tax benefit related to share-based compensation		438			—			—			438
Payment of deferred financing costs		—			—			(445	)		(445	)
Repayment of subordinated unsecured notes payable		(361	)		—			—			(361	)
Net borrowings under working capital facilities		—			130			—			130
Intercompany investments and other		164,800			—			(164,818	)		(18	)
Net cash provided by financing activities		164,877			130			—			165,007
Exchange rate impact on cash and cash equivalents		—			80			—			80
Net decrease in cash and cash equivalents		(16,993	)		(1,250	)		—			(18,243	)
Cash and cash equivalents, beginning of period		31,192			2,432			—			33,624
Cash and cash equivalents, end of period	$	14,199		$	1,182		$	—		$	15,381

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by operating activities	$	1,398		$	3,401		$	—		$	4,799
Investing activities:
Purchases of equipment and leasehold improvements, net		(407	)		(145	)		—			(552	)
Working capital and other settlements for acquisitions		47			861			—			908
Net cash provided by (used in) investing activities		(360	)		716			—			356
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			11,000			11,000
Proceeds from the exercise of options and warrants		—			—			50			50
Purchases of stock for treasury		—			—			(387	)		(387	)
Payment of deferred financing costs		—			—			(414	)		(414	)
Repayment of subordinated unsecured notes payable		(546	)		—			—			(546	)
Net repayments of working capital facilities		—			(3,789	)		—			(3,789	)
Repayment under credit facilities		—			—			(11,000	)		(11,000	)
Intercompany investments and other		(846	)		—			751			(95	)
Net cash used in financing activities		(1,392	)		(3,789	)		—			(5,181	)
Exchange rate impact on cash and cash equivalents		—			76			—			76
Net increase (decrease) in cash and cash equivalents		(354	)		404			—			50
Cash and cash equivalents, beginning of period		6,044			2,372			—			8,416
Cash and cash equivalents, end of period	$	5,690		$	2,776		$	—		$	8,466

XML

Note 3 - Acquisitions

3 Months Ended

Mar. 31, 2012

Mergers, Acquisitions and Dispositions Disclosures [Text Block]

(3)           Acquisitions

ExamWorks operates in a highly fragmented industry and has completed numerous acquisitions since July 14, 2008. A key component of ExamWorks’ acquisition strategy is growth through acquisitions that expand its geographic coverage, provide new or complementary lines of business, expand its portfolio of services and that increase its market share.

The Company has accounted for all business combinations using the purchase method to record a new cost basis for the assets acquired and liabilities assumed. The Company recorded, based on a preliminary purchase price allocation, intangible assets representing customer relationships, tradenames, covenants not to compete, and technology and the excess of purchase price over the estimated fair value of the tangible assets acquired and liabilities assumed and the separately recognized intangible assets has been recorded as goodwill in the accompanying consolidated financial statements. The goodwill is attributable to synergies achieved through the streamlining of operations combined with improved margins attainable through increased market presence. The results of operations are reflected in the consolidated financial statements of the Company from the date of acquisition.

(a)           2011 Acquisitions

MES Group Acquisition

On February 28, 2011, the Company completed the acquisition of 100% of the outstanding stock of MES Group, Inc. (“MES”) for aggregate consideration of $215.0 million, comprised of $175.0 million cash consideration, 1,424,501 shares of Company common stock with a fair value of $30.0 million  (using a value of  $21.07 per share, the closing price of the Company’s common stock on February 28, 2011), and $10.0 million of assumed indebtedness under MES’ credit facility, which was paid off at closing. In conjunction with the MES acquisition, the Company incurred transaction costs of $2.0 million, of which $439,000 were incurred in the three months ended March 31, 2011 and none of which were incurred in the three months ended March 31, 2012, and are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Operations.  The MES acquisition broadened the Company’s product portfolio and customer base and increased the Company’s market share in the U.S.

The final allocation of consideration for the MES acquisition is summarized as follows (in thousands):

	Preliminary purchase price allocation December 31, 2011			Adjustments/ reclassifications			Final purchase price allocation March 31, 2012
Building, equipment and leasehold improvements	$	1,800		$	—		$	1,800
Customer relationships		38,190			—			38,190
Tradename		17,426			—			17,426
Covenants not to compete		511			—			511
Technology		762			—			762
Goodwill		159,988			2,048			162,036
Net deferred tax liability associated with step-up in book basis		(18,244	)		693			(17,551	)
Assets acquired and liabilities assumed, net		14,581			(2,741	)		11,840
Totals	$	215,014		$	—		$	215,014

In 2012, the Company finalized the purchase price allocation with limited adjustments to the purchase price. The goodwill and other intangible assets resulting from the MES acquisition are not expected to be deductible for tax purposes.

Premex Group Acquisition

On May 10, 2011, the Company completed the acquisition of 100% of the outstanding share capital of Premex Group Limited (“Premex”) for $108.4 million.  The Company paid total consideration consisting of $66.5 million in cash, 661,610 shares of Company common stock with a fair value of approximately $15.1 million (using a value of $22.85 per share, the closing price of the Company’s common stock on May 10, 2011) and $26.8 million of assumed indebtedness under Premex’s receivables facility which was paid off at closing.   In conjunction with the Premex acquisition, the Company incurred transaction costs of $646,000, of which $19,000 were incurred in the three months ended March 31, 2011 and none of which were incurred in the three months ended March 31, 2012, and are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Operations.  The Premex acquisition increased the Company’s market share in the U.K. and broadened the Company’s product portfolio and customer base in the U.K.

The preliminary allocation of consideration for the Premex acquisition is summarized as follows (in thousands):

	Preliminary purchase price allocation December 31, 2011		Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2012
Equipment and leasehold improvements	$	650	$	—		$	650
Customer relationships		32,886		—			32,886
Tradename		10,602		—			10,602
Covenants not to compete		109		—			109
Technology		2,356		—			2,356
Goodwill		28,131		163			28,294
Deferred tax asset associated with step-up in book basis		603		—			603
Assets acquired and liabilities assumed, net		33,019		(163	)		32,856
Totals	$	108,356	$	—		$	108,356

The goodwill and other intangible assets resulting from the Premex acquisition are expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed, but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change.  The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.

Other 2011 Acquisitions

Additionally, in 2011, the Company completed the following individually insignificant acquisitions with an aggregate purchase price of $45.1 million, comprised of $43.7 million cash consideration less cash acquired of $564,000, and 214,926 shares of the Company’s common stock with an estimated fair value of $2.0 million. In conjunction with the other 2011 acquisitions, the Company incurred transaction costs of $630,000, of which $4,000 and $21,000 were incurred in the three months ended March 31, 2011 and 2012, respectively, and are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Operations. These acquisitions expanded the geographic coverage and, to a lesser extent, enhanced the service offering of the Company.

Company name	Form of acquisition	Date of acquisition
National IME Centres Inc.	100% of the outstanding common stock	February 18, 2011
MLS Group of Companies, Inc.	100% of the outstanding common stock	September 28, 2011
Medicolegal Services, Inc.	Substantially all of the assets and assumed certain liabilities	September 28, 2011
North York Rehabilitation Centre Inc.	Substantially all of the assets and assumed certain liabilities	October 3, 2011
Capital Vocational Specialist Inc.	Substantially all of the assets and assumed certain liabilities	October 3, 2011
Matrix Health Management Inc.	Substantially all of the assets and assumed certain liabilities	October 24, 2011
Bronshvag	Substantially all of the assets and assumed certain liabilities	October 27, 2011

The preliminary allocation of consideration for these acquisitions is summarized as follows (in thousands):

	Preliminary purchase price allocation December 31, 2011			Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2012
Equipment and leasehold improvements	$	213		$	—		$	213
Customer relationships		18,577			—			18,577
Tradename		2,989			—			2,989
Covenants not to compete		197			—			197
Technology		334			—			334
Goodwill		21,500			(1,133	)		20,367
Net deferred tax liability associated with step-up in book basis		(356	)		—			(356	)
Assets acquired and liabilities assumed, net		2,598			225			2,823
Totals	$	46,052		$	(908	)	$	45,144

In 2012, the Company recorded adjustments to working capital resulting in a reduction of total consideration paid of $908,000. Goodwill of $18.8 million and other intangible assets of $20.8 million are expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change. Such changes are not expected to be significant. The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.

(b)           Pro forma Financial Information

The unaudited pro forma results of operations for the three months ended March 31, 2011 assumes that the 2011 acquisitions were completed on January 1, 2010. There we no acquisitions completed in the three months ended March 31, 2012 and thus there are no differences between the reported and pro forma results of operations.

For the three months ended March 31, 2011, pro forma revenues and net loss were $121.3 million and $157,000, respectively.  Pro forma net loss per share, on both a basic and diluted basis, was nil.

For the three months ended March 31, 2011, the pro forma results include adjustments to reflect additional interest expense of $3.3 million associated with the funding of the acquisitions assuming that acquisition related debt was incurred on January 1, 2010. In addition, incremental depreciation and amortization expense was recorded as if the acquisitions had occurred on January 1, 2010 and amounted to $5.8 million for the three months ended March 31, 2011. Finally, adjustments of $5.2 million were made to SGA expenses for the three months ended March 31, 2011, principally related to certain salary and other personal expenses attributable to the previous owners of the acquired businesses. These adjustments represent contractual reductions and are considered to be non-recurring and are not expected to have a continuing impact on the operations of the Company.

The pro forma financial information presented above is not necessarily indicative of either the results of operations that would have occurred had the acquisitions been effective as of January 1, 2010 or of future operations of the Company.

XML

Note 2 - Summary of Significant Accounting Policies (Detail) (USD $)	0 Months Ended	1 Months Ended	3 Months Ended		12 Months Ended							3 Months Ended		3 Months Ended			3 Months Ended				12 Months Ended	3 Months Ended									3 Months Ended
	May 06, 2011	Jul. 31, 2011	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011	Jan. 15, 2012	Jul. 19, 2011	Jul. 07, 2011	Feb. 09, 2011	Dec. 31, 2010	Nov. 02, 2010	Mar. 31, 2012 Stock Options [Member]	Dec. 31, 2011 Stock Options [Member]	Mar. 31, 2012 Restricted Stock [Member]	Mar. 31, 2011 Restricted Stock [Member]	Dec. 31, 2011 Restricted Stock [Member]	Mar. 31, 2012 Options and Warrants [Member]	Mar. 31, 2011 Options and Warrants [Member]	Mar. 31, 2011 Equity Component of Earnout Obligation [Member]	Mar. 31, 2012 Subordinated Unsecured Notes [Member]	Dec. 31, 2010 Subordinated Unsecured Notes [Member]	Mar. 31, 2012 Cash Paid to Settle 2009 and 2010 Acquisitions [Member]	Mar. 31, 2012 Release Of Restriction Associated With Shares Previously Issued [Member]	Mar. 31, 2012 Change In Fair Value [Member]	Mar. 31, 2012 General and Administrative Expense [Member]	Mar. 31, 2011 General and Administrative Expense [Member]	Mar. 31, 2012 Cost of Sales [Member]	Mar. 31, 2012 United States [Member]	Mar. 31, 2012 Accrued [Member]	Mar. 31, 2011 Cash Paid [Member]	Mar. 31, 2012 Stock Options [Member]	Mar. 31, 2012 2012 Incentive Compensation Plan [Member]	Mar. 31, 2012 Senior Unsecured Notes [Member]	Dec. 31, 2011 Senior Unsecured Notes [Member]
Allowance for Doubtful Accounts Receivable			$ 3,400,000		$ 2,700,000
Cash and Cash Equivalents, at Carrying Value			8,466,000	15,381,000	8,416,000					33,624,000																		5,700,000
Deferred Finance Costs, Gross			402,000																										7,800,000	445,000			12,000	6,700,000
Line of Credit Facility, Increase (Decrease), Other, Net	55,000,000	(37,500,000)
Line of Credit Facility, Maximum Borrowing Capacity	300,000,000	262,500,000						262,500,000	245,000,000		180,000,000
Payments of Debt Extinguishment Costs		621,000
Proceeds from Unsecured Notes Payable					250,000,000
Debt Instrument, Interest Rate, Stated Percentage					9.00%	9.00%	9.00%
Interest Expense			514,000	406,000
Deferred Revenue			2,500,000		2,600,000
Deferred Costs, Current			1,700,000		1,600,000
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in Shares)																	9,900,000	6,900,000	83,000	68,000	135,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross (in Shares)			2,314,976
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value (in Dollars per share)			$ 4.23
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Grant Date Intrinsic Value (in Dollars per share)			$ 9,800,000
Share-based Compensation			4,696,000	977,000										149,000	99,000										2,200,000	3,000,000	744,000				878,000	1,600,000
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized												28,400,000		211,000		360,000
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Period for Recognition												1 year 10 months		5 months	8 months
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value			17,679,000										43,000
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period (in Shares)														2,000
Remaining To Be Issued Upon Vesting Shares (in Shares)														9,000
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability			$ 356,000																			$ 249,000	$ 111,000	$ 4,000

XML

Note 4 - Property, Equipment and Leasehold Improvements (Detail) - Property, Equipment and Leasehold Improvements (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Dec. 31, 2011
Property, plant, and equipment	$ 15,798	$ 13,651
Less accumulated depreciation and amortization	5,965	4,733
Total	9,833	8,918
Building [Member]
Estimated useful lives	15 years
Property, plant, and equipment	600	600
Computer and Office Equipment [Member]
Estimated useful lives	3 years
Property, plant, and equipment	12,619	10,742
Furniture and Fixtures [Member]
Estimated useful lives	3 - 5 years
Property, plant, and equipment	1,844	1,682
Leasehold Improvements [Member]
Estimated useful lives	Lease term
Property, plant, and equipment	$ 735	$ 627

XML

Note 10 - Long-Term Debt (Detail) - Future Maturities of Long-Term Debt (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012
Nine months ended December 31, 2012	$ 1,417
2013	6,976
2014	30,306
2015	0
2016	5,000
Thereafter	250,000
Total	$ 293,699

XML

Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012		Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 8,466		$ 8,416
Accounts receivable, net	149,760		144,041
Other receivables	65		40
Prepaid expenses	4,951		4,487
Deferred tax assets	1,509		1,640
Other current assets	1,212		1,173
Total current assets	165,963		159,797
Property, equipment and leasehold improvements, net	9,833		8,918
Goodwill	303,019		300,260
Intangible assets, net	135,216		146,168
Deferred tax assets, noncurrent	988
Deferred financing costs, net	11,343		11,458
Other assets	432		438
Total assets	626,794		627,039
Current liabilities:
Accounts payable	43,115		42,642
Accrued expenses	37,293		28,410
Accrued interest expense	4,819		10,247
Deferred revenue	1,920		1,332
Current portion of subordinated unsecured notes payable	1,629		1,932
Current portion of contingent earnout obligation	91		91
Other current liabilities	5,082		5,459
Total current liabilities	93,949		90,113
Senior unsecured notes payable	250,000	[1]	250,000	[1]
Senior secured revolving credit facility and working capital facilities	41,557		44,063
Long-term subordinated unsecured notes payable, less current portion	513		717
Long-term contingent earnout obligation, less current portion	86		86
Deferred tax liability, noncurrent			2,159
Other long-term liabilities	1,863		1,977
Total liabilities	387,968		389,115
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.0001 par value; Authorized 50,000,000 shares; no shares issued and outstanding at December 31, 2011 and March 31, 2012	0		0
Common stock, $0.0001 par value; Authorized 250,000,000 shares; issued and outstanding 34,090,618 and 34,062,008 shares at December 31, 2011 and March 31, 2012, respectively	3		3
Additional paid-in capital	271,324		268,162
Accumulated other comprehensive income (loss)	1,021		(1,429)
Accumulated deficit	(25,872)		(21,549)
Treasury stock, at cost; Outstanding 805,613 and 844,613 shares at December 31, 2011 and March 31, 2012, respectively	(7,650)		(7,263)
Total stockholders’ equity	238,826		237,924
Total liabilities and stockholders' equity	$ 626,794		$ 627,039

[1] On July 19, 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the "Senior Unsecured Notes"). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks' existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under the Company's Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions. The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the "Indenture"), among the Company, the Guarantors and U.S. Bank, National Association, as trustee (the "Trustee"). The Senior Unsecured Notes are the Company's general senior unsecured obligations, and rank equally with the Company's existing and future senior unsecured obligations and senior to all of the Company's further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012. At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest. The Indenture includes covenants which, subject to certain exceptions, limit the ability of the Company and its restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of the Company or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), the Company may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.In connection with the issuance of the Senior Unsecured Notes, the Company and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the "Registration Rights Agreement"). The Registration Rights Agreement requires the Company to register with the Securities and Exchange Commission ("SEC") new 9.0% Senior Unsecured Notes due 2019 (the "Exchange Notes") having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the "Exchange Offer") or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes. Failure of the Company to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require the Company to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured. The Company filed a Registration Statement on Form S-4 (the "Registration Statement") with the SEC on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012. The Company expects to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.

XML

Note 6 - Accrued Expenses (Detail) - Accrued Expenses (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Accrued compensation and benefits	$ 7,923	$ 3,323
Accrued selling and professional fees	6,019	4,112
Accrued income and other taxes	1,890	1,546
Accrued medical panel fees	2,406	1,880
Accrued value added tax	17,481	15,812
Other accrued expenses	1,574	1,737
Total	$ 37,293	$ 28,410

XML

Note 1 - Nature of Operations and Basis of Presentation

3 Months Ended

Mar. 31, 2012

Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]

(1)          Nature of Operations and Basis of Presentation

ExamWorks Group, Inc. (‘ExamWorks” or the “Company”) is a leading provider of independent medical examinations (“IMEs”), peer and bill reviews and related services (“IME services” or the “IME industry”). ExamWorks, Inc. was incorporated as a Delaware corporation on April 27, 2007. In 2008, ExamWorks, Inc. acquired three companies operating in the IME industry. In 2009, ExamWorks, Inc. acquired 11 other IME companies, including a provider of software solutions to the IME industry. In 2010, ExamWorks, Inc. acquired 14 additional IME companies. In 2011, ExamWorks, Inc. acquired nine other IME companies.  As of March 31, 2012, ExamWorks, Inc. operates out of 45 service centers serving all 50 United States, Canada and the United Kingdom. In June 2010, ExamWorks, Inc. effected a corporate reorganization creating a holding company, ExamWorks Group, Inc., with ExamWorks, Inc. becoming a wholly-owned subsidiary of ExamWorks Group, Inc. In the fourth quarter of 2010, the Company completed an Initial Public Offering (“IPO”) of 9.3 million shares of common stock. 

The consolidated financial statements of the Company as of March 31, 2011 and 2012 included herein have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) and have not been audited by its independent registered public accounting firm. In the opinion of management, all adjustments of a normal and recurring nature necessary to present fairly the financial position and results of operations and cash flows for all periods presented have been made. Pursuant to SEC rules and regulations, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted from these statements unless significant changes have taken place since the end of the Company's most recent fiscal year. The Company's December 31, 2011 Consolidated Balance Sheet was derived from audited consolidated financial statements and notes included in the Company's Annual Report on Form 10-K for the year ended December 31, 2011, but does not include all disclosures required by GAAP. It is suggested that these consolidated financial statements be read in conjunction with the consolidated financial statements and notes included in the aforementioned Form 10-K. The results of operations for the three months ended March 31, 2012 are not necessarily indicative of the results that may be expected for the year ending December 31, 2012.

The consolidated financial statements include the accounts of ExamWorks, its wholly-owned subsidiaries and other entities controlled by ExamWorks. Significant intercompany accounts and transactions have been eliminated in consolidation.

XML

Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Statement of Operations (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Revenues	$ 123,738	$ 66,588
Costs and expenses:
Costs of revenues	81,173	43,569
Selling, general and administrative expenses	28,632	14,328
Depreciation and amortization	14,025	8,609
Total costs and expenses	123,830	66,506
Income (loss) from operations	(92)	82
Interest and other expenses, net	6,573	1,012
Loss before income taxes	(6,665)	(930)
Provision (benefit) for income taxes	(2,342)	(371)
Net loss	(4,323)	(559)
Guarantor Subsidiaries [Member]
Revenues	87,195	56,858
Costs and expenses:
Costs of revenues	60,415	37,862
Selling, general and administrative expenses	17,022	12,094
Depreciation and amortization	8,719	7,156
Total costs and expenses	86,156	57,112
Income (loss) from operations	1,039	(254)
Interest and other expenses, net	5,312	430
Loss before income taxes	(4,273)	(684)
Provision (benefit) for income taxes	(2,485)	(318)
Net loss	(1,788)	(366)
Non-Guarantor Subsidiaries [Member]
Revenues	36,543	9,730
Costs and expenses:
Costs of revenues	20,758	5,707
Selling, general and administrative expenses	11,610	2,234
Depreciation and amortization	5,306	1,453
Total costs and expenses	37,674	9,394
Income (loss) from operations	(1,131)	336
Interest and other expenses, net	1,261	582
Loss before income taxes	(2,392)	(246)
Provision (benefit) for income taxes	143	(53)
Net loss	(2,535)	(193)
Parent Company [Member]
Revenues	0	0
Costs and expenses:
Costs of revenues	0	0
Selling, general and administrative expenses	0	0
Depreciation and amortization	0	0
Total costs and expenses	0	0
Income (loss) from operations	0	0
Interest and other expenses, net	0	0
Loss before income taxes	0	0
Provision (benefit) for income taxes	0	0
Net loss	$ 0	$ 0

XML

Note 2 - Summary of Significant Accounting Policies (Detail) - Fair Value of the Company's Financial Assets Measured on a Recurring Basis (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Fair Value, Inputs, Level 2 [Member] | Interest Rate Swap [Member]
Financial Instruments	$ 272	$ 326
Fair Value, Inputs, Level 3 [Member] | Contingent Consideration [Member]
Financial Instruments	1,265	1,621
Estimate of Fair Value, Fair Value Disclosure [Member] | Interest Rate Swap [Member]
Financial Instruments	272	326
Estimate of Fair Value, Fair Value Disclosure [Member] | Contingent Consideration [Member]
Financial Instruments	$ 1,265	$ 1,621

XML

Note 2 - Summary of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2012

Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]

	Three months ended March 31, 2012
Volatility		45.86	%
Expected life (years)		6.00
Risk-free interest rate		1.15	%
Dividend yield		-
Fair value	$	4.23

Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block]

	Number of options			Weighted average exercise price		Weighted average remaining contractual life	Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2011		7,371,304		$	12.48
Options granted		2,314,976			9.53
Options forfeited		(247,306	)		17.13
Options exercised		(8,077	)		5.91
Outstanding at March 31, 2012		9,430,897		$	11.64	8.73 years	$	30,229
Exercisable at March 31, 2012		3,255,916		$	8.37	7.83 years	$	17,679

Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]

	Level 1		Level 2		Level 3		Total
As of December 31, 2011
Financial instruments:
Interest rate swap	$	—	$	326	$	—	$	326
Contingent consideration		—		—		1,621		1,621
As of March 31, 2012
Financial instruments:
Interest rate swap	$	—	$	272	$	—	$	272
Contingent consideration		—		—		1,265		1,265

XML

Note 3 - Acquisitions (Detail) (USD $)	3 Months Ended			12 Months Ended			12 Months Ended		3 Months Ended	12 Months Ended				3 Months Ended
	Mar. 31, 2011	Dec. 31, 2011 Accrued [Member] MES Group [Member]	Dec. 31, 2011 Accrued [Member] Other 2011 Acquisitions [Member]	Dec. 31, 2011 MES Group [Member]	Mar. 31, 2011 MES Group [Member]	Feb. 28, 2011 MES Group [Member]	Dec. 31, 2011 Premex Group [Member]	Mar. 31, 2012 Premex Group [Member]	Mar. 31, 2012 Other 2011 Acquisitions [Member]	Dec. 31, 2011 Other 2011 Acquisitions [Member]	Dec. 31, 2010 Other 2011 Acquisitions [Member]	Dec. 31, 2009 National IME Centres Inc. [Member]	Dec. 31, 2009 MLS Group of Companies Inc. [Member]	Mar. 31, 2011 Additional Interest Expense [Member]	Mar. 31, 2011 Incremental Depreciation [Member]	Mar. 31, 2011 Selling, General and Administrative Expenses [Member]
Business Acquisition, Percentage of Voting Interests Acquired				100.00%			100.00%					100.00%	100.00%
Business Acquisition, Cost of Acquired Entity, Purchase Price				$ 215,000,000			$ 108,400,000			$ 45,100,000
Business Acquisition, Cost of Acquired Entity, Cash Paid				175,000,000			66,500,000			43,700,000
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares (in Shares)				1,424,501			661,610			214,926
Business Acquisition, Equity Interest Issued or Issuable, Value Assigned				30,000,000			15,100,000			2,000,000
Closing Price Per Share (in Dollars per share)						$ 21.07	$ 22.85
Business Acquisition, Purchase Price Allocation, Liabilities Assumed						10,000,000	26,800,000
Business Acquisition, Cost of Acquired Entity, Transaction Costs		2,000,000	630,000		439,000		646,000	19,000		21,000	4,000
Business Acquisition, Purchase Price Allocation, Current Assets, Cash and Cash Equivalents										564,000
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred									908,000
Business Acquisition, Purchase Price Allocation, Goodwill, Expected Tax Deductible Amount										18,800,000
Business Acquisition Purchase Price Allocation Intangible Assets Expected Tax Deductible Amount										20,800,000
Business Acquisition, Pro Forma Revenue	121,300,000
Business Acquisition, Pro Forma Net Income (Loss)	(157,000)
Business Acquisition Proforma Adjustments														$ 3,300,000	$ 5,800,000	$ 5,200,000

XML

Note 4 - Property, Equipment and Leasehold Improvements (Tables)

3 Months Ended

Mar. 31, 2012

Property, Plant and Equipment [Table Text Block]

	Estimated useful lives	December 31, 2011		March 31, 2012
Building	15 years	$	600	$	600
Computer and office equipment	3 years		10,742		12,619
Furniture and fixtures	3 – 5 years		1,682		1,844
Leasehold improvements	Lease term		627		735
			13,651		15,798
Less accumulated depreciation and amortization			4,733		5,965
Total		$	8,918	$	9,833

XML

Note 2 - Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2012

Significant Accounting Policies [Text Block]

(2)           Summary of Significant Accounting Policies

(a)           Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management bases its estimates on certain assumptions which they believe are reasonable in the circumstances and actual results could differ from those estimates. The more significant estimates reflected in these consolidated financial statements include purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts and the valuation of share-based compensation and derivative instruments.

(b)           Foreign Currencies

Assets and liabilities recorded in foreign currencies are translated into U.S. dollars at the exchange rate in effect on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the periods. Translation adjustments resulting from this process are recorded to other comprehensive income.

(c)           Cash and Cash Equivalents

The Company considers all highly liquid investments with original maturities of three months or less when purchased to be cash equivalents. The Company had no cash equivalents as of December 31, 2011 and March 31, 2012.

(d)           Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable consist of amounts owed to the Company for services provided in the normal course of business and are reported net of allowance for doubtful accounts, which amounted to $2.7 million and $3.4 million as of December 31, 2011 and March 31, 2012, respectively. Generally, no collateral is received from customers and additions to the allowance are based on ongoing credit evaluations of customers with general credit experience being within the range of management’s expectations. Accounts are reviewed regularly for collectability and those deemed uncollectible are written off.

(e)           Concentrations of Credit Risk

The Company routinely assesses the financial strength of its customers and establishes an allowance for doubtful accounts based upon factors surrounding the credit risk of specific customers, historical trends and other information. For the three months ended March 31, 2011 and 2012, no individual customer accounted for more than 10% of revenues. At December 31, 2011 and March 31, 2012, there were no individual customers that accounted for greater than 10% of the accounts receivable balance.

As of March 31, 2012, the Company had cash and cash equivalents totaling approximately $8.5 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $5.7 million were held in the U.S. The U.S. amounts are insured in full against bank failure through June 30, 2012 under the Federal Deposit Insurance Corporation Temporary Liquidity Guarantee Program.

(f)           Property, Equipment and Leasehold Improvements

Property, equipment and leasehold improvements are recorded at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the respective assets and accelerated methods for income tax purposes. Leasehold improvements are amortized over the lesser of their expected useful life or the remaining lease term. Maintenance and repair costs are expensed as incurred.

(g)           Long-Lived Assets

In accordance with Impairment or Disposal of Long-Lived Assets, Subsections of Financial Accounting Standards Board (“FASB”) ASC Subtopic 360-10 (“ASC 360”), Property, Plant, and Equipment — Overall, long-lived assets, such as equipment and purchased intangible assets subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. If circumstances require a long-lived asset or asset group be tested for possible impairment, the Company first compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying value. If the carrying value of the long-lived asset or asset group is not recoverable on an undiscounted cash flow basis, an impairment is recognized to the extent that the carrying value exceeds its fair value. Fair value is determined through various valuation techniques including discounted cash flow models, quoted market values and third-party independent appraisals, as considered necessary. At December 31, 2011 and March 31, 2012, no impairment was noted.

(h)           Goodwill and Other Intangible Assets

Goodwill is an asset representing the future economic benefits arising from assets acquired in a business combination that are not individually identified and separately recognized. Goodwill is reviewed for impairment at least annually in accordance with the provisions of FASB ASC Topic 350, Intangibles — Goodwill and Other (“ASC 350”). The goodwill impairment test is a two-step test. Under the first step, the fair value of the reporting unit is compared with its carrying value (including goodwill). If the fair value of the reporting unit is less than its carrying value, an indication of goodwill impairment exists for the reporting unit and the enterprise must perform step two of the impairment test (measurement). Under step two, an impairment loss is recognized for any excess of the carrying amount of the reporting unit’s goodwill over the implied fair value of that goodwill. The implied fair value of goodwill is determined by allocating the fair value of the reporting unit in a manner similar to a purchase price allocation and the residual fair value after this allocation is the implied fair value of the reporting unit goodwill. Fair value of the reporting unit is determined using a discounted cash flow analysis. If the fair value of the reporting unit exceeds its carrying value, step two does not need to be performed.

The Company performed its annual impairment review of goodwill in October of 2011 and it was determined that the carrying amount of goodwill was not impaired and there have been no subsequent developments that would indicate impairment exists as of December 31, 2011 and March 31, 2012. The goodwill impairment review will continue to be performed annually or more frequently if facts and circumstances warrant a review.

ASC 350 also requires that intangible assets with definite lives be amortized over their estimated useful lives. Currently, customer relationships, trade names, covenants not-to-compete and technology are amortized using the straight-line method over estimated useful lives.

(i)           Deferred Financing Costs

In November 2010, the Company entered in to a senior secured revolving credit facility with Bank of America N.A. (“Senior Secured Revolving Credit Facility”) (see Note 10) and has incurred deferred financing costs through March 31, 2012 of $7.8 million, of which $445,000 and $402,000 were incurred in the three months ended March 31, 2011 and 2012, respectively.  In July 2011, the Company reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million.  In conjunction with this reduction, the Company recognized debt extinguishment costs of approximately $621,000 in July 2011 for the unamortized portion of the loan costs which were recorded as other interest expense.  Additionally, in July 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (“Senior Unsecured Notes”), and incurred deferred financing costs of $6.7 million associated therewith, of which $12,000 were incurred in the three months ended March 31, 2012.

The deferred financing costs associated with the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes will be amortized to interest expense over the five-year term of the facility, as amended, and the eight-year term of the notes, respectively, using the straight-line method which approximates the effective interest method.

For the three months ended March 31, 2011 and 2012, the Company amortized $406,000 and $514,000 to interest expense, respectively.

(j)           Revenue Recognition

Revenue related to IMEs, peer reviews, bill reviews and administrative support services is recognized at the time services have been performed and the report is shipped to the end user. The Company believes that recognizing revenue at the time the report is shipped is appropriate because the Company’s revenue policies meet the following four criteria in accordance with ASC 605-10-S25, Revenue Recognition: Overall, (i) persuasive evidence that an arrangement exists, (ii) shipment has occurred, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured. The Company reports revenues net of any sales, use and value added taxes.

Revenue related to other IME services, including litigation support services and medical record retrieval services, where no report is generated, is recognized at the time the service is performed. The Company believes that recognizing revenue at the time the service is performed is appropriate because the Company’s revenue policies meet the following four criteria in accordance with ASC 605-10-S25, (i) persuasive evidence that an arrangement exists, (ii) services have been rendered, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.

Certain agreements with customers in the U.K. include provisions whereby collection of the amounts billed are contingent on the favorable outcome of the claim.  The Company has deemed these provisions to preclude revenue recognition at the time of sale, as collectability is not reasonably assured and the sales are contingent, and is deferring these revenues, net of estimated costs, until the case has been settled and the contingency has been resolved.  As of December 31, 2011, the Company had deferred $2.6 million in contingent revenues and $1.6 million in costs associated with the contingent revenues.  For the three months ended March 31, 2012, the Company deferred an additional $2.5 million in contingent revenues and $1.7 million in costs and expenses associated with contingent revenues.

Should changes in conditions cause management to determine these criteria are not met for certain future transactions, revenue recognized for any reporting period could be adversely affected.

(k)           Costs of Revenues

Costs of revenues are comprised of fees paid to members of the Company’s medical panel; other direct costs including transcription, film and medical record obtainment and transportation; and indirect costs including labor and overhead related to the generation of revenues.

(l)           Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The Company applies the provisions of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes, (included in FASB ASC Subtopic 740-10, Income Taxes — Overall), and recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Prior to the adoption of FASB Interpretation No. 48, the Company recognized the effect of income tax positions only if such positions were probable of being sustained.

The Company records interest and penalties related to unrecognized tax benefits in income tax expense.

(m)           Loss Per Common Share

Basic loss per share is calculated by dividing net loss by the weighted-average number of common shares outstanding during each period. Diluted loss per common share is calculated by dividing net loss, adjusted on an “as if converted” basis, by the weighted-average number of actual shares outstanding and, when dilutive, the share equivalents that would arise from the assumed conversion of convertible instruments. The effect of potentially dilutive stock options and warrants is calculated using the treasury stock method.

For the three months ended March 31, 2011, the potentially dilutive securities include options and warrants exercisable into 6.9 million shares of common stock, 83,000 shares of common stock issuable to settle the equity component of an earnout obligation, and 135,000 shares of common stock issuable, at the holder’s option, to settle a subordinated unsecured note.  For the three months ended March 31, 2012, the potentially dilutive securities include options and warrants exercisable into 9.9 million shares of common stock and 68,000 shares of common stock issuable, at the holder’s option, to settle a subordinated unsecured note.

For the three months ended March 31, 2011 and 2012, all of the potentially dilutive securities were excluded from the calculation of shares applicable to loss per share, because their inclusion would have been anti-dilutive.

(n)           Share-Based Compensation

The Company has an Amended and Restated 2008 Stock Incentive Plan, as amended, (the “Plan”) that provides for granting of stock options. The Company accounts for share-based awards in accordance with ASC Topic 718, Compensation — Stock Compensation (“ASC 718”). ASC 718 requires measurement of compensation cost for all share-based awards at fair value on the grant date (or measurement date if different) and recognition of compensation expense, net of forfeitures, over the requisite service period for awards expected to vest.

The fair value of stock option grants is determined using the Black-Scholes valuation model. The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable, characteristics not present in these employee stock options. Additionally, option valuation models require the input of highly subjective assumptions, including the expected volatility of the stock price. Because the Company’s employee stock options have characteristics significantly different from those of traded options and because changes in the subjective input assumptions can materially affect the fair value estimates, in management’s opinion, the existing models may not provide a reliable single measure of the fair value of its share-based awards.  The Company’s expected volatility assumptions are based on the Company’s peer group median implied volatility. Expected life assumptions are based upon the “simplified” method for those options issued in the first quarter of 2012 which were determined to be issued approximately at-the-money. The risk-free interest rate was selected based upon yields of U.S. Treasury issues with a term equal to the expected life of the option being valued.

The assumptions utilized for stock option grants during the three months ended March 31, 2012 were as follows:

	Three months ended March 31, 2012
Volatility		45.86	%
Expected life (years)		6.00
Risk-free interest rate		1.15	%
Dividend yield		-
Fair value	$	4.23

In the first three months of 2012, the Company issued approximately 2.3 million stock option awards. The weighted average fair value of each stock option was $4.23 per option and the aggregate fair value was $9.8 million. All of these awards vest over a three-year period. Additionally, all these options could vest earlier in the event of a change in control or merger or other acquisition. Share-based compensation expense related to stock option awards was $878,000 for the three months ended March 31, 2011, all of which was recorded in selling, general and administrative ("SGA") expenses, and $3.0 million for the three months ended March 31, 2012, of which $744,000 was included in costs of revenues and $2.2 million was recorded in SGA expenses.

At March 31, 2012, the unrecognized compensation expense related to stock option grants was $28.4 million, with a remaining weighted average life of 1.8 years.

A summary of option activity for the three months ended March 31, 2012 is as follows:

	Number of options			Weighted average exercise price		Weighted average remaining contractual life	Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2011		7,371,304		$	12.48
Options granted		2,314,976			9.53
Options forfeited		(247,306	)		17.13
Options exercised		(8,077	)		5.91
Outstanding at March 31, 2012		9,430,897		$	11.64	8.73 years	$	30,229
Exercisable at March 31, 2012		3,255,916		$	8.37	7.83 years	$	17,679

Aggregate intrinsic value represents the value of the Company’s closing stock price on the last trading day of the fiscal period in excess of the weighted average exercise price multiplied by the number of options outstanding or exercisable. The total intrinsic value of stock options exercised during the three month ended March 31, 2012 was approximately $43,000.

During the three months ended March 31, 2012, the Company did not issue any restricted stock units or shares of restricted stock. The Company issued 2,000 shares of common stock for vested restricted stock units with 9,000 shares remaining to be issued upon vesting as of March 31, 2012. For the three months ended March 31, 2011 and 2012, share-based compensation expense related to these awards was $99,000 and $149,000, respectively.  At December 31, 2011 and March 31, 2012, the unrecognized compensation expense related to restricted stock units and shares of restricted stock is $360,000 and $211,000, respectively, with a remaining weighted average life of 0.7 and 0.4 years, respectively.

During the three months ended March 31, 2012, the Company recorded share-based compensation expense of $1.6 million related to a 2012 incentive compensation plan, all of which was recorded in SGA expenses. Share-based compensation expense related to the plan will be recorded during the requisite service period, the year ended December 31, 2012, with the settlement occurring thereafter via an indeterminate number of restricted stock units. There was no share-based compensation expense recorded related to incentive compensation plans in the three months ended March 31, 2011.

(o)           Fair Value Measurements

In September 2006, the FASB issued authoritative guidance codified as ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”). ASC 820 defines fair value, establishes a framework for measuring fair value in U.S. generally accepted accounting principles and expands disclosure about fair value measurements. ASC 820 is effective for interim reporting periods in fiscal years beginning after November 15, 2007. The Company adopted the applicable provisions of ASC 820 effective January 1, 2008.

ASC Topic 825, Financial Instruments (“ASC 825”), delayed the effective date of the application of ASC 820 to fiscal years beginning after November 15, 2008 for all nonfinancial assets and nonfinancial liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis. Nonrecurring nonfinancial assets and nonfinancial liabilities for which the Company has not applied the provisions of ASC 820 primarily include those measured at fair value in goodwill and long-lived asset impairment testing, those initially measured at fair value in a business combination, and nonfinancial liabilities for exit or disposal activities.

ASC 820 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a fair value hierarchy, which prioritizes the inputs used in measuring fair value into the following levels:

In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as consider counterpart credit risk in its assessment of fair value.

Level 1 – Quoted prices in active markets for identical assets or liabilities.

Level 2 – Inputs, other than quoted prices in active markets, that are observable either directly or indirectly.

Level 3 – Unobservable inputs based on the company’s own assumptions.

The Company’s financial liabilities, which are measured at fair value on a recurring basis, are categorized using the fair value hierarchy at December 31, 2011 and March 31, 2012, and are as follows (in thousands):

	Level 1		Level 2		Level 3		Total
As of December 31, 2011
Financial instruments:
Interest rate swap	$	—	$	326	$	—	$	326
Contingent consideration		—		—		1,621		1,621
As of March 31, 2012
Financial instruments:
Interest rate swap	$	—	$	272	$	—	$	272
Contingent consideration		—		—		1,265		1,265

The fair value of the interest rate swap is determined using observable market inputs, such as current interest rates, and considers nonperformance risk of the Company and that of its counterparties.

The contingent consideration relates to earn-out provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010.  Of the total decrease in fair value of the contingent consideration of $356,000 in 2012, $249,000 was settled as cash consideration to satisfy installments related to a 2009 acquisition, approximately $111,000 of the change in value relates to the release of a restriction associated with shares previously issued related to a 2009 acquisition and approximately $4,000 was recorded in interest and other expenses, net in the Consolidated Statements of Operations due to changes  in the fair value of the contingent consideration.  

In February 2007, the FASB issued authoritative guidance codified as ASC 825, which permits entities to choose to measure many financial instruments and certain other items at fair value. This provision of ASC 825 is effective for fiscal years beginning after November 15, 2007. As the Company did not elect the fair value option, the adoption of this provision of ASC 825 did not have a material impact on the Company’s consolidated financial position, results of operations and cash flows for the year and three months ended December 31, 2011 and March 31, 2012, respectively.

(u)           Comprehensive Income (Loss)

Comprehensive income (loss) consists of two components, net loss and other comprehensive income (loss). Other comprehensive income (loss) refers to revenues, expenses, gains and losses that under GAAP are recorded as a component of stockholders’ equity but are excluded from net loss. The Company’s other comprehensive income (loss) consists of foreign currency translation adjustments from those business units not using the U.S. dollar as their functional currency.

(v)           Recent Accounting Pronouncements

Recently Adopted Accounting Pronouncements

In May 2011, the FASB issued Accounting Standards Update (“ASU”) No. 2011-04, Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS. This ASU represents the converged guidance of the FASB and the International Accounting Standards Board on fair value measurement. These amendments have resulted in common requirements for measuring fair value and for disclosing information about fair value measurements, including a consistent meaning of the term “fair value.” The common requirements are expected to result in greater comparability of fair value measurements presented and disclosed in financial statements prepared in accordance with U.S. GAAP and International Financial Reporting Standards. The amendments are to be applied prospectively and are effective for fiscal years beginning after December 15, 2011.  The Company adopted these provisions effective January 1, 2012. Adoption of these provisions did not have a material impact on the Company’s consolidated financial position, results of operations and cash flows.

In June and December 2011, the FASB issued ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income” (“ASU 2011-05”) and ASU 2011-12, Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05 (ASC 220, Comprehensive Income), respectively. These update amend ASC Topic 220, “Comprehensive Income” to provide that total comprehensive income is to be be reported in one continuous statement or two separate but consecutive statements of financial performance. Presentation of total comprehensive income in the statement of stockholders' equity or the footnotes is no longer allowed. The calculation of net income and basic and diluted net income per share is not affected. These ASUs are effective for fiscal years, and interim periods within those years, beginning on or after December 15, 2011.  The Company adopted these provisions effective January 1, 2012 and the adoption of ASU 2011-05 did have a significant impact on its financial position, results of operations and cash flows.

In September 2011, FASB issued ASU No. 2011-08, Intangibles-Goodwill and Other (Topic 350): Testing Goodwill for Impairment. This ASU is intended to simplify goodwill impairment testing by adding a qualitative review step to assess whether the required quantitative impairment analysis that exists previously is necessary. The fair value calculation for goodwill is required unless the Company concludes, based on the qualitative assessment, that it is more likely than not that the fair value of a reporting unit is less than its book value. If such a decline in fair value is deemed more likely than not to have occurred, then the quantitative goodwill impairment test must be completed; otherwise, goodwill is deemed to be not impaired and no further testing is required until the next annual test date (or sooner if conditions or events before that date raise concerns of potential impairment in the business). The amended goodwill impairment guidance does not affect the manner in which a company estimates fair value. The new standard is effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011, with early adoption permitted. The Company adopted these provisions effective January 1, 2012.  Adoption of these provisions is not expected to have a material impact on the Company’s consolidated financial statements.

XML

Consolidated Balance Sheets (Parentheticals) (USD $)	Mar. 31, 2012	Dec. 31, 2011
Preferred stock-share par value (in Dollars per share)	$ 0.0001	$ 0.0001
Preferred stock-shares authorized	50,000,000	50,000,000
Preferred stock-shares issued	0	0
Preferred stock-shares outstanding	0	0
Common stock-share par value (in Dollars per share)	$ 0.0001	$ 0.0001
Common stock-shares authorized	250,000,000	250,000,000
Common stock-shares issued	34,062,008	34,090,618
Common stock-shares outstanding	34,062,008	34,090,618
Treasury stock, shares	844,613	805,613

XML

Note 12 - Income Taxes

3 Months Ended

Mar. 31, 2012

Income Tax Disclosure [Text Block]

(12)         Income Taxes

In preparing its financial statements, the Company estimates income taxes in each of the jurisdictions in which it operates. This process involves estimating actual current tax exposure together with assessing temporary differences resulting from differing treatment of items for tax and financial reporting purposes. These differences result in deferred income tax assets and liabilities.

As of December 31, 2011, the Company had $2.4 million in estimated federal net operating losses (“NOLs”) to offset against future federal taxable income. These NOLs are subject to the change in control provisions in Section 382 of the Internal Revenue Code (“IRC Section 382”) and expire in 2030. As of December 31, 2011, the Company had estimated alternative minimum tax (“AMT”) credit carryforwards of $355,000 and $2.1 million in estimated foreign tax credits related to income taxes payable at certain of our business units located in the U.K., which may be used to offset future federal tax liabilities.

Additionally, the Company currently has significant deferred tax assets and other deductible temporary differences including basis differences between intangible assets. The Company does not provide a valuation allowance against its deferred tax assets as the Company believes that it is more likely than not that all of the deferred tax assets will be realized based on available evidence including scheduled reversal of deferred tax liabilities, projected future taxable income and other tax planning considerations.

The Company applies the provisions of ASC 740 as it relates to uncertain tax positions. This interpretation prescribes a comprehensive model for how a company should recognize, measure, present and disclose in its financial statements uncertain tax positions that the company has taken or expects to take on a tax return. ASC 740 states that a tax benefit from an uncertain tax position may be recognized only if it is “more likely than not” that the position is sustainable, based on its technical merits. The tax benefit of a qualifying position is the largest amount of tax benefit that is greater than 50% likely of being realized upon settlement with a taxing authority having full knowledge of all relevant information.

As of December 31, 2011, the liability related to unrecognized tax benefits was $308,000. The Company recorded an additional liability for unrecognized tax benefits in the three months ended March 31, 2012 of $5,000 related to acquired liabilities for unrecognized tax benefits and interest and penalties on prior year tax positions.  The Company recognizes interest and penalties accrued related to unrecognized tax benefits in income tax expense.

The following table summarizes the activity related to the unrecognized tax benefits for the period ended March 31, 2012 (in thousands):

Balance at January 1, 2012	$	308
Increase to prior year tax positions		5
Increase to current year tax positions		—
Expiration of the statute of limitations for the assessment of taxes		—
Decrease related to settlements		—
Balance at March 31, 2012	$	313

The Company is no longer subject to U.S. federal income or state tax return examinations by tax authorities for tax years before 2007 and 2006, respectively, which periods relate to certain acquired businesses. The Internal Revenue Service (“IRS”) commenced an examination of the Company’s U.S. income tax returns for 2009 during the second quarter of 2011 and in January 2012, the Company received a closure letter from the IRS stating that no adjustments were identified. The Company operates in multiple taxing jurisdictions and faces audits from various tax authorities. The Company remains subject to examination until the statute of limitations expires for the respective tax jurisdiction. The Company does not anticipate that the amount of the unrecognized benefit will significantly increase or decrease within the next twelve months.

Undistributed earnings of the Company’s foreign subsidiaries are considered indefinitely reinvested and, accordingly, no provision for U.S. federal income taxes has been recorded. Deferred taxes are provided for earnings outside the United States when those earnings are not considered indefinitely reinvested.

XML

Document And Entity Information	3 Months Ended
	Mar. 31, 2012	May 01, 2012
Document and Entity Information [Abstract]
Entity Registrant Name	ExamWorks Group, Inc.
Document Type	10-Q
Current Fiscal Year End Date	--12-31
Entity Common Stock, Shares Outstanding		34,078,844
Amendment Flag	false
Entity Central Index Key	0001498021
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Large Accelerated Filer
Entity Well-known Seasoned Issuer	No
Document Period End Date	Mar. 31, 2012
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	Q1

XML

Note 13 - Segment and Geographical Information

3 Months Ended

Mar. 31, 2012

Segment Reporting Disclosure [Text Block]

(13)         Segment and Geographical Information

The Company applies the provisions of ASC Topic 280, Segment Reporting, (“ASC Topic 280”). ASC 280, which is based on a management approach to segment reporting, establishes requirements to report selected segment information quarterly and to report annually entity-wide disclosures about products, major customers and the geographies in which the entity holds material assets and reports revenue. An operating segment is defined as a component that engages in business activities whose operating results are reviewed by the chief operating decision maker and for which discrete financial information is available. Based on the provisions of ASC 280, the Company has determined that it operates in one segment. The Company manages its resources and assesses its performance on an enterprise-wide basis. The Company’s product groups qualify for aggregation under ASC 280 due to their similarities in customer base, economic characteristics, and the nature of products and services provided.   Information relating to the Company’s revenues and long-lived assets is as follows (in thousands):

Revenues:	For the three months ended March 31,
	2011		2012
United States	$	56,858	$	87,195
Canada		4,700		6,886
United Kingdom		5,030		29,657
Total	$	66,588	$	123,738

Long-lived assets: (1)	December 31,		March 31,
	2011		2012
United States	$	340,955	$	336,032
Canada		42,377		40,300
United Kingdom		72,452		72,168
Total	$	455,784	$	448,500

(1) Long-lived assets are noncurrent assets excluding deferred tax assets and deferred financing costs.

XML

Consolidated Statements of Operations and Comprehensive Income (Loss) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Revenues	$ 123,738	$ 66,588
Costs and expenses:
Costs of revenues	81,173	43,569
Selling, general and administrative expenses	28,632	14,328
Depreciation and amortization	14,025	8,609
Total costs and expenses	123,830	66,506
Income (loss) from operations	(92)	82
Interest and other expenses, net:
Interest expense, net	6,462	1,182
Other expense	165
Gain on interest rate swap	(54)	(170)
Total interest and other expenses, net	6,573	1,012
Loss before income taxes	(6,665)	(930)
Benefit for income taxes	(2,342)	(371)
Net loss	(4,323)	(559)
Net loss per share:
Basic and diluted (in Dollars per share)	$ (0.13)	$ (0.02)
Weighted average number of common shares outstanding:
Basic and diluted (in Shares)	34,085,761	32,739,428
Comprehensive Income (Loss):
Net loss	(4,323)	(559)
Foreign currency translation adjustments, net of tax	2,450	844
Total comprehensive income (loss)	$ (1,873)	$ 285

XML

Note 7 - Stockholders' Equity

3 Months Ended

Mar. 31, 2012

Stockholders' Equity Note Disclosure [Text Block]

(7)           Stockholders’ Equity

During the three months ended March 31, 2012, the Company issued approximately 8,000 shares of common stock to settle stock options exercised during the period.

During the three months ended March 31, 2012, the Company issued approximately 2,000 shares of common stock to settle vested restricted stock units granted in the prior year to an outside consultant as compensation to be provided in the upcoming year.  The Company records the expense related to these awards in SGA expenses over the requisite service period.

During the three months ended March 31, 2012, the Company repurchased approximately 39,000 shares of its common stock under its share repurchase program.  These shares were repurchased at an average cost of $9.91 per share for a total cost of approximately $387,000.

Repurchased shares of the Company’s common stock are held as treasury shares until they are reissued or retired. When the Company reissues treasury stock, if the value of the transaction is greater than the average price paid to acquire the shares, an increase in additional paid-in capital is recorded. Conversely, if the value of the transaction is less than the average price paid to acquire the shares, a decrease is recorded to additional paid-in capital to the extent of increases previously recorded for similar transactions, and a decrease is recorded in retained earnings for any remaining amount.

XML

Note 6 - Accrued Expenses

3 Months Ended

Mar. 31, 2012

Accounts Payable and Accrued Liabilities Disclosure [Text Block]

(6)           Accrued Expenses

Accrued expenses at December 31, 2011 and March 31, 2012 consist of the following (in thousands):

	December 31, 2011		March 31, 2012
Accrued compensation and benefits	$	3,323	$	7,923
Accrued selling and professional fees		4,112		6,019
Accrued income and other taxes		1,546		1,890
Accrued medical panel fees		1,880		2,406
Accrued value added tax		15,812		17,481
Other accrued expenses		1,737		1,574
Total	$	28,410	$	37,293

XML

Note 3 - Acquisitions (Tables)

3 Months Ended

Mar. 31, 2012

Schedule of Purchase Price Allocation [Table Text Block]

	Preliminary purchase price allocation December 31, 2011			Adjustments/ reclassifications			Final purchase price allocation March 31, 2012
Building, equipment and leasehold improvements	$	1,800		$	—		$	1,800
Customer relationships		38,190			—			38,190
Tradename		17,426			—			17,426
Covenants not to compete		511			—			511
Technology		762			—			762
Goodwill		159,988			2,048			162,036
Net deferred tax liability associated with step-up in book basis		(18,244	)		693			(17,551	)
Assets acquired and liabilities assumed, net		14,581			(2,741	)		11,840
Totals	$	215,014		$	—		$	215,014

	Preliminary purchase price allocation December 31, 2011		Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2012
Equipment and leasehold improvements	$	650	$	—		$	650
Customer relationships		32,886		—			32,886
Tradename		10,602		—			10,602
Covenants not to compete		109		—			109
Technology		2,356		—			2,356
Goodwill		28,131		163			28,294
Deferred tax asset associated with step-up in book basis		603		—			603
Assets acquired and liabilities assumed, net		33,019		(163	)		32,856
Totals	$	108,356	$	—		$	108,356

	Preliminary purchase price allocation December 31, 2011			Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2012
Equipment and leasehold improvements	$	213		$	—		$	213
Customer relationships		18,577			—			18,577
Tradename		2,989			—			2,989
Covenants not to compete		197			—			197
Technology		334			—			334
Goodwill		21,500			(1,133	)		20,367
Net deferred tax liability associated with step-up in book basis		(356	)		—			(356	)
Assets acquired and liabilities assumed, net		2,598			225			2,823
Totals	$	46,052		$	(908	)	$	45,144

XML

Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries

3 Months Ended

Mar. 31, 2012

Condensed Consolidating Financial Information Of Guarantor Subsidiaries

(14)         Condensed Consolidating Financial Information of Guarantor Subsidiaries

The Company has outstanding certain indebtedness that is guaranteed by all of its U.S. subsidiaries. However, the indebtedness is not guaranteed by the Company’s foreign subsidiaries. The guarantor subsidiaries are wholly owned and the guarantees are made on a joint and several basis, and are full and unconditional. Separate consolidated financial statements of the guarantor subsidiaries have not been presented because management believes that such information would not be material to investors. However, condensed consolidating financial information as of December 31, 2011and March 31, 2012, and for the three months ended March 31, 2011 and 2012 is presented below. The Company (issuer of the Senior Unsecured Notes) was formed in June 2010 to implement a holding company organizational structure. As a result, all operating activities are conducted through the Company’s wholly-owned subsidiaries.

Condensed Consolidating Statement of Operations for the three months ended March 31, 2011

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	56,858		$	9,730		$	—	$	66,588
Costs and expenses:
Costs of revenues		37,862			5,707			—		43,569
Selling, general and administrative expenses		12,094			2,234			—		14,328
Depreciation and amortization		7,156			1,453			—		8,609
Total costs and expenses		57,112			9,394			—		66,506
Income (loss) from operations		(254	)		336			—		82
Interest and other expenses, net		430			582			—		1,012
Loss before income taxes		(684	)		(246	)		—		(930	)
Benefit for income taxes		(318	)		(53	)		—		(371	)
Net loss	$	(366	)	$	(193	)	$	—	$	(559	)

Condensed Consolidating Statement of Operations for the three months ended March 31, 2012

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	87,195		$	36,543		$	—	$	123,738
Costs and expenses:
Costs of revenues		60,415			20,758			—		81,173
Selling, general and administrative expenses		17,022			11,610			—		28,632
Depreciation and amortization		8,719			5,306			—		14,025
Total costs and expenses		86,156			37,674			—		123,830
Income (loss) from operations		1,039			(1,131	)		—		(92	)
Interest and other expenses, net		5,312			1,261			—		6,573
Loss before income taxes		(4,273	)		(2,392	)		—		(6,665	)
Provision (benefit) for income taxes		(2,485	)		143			—		(2,342	)
Net loss	$	(1,788	)	$	(2,535	)	$	—	$	(4,323	)

Condensed Consolidating Balance Sheet as of December 31, 2011

(In thousands)

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	6,044	$	2,372	$	—		$	—		$	8,416
Accounts receivable, net		44,690		99,351		—			—			144,041
Other receivables		26		14		—			—			40
Prepaid expenses		2,694		1,793		—			—			4,487
Deferred tax assets		1,373		267		—			—			1,640
Other current assets		14		1,159		—			—			1,173
Total current assets		54,841		104,956		—			—			159,797
Property, equipment and leasehold improvements, net		7,745		1,173		—			—			8,918
Goodwill		240,252		60,008		—			—			300,260
Intangible assets, net		84,833		61,335		—			—			146,168
Deferred tax assets, noncurrent		—		1,913		—			(1,913	)		—
Deferred financing costs, net		—		—		11,458			—			11,458
Other assets		438		—		—			—			438
Total assets	$	388,109	$	229,385	$	11,458		$	(1,913	)	$	627,039
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	16,728	$	25,914	$	—		$	—		$	42,642
Accrued expenses		4,272		24,138		—			—			28,410
Accrued interest expense		—		3,236		7,011			—			10,247
Deferred revenue		192		1,140		—			—			1,332
Current portion of subordinated unsecured notes payable		1,932		—		—			—			1,932
Current portion of contingent earnout obligation		91		—		—			—			91
Other current liabilities		2,925		2,534		—			—			5,459
Total current liabilities		26,140		56,962		7,011			—			90,113
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities		—		39,063		5,000			—			44,063
Long-term subordinated unsecured notes payable, less current portion		717		—		—			—			717
Long-term contingent earnout obligation, less current portion		86		—		—			—			86
Deferred tax liability, noncurrent		4,072		—		—			(1,913	)		2,159
Other long-term liabilities		1,691		286		—			—			1,977
Total liabilities		32,706		96,311		262,011			(1,913	)		389,115
Commitments and contingencies
Stockholders’ equity (1)		355,403		133,074		(250,553	)		—			237,924
Total liabilities and stockholders' equity	$	388,109	$	229,385	$	11,458		$	(1,913	)	$	627,039

(1)  Includes intercompany investments in subsidiaries.

Condensed Consolidating Balance Sheet as of March 31, 2012

(In thousands)

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	5,690	$	2,776	$	—		$	—		$	8,466
Accounts receivable, net		43,586		106,174		—			—			149,760
Other receivables		65		—		—			—			65
Prepaid expenses		2,278		2,673		—			—			4,951
Deferred tax assets		1,509		—		—			—			1,509
Other current assets		13		1,199		—			—			1,212
Total current assets		53,141		112,822		—			—			165,963
Property, equipment and leasehold improvements, net		8,629		1,204		—			—			9,833
Goodwill		242,111		60,908		—			—			303,019
Intangible assets, net		77,174		58,042		—			—			135,216
Deferred tax assets, noncurrent		—		2,869		—			(1,881	)		988
Deferred financing costs, net		—		—		11,343			—			11,343
Other assets		432		—		—			—			432
Total assets	$	381,487	$	235,845	$	11,343		$	(1,881	)	$	626,794
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	15,117	$	27,998	$	—		$	—		$	43,115
Accrued expenses		9,300		27,993		—			—			37,293
Accrued interest expense		—		4,502		317			—			4,819
Deferred revenue		174		1,746		—			—			1,920
Current portion of subordinated unsecured notes payable		1,629		—		—			—			1,629
Current portion of contingent earnout obligation		91		—		—			—			91
Other current liabilities		2,378		2,704		—			—			5,082
Total current liabilities		28,689		64,943		317			—			93,949
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities		—		36,557		5,000			—			41,557
Long-term subordinated unsecured notes payable, less current portion		513		—		—			—			513
Long-term contingent earnout obligation, less current portion		86		—		—			—			86
Deferred tax liability, noncurrent		1,881		—		—			(1,881	)		—
Other long-term liabilities		1,527		336		—			—			1,863
Total liabilities		32,696		101,836		255,317			(1,881	)		387,968
Commitments and contingencies
Stockholders’ equity (1)		348,791		134,009		(243,974	)		—			238,826
Total liabilities and stockholders' equity	$	381,487	$	235,845	$	11,343		$	(1,881	)	$	626,794

(1)  Includes intercompany investments in subsidiaries.

Condensed Consolidating Statement of Cash Flows for the three months ended March 31, 2011

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by operating activities	$	4,953		$	1,313		$	—		$	6,266
Investing activities:
Cash paid for acquisitions, net		(185,000	)		(2,303	)		—			(187,303	)
Purchases of equipment and leasehold improvements, net		(1,872	)		(96	)		—			(1,968	)
Working capital and other settlements for acquisitions		49			(374	)		—			(325	)
Net cash used in investing activities		(186,823	)		(2,773	)		—			(189,596	)
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			165,000			165,000
Proceeds from the exercise of options and warrants		—			—			263			263
Excess tax benefit related to share-based compensation		438			—			—			438
Payment of deferred financing costs		—			—			(445	)		(445	)
Repayment of subordinated unsecured notes payable		(361	)		—			—			(361	)
Net borrowings under working capital facilities		—			130			—			130
Intercompany investments and other		164,800			—			(164,818	)		(18	)
Net cash provided by financing activities		164,877			130			—			165,007
Exchange rate impact on cash and cash equivalents		—			80			—			80
Net decrease in cash and cash equivalents		(16,993	)		(1,250	)		—			(18,243	)
Cash and cash equivalents, beginning of period		31,192			2,432			—			33,624
Cash and cash equivalents, end of period	$	14,199		$	1,182		$	—		$	15,381

Condensed Consolidating Statement of Cash Flows for the three months ended March 31, 2012

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by operating activities	$	1,398		$	3,401		$	—		$	4,799
Investing activities:
Purchases of equipment and leasehold improvements, net		(407	)		(145	)		—			(552	)
Working capital and other settlements for acquisitions		47			861			—			908
Net cash provided by (used in) investing activities		(360	)		716			—			356
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			11,000			11,000
Proceeds from the exercise of options and warrants		—			—			50			50
Purchases of stock for treasury		—			—			(387	)		(387	)
Payment of deferred financing costs		—			—			(414	)		(414	)
Repayment of subordinated unsecured notes payable		(546	)		—			—			(546	)
Net repayments of working capital facilities		—			(3,789	)		—			(3,789	)
Repayment under credit facilities		—			—			(11,000	)		(11,000	)
Intercompany investments and other		(846	)		—			751			(95	)
Net cash used in financing activities		(1,392	)		(3,789	)		—			(5,181	)
Exchange rate impact on cash and cash equivalents		—			76			—			76
Net increase (decrease) in cash and cash equivalents		(354	)		404			—			50
Cash and cash equivalents, beginning of period		6,044			2,372			—			8,416
Cash and cash equivalents, end of period	$	5,690		$	2,776		$	—		$	8,466

XML

Note 10 - Long-Term Debt

3 Months Ended

Mar. 31, 2012

Debt Disclosure [Text Block]

(10)         Long-Term Debt

	December 31, 2011		March 31, 2012
	(In thousands)
Senior Unsecured Notes Payable (a)	$	250,000	$	250,000
Senior Secured Revolving Credit Facility, Bank of America, N.A. (b)		5,000		5,000
Working capital facilities, Barclays (c)		39,063		36,557
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)		2,649		2,142
		296,712		293,699
Less current portion		1,932		1,629
	$	294,780	$	292,070

(a)        On July 19, 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the “Senior Unsecured Notes”). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks’ existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under the Company’s Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions.

The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the “Indenture”), among the Company, the Guarantors and U.S. Bank, National Association, as trustee (the “Trustee”).  The Senior Unsecured Notes are the Company’s general senior unsecured obligations, and rank equally with the Company’s existing and future senior unsecured obligations and senior to all of the Company’s further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012.

At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest.

The Indenture includes covenants which, subject to certain exceptions, limit the ability of the Company and its restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of the Company or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), the Company may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.

In connection with the issuance of the Senior Unsecured Notes, the Company and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the “Registration Rights Agreement”). The Registration Rights Agreement requires the Company to register with the Securities and Exchange Commission (“SEC”) new 9.0% Senior Unsecured Notes due 2019 (the “Exchange Notes”) having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the “Exchange Offer”) or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes. Failure of the Company to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require the Company to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured.

The Company filed a Registration Statement on Form S-4 (the “Registration Statement”) with the SEC on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012. The Company expects to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.

(b)     The Company entered into a credit agreement dated November 2, 2010 with Bank of America, N.A. (the "Senior Secured Revolving Credit Facility").  The Senior Secured Revolving Credit Facility initially consisted of a $180.0 million revolving credit facility. The Senior Secured Revolving Credit Facility is available to finance the Company’s acquisition program and working capital needs. On February 9, 2011, the Company exercised the accordion feature of the Senior Secured Revolving Credit Facility, increasing the facility from $180.0 million to $245.0 million.

On May 6, 2011, the Company increased and fully exercised the accordion features of the Senior Secured Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.

On July 7, 2011, the Company entered into a second amendment to its Senior Secured Revolving Credit Facility (the “Second Amendment”) which became effective simultaneously with the consummation of the Company’s private offering of the Senior Unsecured Notes.  The Second Amendment amended the Senior Secured Revolving Credit Facility to, among other things, (i) extend the maturity date of the Senior Secured Revolving Credit Facility from November 2013 to July 2016; (ii) permit the issuance and sale of the Senior Unsecured Notes; (iii) replace the consolidated senior leverage ratio with a consolidated senior secured leverage ratio while permitting the maximum consolidated senior secured leverage ratio to be 3.00 to 1; (iv) permit the Company’s maximum consolidated leverage ratio to increase from 3.5 to 1 to 4.75 to 1; (v) reduce the borrowing cost; and (vi) allow the Company to complete acquisitions with a purchase price of up to $75.0 million (previously $50.0 million) without prior lender consent. The Second Amendment also reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million, subject to the Company’s right to increase the aggregate revolving commitments by $37.5 million for a maximum commitment of $300.0 million, so long as the Company is not in default and the Company satisfies certain other customary conditions.

On February 27, 2012, the Company entered into a third amendment to its Senior Secured Revolving Credit Facility (the “Third Amendment”). The Third Amendment amended the Senior Secured Revolving Credit Facility as to the definitions of consolidated fixed charges and consolidated fixed charge coverage ratio and does not permit the consolidated fixed charge coverage ratio as of the end of any fiscal quarter to be less than (i) for an fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for an fiscal quarter ending thereafter, 2.00 to 1.00.

Borrowings under the Senior Secured Revolving Credit Facility, as amended, bear interest, at either (i) LIBOR plus the applicable margin or (ii) a base rate (equal to the highest of (a) the federal funds rate plus 0.5%, (b) the Bank of America prime rate and (c) LIBOR (using a one month-period) plus 1.0%), plus the applicable margin, as the Company elects. The applicable margin means a percentage per annum determined in accordance with the following table:

Pricing Tier	Consolidated Leverage Ratio	Commitment Fee/Unused Line Fee	Letter of Credit Fee	Eurocurrency Rate Loans	Base Rate Loans
1	≥ 2.50 to 1.0	0.50%	3.75%	3.75%	2.75%
2	≥ 2.00 to 1.0 but < 2.50 to 1.0	0.45%	3.50%	3.50%	2.50%
3	≥ 1.50 to 1.0 but < 2.00 to 1.0	0.40%	3.25%	3.25%	2.25%
4	≥ 1.00 to 1.0 but < 1.50 to 1.0	0.35%	3.00%	3.00%	2.00%
5	< 1.00 to 1.0	0.30%	2.75%	2.75%	1.75%

In the event of default, the outstanding indebtedness under the facility will bear interest at an additional 2%.

The Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants requiring the Company to not exceed a maximum consolidated senior secured leverage coverage ratio and a maximum total consolidated leverage ratio and to maintain a minimum consolidated fixed charge coverage ratio. The Senior Secured Revolving Credit Facility also restricts the Company’s ability (subject to certain exceptions) to incur indebtedness, prepay or amend other indebtedness, create liens, make certain fundamental changes including mergers or dissolutions, pay dividends and make other payments in respect of capital stock, make certain investments, sell assets, change its lines of business, enter into transactions with affiliates and other corporate actions.

As of March 31, 2012, the Company had $5.0 million outstanding under the Senior Secured Revolving Credit Facility, bearing interest at a rate of 3.00%, resulting in $257.5 million of undrawn commitments (without taking into account $273,000 outstanding under letters of credit). However, the credit agreement governing the Company’s Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants which may limit the amount of borrowings available.

(c)           On September 29, 2010, the Company’s indirect wholly-owned subsidiary UK Independent Medical Systems ("UKIM") entered into a Sales Finance Agreement (the “UKIM SFA”) with Barclays Bank PLC (“Barclays”), pursuant to which Barclays will provide UKIM a working capital facility of up to £5,000,000, subject to the terms and conditions of the UKIM SFA. The working capital facility bears a discount margin of 2.5% over Base Rate (0.5% rate on March 31, 2012) and serves to finance UKIM’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, the Company had $6.6 million outstanding under the working capital facility, resulting in approximately $1.4 million in availability.

On May 12, 2011, the Company’s indirect wholly-owned subsidiary Premex entered into a Sales Finance Agreement (the “Premex SFA”) with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the Premex SFA. The working capital facility bears a discount margin of 2.4% over Base Rate (0.5% rate on March 31, 2012) and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, the Company had $30.0 million outstanding under the working capital facility, resulting in approximately $12.4 million in availability.

(d)           During 2009 and 2010, the Company issued seller debt in the form of subordinated unsecured notes payable with an estimated fair value of approximately $5.5 million relating to certain acquisitions.  These notes are unsecured and subordinated to the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes issued in July 2011. Five notes payable totaling $4.4 million bear interest at 6%, and are payable quarterly with amounts ranging between $50,000 and $76,000, with maturity dates ranging from August 2011 through March 2013. The remaining balance of the notes payable, $1.1 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $333,000, maturing in 2014. The Company made principal payments totaling $532,000 during the three months ended March 31, 2012.

As of March 31, 2012, future maturities of long-term debt were as follows (in thousands):

	Amount
Nine months ended December 31, 2012	$	1,417
Year ended December 31:
2013		6,976
2014		30,306
2015		—
2016		5,000
Thereafter		250,000
Total	$	293,699

XML

Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Balance Sheet (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012		Dec. 31, 2011		Mar. 31, 2011	Dec. 31, 2010
Current assets:
Cash and cash equivalents	$ 8,466		$ 8,416		$ 15,381	$ 33,624
Accounts receivable, net	149,760		144,041
Other receivables	65		40
Prepaid expenses	4,951		4,487
Deferred tax assets	1,509		1,640
Other current assets	1,212		1,173
Total current assets	165,963		159,797
Property, equipment and leasehold improvements, net	9,833		8,918
Goodwill	303,019		300,260			90,582
Intangible assets, net	135,216		146,168
Deferred tax assets, noncurrent	988
Deferred financing costs, net	11,343		11,458
Other assets	432		438
Total assets	626,794		627,039
Current liabilities:
Accounts payable	43,115		42,642
Accrued expenses	37,293		28,410
Accrued interest expense	4,819		10,247
Deferred revenue	1,920		1,332
Current portion of subordinated unsecured notes payable	1,629		1,932
Current portion of contingent earnout obligation	91		91
Other current liabilities	5,082		5,459
Total current liabilities	93,949		90,113
Senior unsecured notes payable	250,000	[1]	250,000	[1]
Senior revolving credit facility and working capital facilities	41,557		44,063
Long-term subordinated unsecured notes payable, less current portion	513		717
Long-term contingent earnout obligation, less current portion	86		86
Deferred tax liability, noncurrent			2,159
Other long-term liabilities	1,863		1,977
Total liabilities	387,968		389,115
Stockholders’ equity (1)	238,826		237,924
Total liabilities and stockholders' equity	626,794		627,039
Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	5,690		6,044
Accounts receivable, net	43,586		44,690
Other receivables	65		26
Prepaid expenses	2,278		2,694
Deferred tax assets	1,509		1,373
Other current assets	13		14
Total current assets	53,141		54,841
Property, equipment and leasehold improvements, net	8,629		7,745
Goodwill	242,111		240,252
Intangible assets, net	77,174		84,833
Other assets	432		438
Total assets	381,487		388,109
Current liabilities:
Accounts payable	15,117		16,728
Accrued expenses	9,300		4,272
Deferred revenue	174		192
Current portion of subordinated unsecured notes payable	1,629		1,932
Current portion of contingent earnout obligation	91		91
Other current liabilities	2,378		2,925
Total current liabilities	28,689		26,140
Long-term subordinated unsecured notes payable, less current portion	513		717
Long-term contingent earnout obligation, less current portion	86		86
Deferred tax liability, noncurrent	1,881		4,072
Other long-term liabilities	1,527		1,691
Total liabilities	32,696		32,706
Stockholders’ equity (1)	348,791		355,403
Total liabilities and stockholders' equity	381,487		388,109
Non-Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	2,776		2,372
Accounts receivable, net	106,174		99,351
Other receivables			14
Prepaid expenses	2,673		1,793
Deferred tax assets			267
Other current assets	1,199		1,159
Total current assets	112,822		104,956
Property, equipment and leasehold improvements, net	1,204		1,173
Goodwill	60,908		60,008
Intangible assets, net	58,042		61,335
Deferred tax assets, noncurrent	2,869		1,913
Total assets	235,845		229,385
Current liabilities:
Accounts payable	27,998		25,914
Accrued expenses	27,993		24,138
Accrued interest expense	4,502		3,236
Deferred revenue	1,746		1,140
Other current liabilities	2,704		2,534
Total current liabilities	64,943		56,962
Senior revolving credit facility and working capital facilities	36,557		39,063
Other long-term liabilities	336		286
Total liabilities	101,836		96,311
Stockholders’ equity (1)	134,009		133,074
Total liabilities and stockholders' equity	235,845		229,385
Parent Company [Member]
Current assets:
Deferred financing costs, net	11,343		11,458
Total assets	11,343		11,458
Current liabilities:
Accrued interest expense	317		7,011
Total current liabilities	317		7,011
Senior unsecured notes payable	250,000		250,000
Senior revolving credit facility and working capital facilities	5,000		5,000
Total liabilities	255,317		262,011
Stockholders’ equity (1)	(243,974)		(250,553)
Total liabilities and stockholders' equity	11,343		11,458
Consolidation, Eliminations [Member]
Current assets:
Deferred tax assets, noncurrent	(1,881)		(1,913)
Total assets	(1,881)		(1,913)
Current liabilities:
Deferred tax liability, noncurrent	(1,881)		(1,913)
Total liabilities	(1,881)		(1,913)
Total liabilities and stockholders' equity	$ (1,881)		$ (1,913)

[1] On July 19, 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the "Senior Unsecured Notes"). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks' existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under the Company's Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions. The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the "Indenture"), among the Company, the Guarantors and U.S. Bank, National Association, as trustee (the "Trustee"). The Senior Unsecured Notes are the Company's general senior unsecured obligations, and rank equally with the Company's existing and future senior unsecured obligations and senior to all of the Company's further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012. At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest. The Indenture includes covenants which, subject to certain exceptions, limit the ability of the Company and its restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of the Company or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), the Company may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.In connection with the issuance of the Senior Unsecured Notes, the Company and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the "Registration Rights Agreement"). The Registration Rights Agreement requires the Company to register with the Securities and Exchange Commission ("SEC") new 9.0% Senior Unsecured Notes due 2019 (the "Exchange Notes") having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the "Exchange Offer") or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes. Failure of the Company to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require the Company to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured. The Company filed a Registration Statement on Form S-4 (the "Registration Statement") with the SEC on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012. The Company expects to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.

XML

Note 8 - Related Party Transactions

3 Months Ended

Mar. 31, 2012

Related Party Transactions Disclosure [Text Block]

(8)           Related Party Transactions

The Senior Secured Revolving Credit Facility contains a provision requiring the Company to use a third party to perform financial due diligence for acquisitions exceeding a certain size. With the approval of the senior lender, the Company engaged RedRidge Finance Group ("Redridge") to assist it with financial due diligence and incurred $44,000  in fees pertaining to acquisition-related work performed during the three months ended March 31, 2011.  There were no such fees incurred in the three months ended March 31, 2012.   P&P Investment, LLC (“P&P”), a company owned by Richard Perlman and James Price, the Chairman and Chief Executive Officer, respectively, of the Company, are minority owners of RedRidge.  P&P, Mr. Perlman and Mr. Price have waived any right P&P had to any portion of the diligence fees paid by the Company to RedRidge.

In June 2010, the Company entered into a lease agreement with Compass Partners ("Compass") for corporate office space located at 655 Madison Avenue, 23rd Floor, New York, NY. Pursuant to the lease, which runs from April 1, 2010 through June 30, 2014, the Company paid Compass a rental fee of $10,080 per month in 2010, which fee was subject to increase commencing January 1, 2011 based on a proportionate pass through of base rent increases and increases for property taxes and building operating expenses. In the three months ended March 31, 2011 and 2012, the Company paid Compass $33,000 and $32,000 in rental payments, respectively.

XML

Note 9 - Commitments and Contingencies

3 Months Ended

Mar. 31, 2012

Commitments and Contingencies Disclosure [Text Block]

(9)           Commitments and Contingencies

(a)           Lease Commitments

The Company and its subsidiaries lease office space and office related equipment under noncancelable operating leases with various expiration dates from 2012 through 2019.

Future minimum lease payments under the operating leases for the nine months ended December 31, 2012 and in each of the years subsequent to December 31, 2012 are as follows (in thousands):

	Amount
Nine months ended December 31, 2012	$	6,197
Year ended December 31:
2013		6,633
2014		5,077
2015		3,962
2016		2,836
Thereafter		3,476
Total	$	28,181

Related rent expense was $1.5 million and $2.3 million for the three months ended March 31, 2011 and 2012, respectively.

(b)           Employee Benefit Plans

The Company and its subsidiaries each sponsor a separate voluntary defined contribution pension plan under Section 401(k) of the Internal Revenue Code. The plans cover substantially all employees that meet specific age and length of service requirements. The Company and its subsidiaries have various matching and vesting arrangements within their individual plans. The Company did not record any compensation expense related to these plans for the three months ended March 31, 2011.  For the three months ended March 31, 2012, the Company recorded $98,000 in compensation expense related to these plans.

(c)           Letters of Credit

As of December 31, 2011 and March 31, 2012, the Company had $190,000 and $273,000 outstanding under letters of credit which are used to secure two of the Company’s leased office facilities.

XML

Note 11 - Financial Instruments

3 Months Ended

Mar. 31, 2012

Fair Value Disclosures [Text Block]

(11)         Financial Instruments

The FASB issued ASC 815 which establishes accounting and reporting standards for derivative instruments. ASC 815 requires an entity to recognize all derivatives as either assets or liabilities and measure those instruments at fair value. Derivatives that do not qualify as a hedge must be adjusted to fair value in earnings. If the derivative does qualify as a hedge under ASC 815, changes in the fair value will either be offset against the change in fair value of the hedged assets, liabilities or firm commitments or recognized in accumulated other comprehensive income until the hedged item is recognized in earnings. The ineffective portion of a hedge’s change in fair value will be immediately recognized in earnings.

In August 2008, in order to protect against interest rate exposure on its variable-rate debt, the Company entered into an interest rate swap to fix the interest rate applicable to certain of its variable-rate debt. The agreement swaps one-month LIBOR for a fixed interest rate of 4.36% with a notional amount of $6.6 million and $6.1 million as of December 31, 2011 and March 31, 2012, respectively. The Company did not meet the criteria for hedge accounting under ASC 815, thus the difference between its amortized cost and its fair value resulted in an unrealized gain at March 31, 2011 and 2012 of $170,000 and $54,000 respectively, and such amount was reported in interest and other expenses, net on the accompanying Consolidated Statements of Operations.

The Company does not enter into derivative transactions for speculative purposes.

XML

Note 2 - Summary of Significant Accounting Policies (Detail) - Stock Option Activity (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Outstanding at December 31, 2011	7,371,304
Outstanding at December 31, 2011 (in Dollars per share)	$ 12.48
Outstanding at March 31, 2012	9,430,897
Outstanding at March 31, 2012 (in Dollars per share)	$ 11.64
Outstanding at March 31, 2012	8 years 9 months
Outstanding at March 31, 2012 (in Dollars)	$ 30,229
Exercisable at March 31, 2012	3,255,916
Exercisable at March 31, 2012 (in Dollars per share)	$ 8.37
Exercisable at March 31, 2012	7 years 10 months
Exercisable at March 31, 2012 (in Dollars)	$ 17,679
Options granted	2,314,976
Options granted (in Dollars per share)	$ 9.53
Options forfeited	(247,306)
Options forfeited (in Dollars per share)	$ 17.13
Options exercised	(8,077)
Options exercised (in Dollars per share)	$ 5.91

XML

Note 10 - Long-Term Debt (Detail) - Debt (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012		Dec. 31, 2011
Senior Unsecured Notes Payable (a)	$ 250,000	[1]	$ 250,000	[1]
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)	2,142	[2]	2,649	[2]
	293,699		296,712
Less current portion	1,629		1,932
	292,070		294,780
Senior Secured Revolving Credit Facility [Member]
Revolving credit facilities	5,000	[3]	5,000	[3]
Working Capital Facilities [Member]
Revolving credit facilities	$ 36,557	[4]	$ 39,063	[4]

[1] On July 19, 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 (the "Senior Unsecured Notes"). The Senior Unsecured Notes were issued at a price of 100% of their principal amount. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks' existing and future U.S. subsidiaries (the "Guarantors"). A portion of the gross proceeds of $250.0 million were used to repay borrowings outstanding under the Company's Senior Secured Revolving Credit Facility and pay related fees and expenses, and the remainder will be used for general corporate purposes, including acquisitions. The Senior Unsecured Notes were issued under an Indenture, dated as of July 19, 2011 (the "Indenture"), among the Company, the Guarantors and U.S. Bank, National Association, as trustee (the "Trustee"). The Senior Unsecured Notes are the Company's general senior unsecured obligations, and rank equally with the Company's existing and future senior unsecured obligations and senior to all of the Company's further subordinated indebtedness. The Senior Unsecured Notes accrue interest at a rate of 9.0% per year, payable semi-annually in cash in arrears on January 15 and July 15 of each year, commencing January 15, 2012. At any time on or after July 15, 2015, the Company may redeem some or all of the Senior Unsecured Notes at the redemption prices stated in the Indenture, plus accrued and unpaid interest to the date of redemption. Prior to July 15, 2014, the Company may redeem up to 35% of the aggregate principal amount of the Senior Unsecured Notes with net cash proceeds from certain equity offerings at a redemption price equal to 109% of the aggregate principal amount of the Senior Unsecured Notes, plus accrued and unpaid interest, if any, provided that at least 65% of the original aggregate principal amount of the Senior Unsecured Notes remains outstanding after redemption. Further, the Company may redeem some or all of the of the Senior Unsecured Notes at any time prior to July 15, 2015 at a redemption price equal to 100% of the principal amount of the Senior Unsecured Notes plus a make whole premium described in the Indenture, plus accrued and unpaid interest. The Indenture includes covenants which, subject to certain exceptions, limit the ability of the Company and its restricted subsidiaries (as defined in the Indenture) to, among other things, incur additional indebtedness, make certain types of restricted payments, incur liens on assets of the Company or the restricted subsidiaries, engage in asset sales and enter into transactions with affiliates. Upon a change of control (as defined in the Indenture), the Company may be required to make an offer to repurchase the Senior Unsecured Notes at 101% of their principal amount, plus accrued and unpaid interest. The Indenture also contains customary events of default.In connection with the issuance of the Senior Unsecured Notes, the Company and the Guarantors entered into a Registration Rights Agreement, dated as of July 19, 2011 (the "Registration Rights Agreement"). The Registration Rights Agreement requires the Company to register with the Securities and Exchange Commission ("SEC") new 9.0% Senior Unsecured Notes due 2019 (the "Exchange Notes") having substantially identical terms to the Senior Notes and to complete an exchange of the privately placed Senior Notes for the publicly registered Exchange Notes (the "Exchange Offer") or, if the Exchange Offer cannot be effected, to file and keep effective a shelf registration statement for resale of the Senior Notes. Failure of the Company to comply with the registration and exchange requirements set forth in the Registration Rights Agreement within the time periods specified therein would require the Company to pay additional interest on the Senior Unsecured Notes until any such failure to comply is cured. The Company filed a Registration Statement on Form S-4 (the "Registration Statement") with the SEC on April 4, 2012 to effect the Exchange. The Registration Statement was declared effective by the SEC on April 30, 2012. The Company expects to consummate the Exchange Offer and issue the Exchange Notes promptly after the expiration of the Exchange Offer on May 30, 2012.

[2] During 2009 and 2010, the Company issued seller debt in the form of subordinated unsecured notes payable with an estimated fair value of approximately $5.5 million relating to certain acquisitions. These notes are unsecured and subordinated to the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes issued in July 2011. Five notes payable totaling $4.4 million bear interest at 6%, and are payable quarterly with amounts ranging between $50,000 and $76,000, with maturity dates ranging from August 2011 through March 2013. The remaining balance of the notes payable, $1.1 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $333,000, maturing in 2014. The Company made principal payments totaling $532,000 during the three months ended March 31, 2012.

[3] The Company entered into a credit agreement dated November 2, 2010 with Bank of America, N.A. (the "Senior Secured Revolving Credit Facility"). The Senior Secured Revolving Credit Facility initially consisted of a $180.0 million revolving credit facility. The Senior Secured Revolving Credit Facility is available to finance the Company's acquisition program and working capital needs. On February 9, 2011, the Company exercised the accordion feature of the Senior Secured Revolving Credit Facility, increasing the facility from $180.0 million to $245.0 million. On May 6, 2011, the Company increased and fully exercised the accordion features of the Senior Secured Revolving Credit Facility. The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million. On July 7, 2011, the Company entered into a second amendment to its Senior Secured Revolving Credit Facility (the "Second Amendment") which became effective simultaneously with the consummation of the Company's private offering of the Senior Unsecured Notes. The Second Amendment amended the Senior Secured Revolving Credit Facility to, among other things, (i) extend the maturity date of the Senior Secured Revolving Credit Facility from November 2013 to July 2016; (ii) permit the issuance and sale of the Senior Unsecured Notes; (iii) replace the consolidated senior leverage ratio with a consolidated senior secured leverage ratio while permitting the maximum consolidated senior secured leverage ratio to be 3.00 to 1; (iv) permit the Company's maximum consolidated leverage ratio to increase from 3.5 to 1 to 4.75 to 1; (v) reduce the borrowing cost; and (vi) allow the Company to complete acquisitions with a purchase price of up to $75.0 million (previously $50.0 million) without prior lender consent. The Second Amendment also reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million, subject to the Company's right to increase the aggregate revolving commitments by $37.5 million for a maximum commitment of $300.0 million, so long as the Company is not in default and the Company satisfies certain other customary conditions.On February 27, 2012, the Company entered into a third amendment to its Senior Secured Revolving Credit Facility (the "Third Amendment"). The Third Amendment amended the Senior Secured Revolving Credit Facility as to the definitions of consolidated fixed charges and consolidated fixed charge coverage ratio and does not permit the consolidated fixed charge coverage ratio as of the end of any fiscal quarter to be less than (i) for an fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for an fiscal quarter ending thereafter, 2.00 to 1.00.Borrowings under the Senior Secured Revolving Credit Facility, as amended, bear interest, at either (i) LIBOR plus the applicable margin or (ii) a base rate (equal to the highest of (a) the federal funds rate plus 0.5%, (b) the Bank of America prime rate and (c) LIBOR (using a one month-period) plus 1.0%), plus the applicable margin, as the Company elects. In the event of default, the outstanding indebtedness under the facility will bear interest at an additional 2%.The Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants requiring the Company to not exceed a maximum consolidated senior secured leverage coverage ratio and a maximum total consolidated leverage ratio and to maintain a minimum consolidated fixed charge coverage ratio. The Senior Secured Revolving Credit Facility also restricts the Company's ability (subject to certain exceptions) to incur indebtedness, prepay or amend other indebtedness, create liens, make certain fundamental changes including mergers or dissolutions, pay dividends and make other payments in respect of capital stock, make certain investments, sell assets, change its lines of business, enter into transactions with affiliates and other corporate actions.As of March 31, 2012, the Company had $5.0 million outstanding under the Senior Secured Revolving Credit Facility, bearing interest at a rate of 3.00%, resulting in $257.5 million of undrawn commitments (without taking into account $273,000 outstanding under letters of credit). However, the credit agreement governing the Company's Senior Secured Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants which may limit the amount of borrowings available.

[4] On September 29, 2010, the Company's indirect wholly-owned subsidiary UK Independent Medical Systems ("UKIM") entered into a Sales Finance Agreement (the "UKIM SFA") with Barclays Bank PLC ("Barclays"), pursuant to which Barclays will provide UKIM a working capital facility of up to 5,000,000, subject to the terms and conditions of the UKIM SFA. The working capital facility bears a discount margin of 2.5% over Base Rate (0.5% rate on March 31, 2012) and serves to finance UKIM's unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, the Company had $6.6 million outstanding under the working capital facility, resulting in approximately $1.4 million in availability.On May 12, 2011, the Company's indirect wholly-owned subsidiary Premex entered into a Sales Finance Agreement (the "Premex SFA") with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to 26,500,000, subject to the terms and conditions of the Premex SFA. The working capital facility bears a discount margin of 2.4% over Base Rate (0.5% rate on March 31, 2012) and serves to finance Premex's unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Senior Secured Revolving Credit Facility. As of March 31, 2012, the Company had $30.0 million outstanding under the working capital facility, resulting in approximately $12.4 million in availability.

XML

Accounting Policies, by Policy (Policies)	3 Months Ended
	Mar. 31, 2012
Use of Estimates, Policy [Policy Text Block]	Use of Estimates The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management bases its estimates on certain assumptions which they believe are reasonable in the circumstances and actual results could differ from those estimates. The more significant estimates reflected in these consolidated financial statements include purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts and the valuation of share-based compensation and derivative instruments.
Foreign Currency Transactions and Translations Policy [Policy Text Block]	Foreign Currencies Assets and liabilities recorded in foreign currencies are translated into U.S. dollars at the exchange rate in effect on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the periods. Translation adjustments resulting from this process are recorded to other comprehensive income.
Cash and Cash Equivalents, Policy [Policy Text Block]	Cash and Cash Equivalents The Company considers all highly liquid investments with original maturities of three months or less when purchased to be cash equivalents. The Company had no cash equivalents as of December 31, 2011 and March 31, 2012.
Receivables, Policy [Policy Text Block]	Accounts Receivable and Allowance for Doubtful Accounts Accounts receivable consist of amounts owed to the Company for services provided in the normal course of business and are reported net of allowance for doubtful accounts, which amounted to $2.7 million and $3.4 million as of December 31, 2011 and March 31, 2012, respectively. Generally, no collateral is received from customers and additions to the allowance are based on ongoing credit evaluations of customers with general credit experience being within the range of management's expectations. Accounts are reviewed regularly for collectability and those deemed uncollectible are written off.
Concentration Risk Disclosure [Text Block]	Concentrations of Credit Risk The Company routinely assesses the financial strength of its customers and establishes an allowance for doubtful accounts based upon factors surrounding the credit risk of specific customers, historical trends and other information. For the three months ended March 31, 2011 and 2012, no individual customer accounted for more than 10% of revenues. At December 31, 2011 and March 31, 2012, there were no individual customers that accounted for greater than 10% of the accounts receivable balance. As of March 31, 2012, the Company had cash and cash equivalents totaling approximately $8.5 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $5.7 million were held in the U.S. The U.S. amounts are insured in full against bank failure through June 30, 2012 under the Federal Deposit Insurance Corporation Temporary Liquidity Guarantee Program.
Property, Plant and Equipment, Policy [Policy Text Block]	Property, Equipment and Leasehold Improvements Property, equipment and leasehold improvements are recorded at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the respective assets and accelerated methods for income tax purposes. Leasehold improvements are amortized over the lesser of their expected useful life or the remaining lease term. Maintenance and repair costs are expensed as incurred.
Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]	Long-Lived Assets In accordance with Impairment or Disposal of Long-Lived Assets, Subsections of Financial Accounting Standards Board ("FASB") ASC Subtopic 360-10 ("ASC 360"), Property, Plant, and Equipment - Overall , long-lived assets, such as equipment and purchased intangible assets subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. If circumstances require a long-lived asset or asset group be tested for possible impairment, the Company first compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying value. If the carrying value of the long-lived asset or asset group is not recoverable on an undiscounted cash flow basis, an impairment is recognized to the extent that the carrying value exceeds its fair value. Fair value is determined through various valuation techniques including discounted cash flow models, quoted market values and third-party independent appraisals, as considered necessary. At December 31, 2011 and March 31, 2012, no impairment was noted.
Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]	Goodwill and Other Intangible Assets Goodwill is an asset representing the future economic benefits arising from assets acquired in a business combination that are not individually identified and separately recognized. Goodwill is reviewed for impairment at least annually in accordance with the provisions of FASB ASC Topic 350, Intangibles - Goodwill and Other ("ASC 350"). The goodwill impairment test is a two-step test. Under the first step, the fair value of the reporting unit is compared with its carrying value (including goodwill). If the fair value of the reporting unit is less than its carrying value, an indication of goodwill impairment exists for the reporting unit and the enterprise must perform step two of the impairment test (measurement). Under step two, an impairment loss is recognized for any excess of the carrying amount of the reporting unit's goodwill over the implied fair value of that goodwill. The implied fair value of goodwill is determined by allocating the fair value of the reporting unit in a manner similar to a purchase price allocation and the residual fair value after this allocation is the implied fair value of the reporting unit goodwill. Fair value of the reporting unit is determined using a discounted cash flow analysis. If the fair value of the reporting unit exceeds its carrying value, step two does not need to be performed. The Company performed its annual impairment review of goodwill in October of 2011 and it was determined that the carrying amount of goodwill was not impaired and there have been no subsequent developments that would indicate impairment exists as of December 31, 2011 and March 31, 2012. The goodwill impairment review will continue to be performed annually or more frequently if facts and circumstances warrant a review. ASC 350 also requires that intangible assets with definite lives be amortized over their estimated useful lives. Currently, customer relationships, trade names, covenants not-to-compete and technology are amortized using the straight-line method over estimated useful lives.
Deferred Charges, Policy [Policy Text Block]	Deferred Financing Costs In November 2010, the Company entered in to a senior secured revolving credit facility with Bank of America N.A. ("Senior Secured Revolving Credit Facility") (see Note 10) and has incurred deferred financing costs through March 31, 2012 of $7.8 million, of which $445,000 and $402,000 were incurred in the three months ended March 31, 2011 and 2012, respectively. In July 2011, the Company reduced the aggregate revolving commitments under the Senior Secured Revolving Credit Facility by $37.5 million for a maximum commitment of $262.5 million.In conjunction with this reduction, the Company recognized debt extinguishment costs of approximately $621,000 in July 2011 for the unamortized portion of the loan costs which were recorded as other interest expense.Additionally, in July 2011, the Company closed a private offering of $250.0 million in aggregate principal amount of 9.0% senior notes due 2019 ("Senior Unsecured Notes"), and incurred deferred financing costs of $6.7 million associated therewith, of which $12,000 were incurred in the three months ended March 31, 2012. The deferred financing costs associated with the Senior Secured Revolving Credit Facility and the Senior Unsecured Notes will be amortized to interest expense over the five-year term of the facility, as amended, and the eight-year term of the notes, respectively, using the straight-line method which approximates the effective interest method. For the three months ended March 31, 2011 and 2012, the Company amortized $406,000 and $514,000 to interest expense, respectively.
Revenue Recognition, Policy [Policy Text Block]	Revenue Recognition Revenue related to IMEs, peer reviews, bill reviews and administrative support services is recognized at the time services have been performed and the report is shipped to the end user. The Company believes that recognizing revenue at the time the report is shipped is appropriate because the Company's revenue policies meet the following four criteria in accordance with ASC 605-10-S25, Revenue Recognition: Overall, (i) persuasive evidence that an arrangement exists, (ii) shipment has occurred, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured. The Company reports revenues net of any sales, use and value added taxes. Revenue related to other IME services, including litigation support services and medical record retrieval services, where no report is generated, is recognized at the time the service is performed. The Company believes that recognizing revenue at the time the service is performed is appropriate because the Company's revenue policies meet the following four criteria in accordance with ASC 605-10-S25, (i) persuasive evidence that anarrangement exists, (ii) services have been rendered, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured. Certain agreements with customers in the U.K. include provisions whereby collection of the amounts billed are contingent on the favorable outcome of the claim.The Company has deemed these provisions to preclude revenue recognition at the time of sale, as collectability is not reasonably assured and the sales are contingent, and is deferring these revenues, net of estimated costs, until the case has been settled and the contingency has been resolved.As of December 31, 2011, the Company had deferred $2.6 million in contingent revenues and $1.6 million in costs associated with the contingent revenues.For the three months ended March 31, 2012, the Company deferred an additional $2.5 million in contingent revenues and $1.7 million in costs and expenses associated with contingent revenues. Should changes in conditions cause management to determine these criteria are not met for certain future transactions, revenue recognized for any reporting period could be adversely affected.
Cost of Sales, Policy [Policy Text Block]	Costs of Revenues Costs of revenues are comprised of fees paid to members of the Company's medical panel; other direct costs including transcription, film and medical record obtainment and transportation; and indirect costs including labor and overhead related to the generation of revenues.
Income Tax, Policy [Policy Text Block]	Income Taxes Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. The Company applies the provisions of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes , (included in FASB ASC Subtopic 740-10, Income Taxes - Overall ), and recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Prior to the adoption of FASB Interpretation No. 48, the Company recognized the effect of income tax positions only if such positions were probable of being sustained. The Company records interest and penalties related to unrecognized tax benefits in income tax expense.
Earnings Per Share, Policy [Policy Text Block]	Loss Per Common Share Basic loss per share is calculated by dividing net loss by the weighted-average number of common shares outstanding during each period. Diluted loss per common share is calculated by dividing net loss, adjusted on an "as if converted" basis, by the weighted-average number of actual shares outstanding and, when dilutive, the share equivalents that would arise from the assumed conversion of convertible instruments. The effect of potentially dilutive stock options and warrants is calculated using the treasury stock method. For the three months ended March 31, 2011, the potentially dilutive securities include options and warrants exercisable into 6.9 million shares of common stock, 83,000 shares of common stock issuable to settle the equity component of an earnout obligation, and 135,000 shares of common stock issuable, at the holder's option, to settle a subordinated unsecured note. For the three months ended March 31, 2012, the potentially dilutive securities include options and warrants exercisable into 9.9 million shares of common stock and 68,000 shares of common stock issuable, at the holder's option, to settle a subordinated unsecured note. For the three months ended March 31, 2011 and 2012, all of the potentially dilutive securities were excluded from the calculation of shares applicable to loss per share, because their inclusion would have been anti-dilutive
Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block]	Share-Based Compensation The Company has an Amended and Restated 2008 Stock Incentive Plan, as amended, (the "Plan") that provides for granting of stock options. The Company accounts for share-based awards in accordance with ASC Topic 718, Compensation - Stock Compensation ("ASC 718"). ASC 718 requires measurement of compensation cost for all share-based awards at fair value on the grant date (or measurement date if different) and recognition of compensation expense, net of forfeitures, over the requisite service period for awards expected to vest. The fair value of stock option grants is determined using the Black-Scholes valuation model. The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable, characteristics not present in these employee stock options. Additionally, option valuation models require the input of highly subjective assumptions, including the expected volatility of the stock price. Because the Company's employee stock options have characteristics significantly different from those of traded options and because changes in the subjective input assumptions can materially affect the fair value estimates, in management's opinion, the existing models may not provide a reliable single measure of the fair value of its share-based awards.The Company's expected volatility assumptions are based on the Company's peer group median implied volatility. Expected life assumptions are based upon the "simplified" method for those options issued in the first quarter of 2012 which were determined to be issued approximately at-the-money. The risk-free interest rate was selected based upon yields of U.S. Treasury issues with a term equal to the expected life of the option being valued.
Fair Value of Financial Instruments, Policy [Policy Text Block]	Fair Value Measurements In September 2006, the FASB issued authoritative guidance codified as ASC Topic 820, Fair Value Measurements and Disclosures ("ASC 820"). ASC 820 defines fair value, establishes a framework for measuring fair value in U.S. generally accepted accounting principles and expands disclosure about fair value measurements. ASC 820 is effective for interim reporting periods in fiscal years beginning after November 15, 2007. The Company adopted the applicable provisions of ASC 820 effective January 1, 2008. ASC Topic 825, Financial Instruments ("ASC 825"), delayed the effective date of the application of ASC 820 to fiscal years beginning after November 15, 2008 for all nonfinancial assets and nonfinancial liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis. Nonrecurring nonfinancial assets and nonfinancial liabilities for which the Company has not applied the provisions of ASC 820 primarily include those measured at fair value in goodwill and long-lived asset impairment testing, those initially measured at fair value in a business combination, and nonfinancial liabilities for exit or disposal activities. ASC 820 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a fair value hierarchy, which prioritizes the inputs used in measuring fair value into the following levels: In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as consider counterpart credit risk in its assessment of fair value. Level 1 - Quoted prices in active markets for identical assets or liabilities. Level 2 - Inputs, other than quoted prices in active markets, that are observable either directly or indirectly. Level 3 - Unobservable inputs based on the company's own assumptions.
Comprehensive Income Loss Policy Text Block	Comprehensive Income (Loss) Comprehensive income (loss) consists of two components, net loss and other comprehensive income (loss). Other comprehensive income (loss) refers to revenues, expenses, gains and losses that under GAAP are recorded as a component of stockholders' equity but are excluded from net loss. The Company's other comprehensive income (loss) consists of foreign currency translation adjustments from those business units not using the U.S. dollar as their functional currency.
Schedule of New Accounting Pronouncements and Changes in Accounting Principles [Table Text Block]	Recently Adopted Accounting Pronouncements In May 2011, the FASB issued Accounting Standards Update ("ASU") No. 2011-04, Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS . This ASU represents the converged guidance of the FASB and the International Accounting Standards Board on fair value measurement. These amendments have resulted in common requirements for measuring fair value and for disclosing information about fair value measurements, including a consistent meaning of the term "fair value." The common requirements are expected to result in greater comparability of fair value measurements presented and disclosed in financial statements prepared in accordance with U.S. GAAP and International Financial Reporting Standards. The amendments are to be applied prospectively and are effective for fiscal years beginning after December 15, 2011.The Company adopted these provisions effective January 1, 2012. Adoption of these provisions did not have a material impact on the Company's consolidated financial position, results of operations and cash flows. In June and December 2011, the FASB issued ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income" ("ASU 2011-05") and ASU 2011-12, Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05 (ASC 220, Comprehensive Income ), respectively. These update amend ASC Topic 220, "Comprehensive Income" to provide that total comprehensive income is to be be reported in one continuous statement or two separate but consecutive statements of financial performance. Presentation of total comprehensive income in the statement of stockholders' equity or the footnotes is no longer allowed. The calculation of net income and basic and diluted net income per share is not affected. These ASUs are effective for fiscal years, and interim periods within those years, beginning on or after December 15, 2011.The Company adopted these provisions effective January 1, 2012 and the adoption of ASU 2011-05 did have a significant impact on its financial position, results of operations and cash flows. In September 2011, FASB issued ASU No. 2011-08, Intangibles-Goodwill and Other (Topic 350): Testing Goodwill for Impairment. This ASU is intended to simplify goodwill impairment testing by adding a qualitative review step to assess whether the required quantitative impairment analysis that exists previously is necessary. The fair value calculation for goodwill is required unless the Company concludes, based on the qualitative assessment, that it is more likely than not that the fair value of a reporting unit is less than its book value. If such a decline in fair value is deemed more likely than not to have occurred, then the quantitative goodwill impairment test must be completed; otherwise, goodwill is deemed to be not impaired and no further testing is required until the next annual test date (or sooner if conditions or events before that date raise concerns of potential impairment in the business). The amended goodwill impairment guidance does not affect the manner in which a company estimates fair value. The new standard is effective for annual and interim goodwill impairment tests performed for fiscal years beginning after December 15, 2011, with early adoption permitted. The Company adopted these provisions effective January 1, 2012.Adoption of these provisions is not expected to have a material impact on the Company's consolidated financial statements.

XML

Note 6 - Accrued Expenses (Tables)

3 Months Ended

Mar. 31, 2012

Schedule of Accrued Liabilities [Table Text Block]

	December 31, 2011		March 31, 2012
Accrued compensation and benefits	$	3,323	$	7,923
Accrued selling and professional fees		4,112		6,019
Accrued income and other taxes		1,546		1,890
Accrued medical panel fees		1,880		2,406
Accrued value added tax		15,812		17,481
Other accrued expenses		1,737		1,574
Total	$	28,410	$	37,293

XML

Note 9 - Commitments and Contingencies (Detail) - Future Minimum Lease Payments (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012
Nine months ended December 31, 2012	$ 6,197
2013	6,633
2014	5,077
2015	3,962
2016	2,836
Thereafter	3,476
Total	$ 28,181

XML

Note 5 - Goodwill and Intangible Assets (Detail) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Amortization of Intangible Assets	$ 12.8	$ 7.9

XML

Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Operating activities:
Net loss	$ (4,323)	$ (559)
Adjustments to reconcile net loss to net cash provided by operating activities:
Gain on interest rate swap	(54)	(170)
Depreciation and amortization	14,025	8,609
Amortization of deferred rent	(143)	(56)
Share-based compensation	4,696	977
Provision for doubtful accounts	1,095	149
Amortization of deferred financing costs	514	406
Deferred income taxes	(3,937)	(2,576)
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable	(4,910)	(1,975)
Prepaid expenses and other current assets	(357)	(926)
Accounts payable and accrued expenses	3,469	2,679
Accrued interest expense	(5,428)	427
Deferred revenue and customer deposits	539	(537)
Other liabilities	(387)	(182)
Net cash provided by operating activities	4,799	6,266
Investing activities:
Cash paid for acquisitions, net		(187,303)
Purchases of equipment and leasehold improvements, net	(552)	(1,968)
Working capital and other settlements for acquisitions	908	(325)
Net cash (used in) provided by investing activities	356	(189,596)
Financing activities:
Borrowings under senior secured revolving credit facility	11,000	165,000
Proceeds from the exercise of options and warrants	50	263
Excess tax benefit related to share-based compensation		438
Purchases of stock for treasury	(387)
Payment of deferred financing costs	(414)	(445)
Repayment of subordinated unsecured notes payable	(546)	(361)
Net borrowings (repayments) under working capital facilities	(3,789)	130
Repayment under senior secured revolving credit facility	(11,000)	(165,000)
Other	(95)	(18)
Net cash provided by (used in) financing activities	(5,181)	165,007
Exchange rate impact on cash and cash equivalents	76	80
Net increase (decrease) in cash and cash equivalents	50	(18,243)
Cash and cash equivalents, beginning of period	8,416	33,624
Cash and cash equivalents, end of period	8,466	15,381
Supplemental disclosure of noncash investing and financing activities:
Issuance of common stock for acquisitions		30,269
Supplemental disclosures of cash flow information:
Cash paid for interest	11,570	988
Cash paid for income taxes	$ 1,228	$ 1,430

XML

Note 5 - Goodwill and Intangible Assets

3 Months Ended

Mar. 31, 2012

Goodwill and Intangible Assets Disclosure [Text Block]

(5)           Goodwill and Intangible Assets

Goodwill at December 31, 2011 and March 31, 2012 consists of the following (in thousands):

	December 31, 2011			March 31, 2012
Balance at beginning of period	$	90,582		$	300,260
Goodwill acquired during the period		209,619			—
Adjustments to prior year acquisitions		1,799			1,078
Effect of foreign currency translation		(1,740	)		1,681
Balance at end of period	$	300,260		$	303,019

Intangible assets at December 31, 2011 and March 31, 2012, consist of the following (in thousands):

		December 31, 2011
	Estimated useful lives	Gross carrying amount		Accumulated amortization			Net carrying carrying value
Amortizable intangible assets:
Customer relationships	40 to 60 months	$	157,826	$	(50,438	)	$	107,388
Tradenames	45 to 84 months		48,046		(13,277	)		34,769
Covenants not to compete	36 months		2,784		(1,587	)		1,197
Technology	24 to 40 months		6,750		(3,936	)		2,814
Totals		$	215,406	$	(69,238	)	$	146,168

		March 31, 2012
	Estimated useful lives	Gross carrying amount		Accumulated amortization			Net carrying carrying value
Amortizable intangible assets:
Customer relationships	40 to 60 months	$	159,601	$	(60,037	)	$	99,564
Tradenames	45 to 84 months		48,521		(16,072	)		32,449
Covenants not to compete	36 months		2,799		(1,795	)		1,004
Technology	24 to 40 months		6,833		(4,634	)		2,199
Totals		$	217,754	$	(82,538	)	$	135,216

The aggregate intangible amortization expense was $7.9 million and $12.8 million for the three months ended March 31, 2011 and 2012, respectively.  The estimated future amortization expense of intangible assets is as follows (in thousands):

	Amount
Nine months ended December 31, 2012	$	36,752
Year ended December 31:
2013		43,405
2014		27,357
2015		18,651
2016		6,173
Thereafter		2,878
Total	$	135,216

XML

Note 13 - Segment and Geographical Information (Detail) - Long-Lived Assets by Geographic Area (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Long-lived Assets by Country	$ 448,500	$ 455,784
United States [Member]
Long-lived Assets by Country	336,032	340,955
Canada [Member]
Long-lived Assets by Country	40,300	42,377
United Kingdom [Member]
Long-lived Assets by Country	$ 72,168	$ 72,452

XML

Note 9 - Commitments and Contingencies (Tables)

3 Months Ended

Mar. 31, 2012

Operating Leases of Lessee Disclosure [Table Text Block]

	Amount
Nine months ended December 31, 2012	$	6,197
Year ended December 31:
2013		6,633
2014		5,077
2015		3,962
2016		2,836
Thereafter		3,476
Total	$	28,181

XML

Note 3 - Acquisitions (Detail) - Preliminary Allocation of Purchase Price (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Premex Group [Member] | Preliminary Purchase Price Allocation [Member] | Customer Relationships [Member]
Intangible assets	$ 32,886	$ 32,886
Premex Group [Member] | Preliminary Purchase Price Allocation [Member] | Trade Names [Member]
Intangible assets	10,602	10,602
Premex Group [Member] | Preliminary Purchase Price Allocation [Member] | Noncompete Agreements [Member]
Intangible assets	109	109
Premex Group [Member] | Preliminary Purchase Price Allocation [Member] | Unpatented Technology [Member]
Intangible assets	2,356	2,356
Premex Group [Member] | Preliminary Purchase Price Allocation [Member]
Goodwill	28,294	28,131
Deferred tax asset (liability) associated with step-up in book basis	603	603
Assets acquired and liabilities assumed, net	32,856	33,019
Totals	108,356	108,356
Premex Group [Member] | Purchase Price Adjustments and Reclassifications [Member]
Goodwill	163
Assets acquired and liabilities assumed, net	(163)
Premex Group [Member]
Totals		108,400
Other 2011 Acquisitions [Member] | Preliminary Purchase Price Allocation [Member] | Customer Relationships [Member]
Intangible assets	18,577	18,577
Other 2011 Acquisitions [Member] | Preliminary Purchase Price Allocation [Member] | Trade Names [Member]
Intangible assets	2,989	2,989
Other 2011 Acquisitions [Member] | Preliminary Purchase Price Allocation [Member] | Noncompete Agreements [Member]
Intangible assets	197	197
Other 2011 Acquisitions [Member] | Preliminary Purchase Price Allocation [Member] | Unpatented Technology [Member]
Intangible assets	334	334
Other 2011 Acquisitions [Member] | Preliminary Purchase Price Allocation [Member]
Equipment and leasehold improvements	213	213
Goodwill	20,367	21,500
Deferred tax asset (liability) associated with step-up in book basis	(356)	(356)
Assets acquired and liabilities assumed, net	2,823	2,598
Totals	45,144	46,052
Other 2011 Acquisitions [Member] | Purchase Price Adjustments and Reclassifications [Member]
Goodwill	(1,133)
Assets acquired and liabilities assumed, net	225
Totals	(908)
Other 2011 Acquisitions [Member]
Totals		45,100
Preliminary Purchase Price Allocation [Member]
Equipment and leasehold improvements	$ 650	$ 650

XML

Note 15 - Subsequent Events

3 Months Ended

Mar. 31, 2012

Subsequent Events [Text Block]

(15)         Subsequent Events

The Company filed a Registration Statement on Form S-4 with the Securities and Exchange Commission on April 4, 2012 to effect the Exchange Offer with respect to the Senior Unsecured Notes. The Registration Statement was declared effective by the SEC on April 30, 2012. See Note 10 for further discussion of the Exchange Offer.