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, 2013.

¨ 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	¨	Accelerated filer	x
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, 2013, ExamWorks Group, Inc. had 35,053,934 shares of Common Stock outstanding.

1

EXAMWORKS GROUP, INC.  AND SUBSIDIARIES

MARCH 31, 2013

FORM 10-Q QUARTERLY REPORT

TABLE OF CONTENTS

		Page
PART I – Financial Information
Item 1.	Financial Statements	3
	Consolidated Balance Sheets as of December 31, 2012 and March 31, 2013 (Unaudited)	3
	Consolidated Statements of Comprehensive Loss for the three months ended March 31, 2012 and 2013 (Unaudited)	4
	Consolidated Statements of Cash Flows for the three months ended March 31, 2012 and 2013 (Unaudited)	5
	Notes to Consolidated Financial Statements (Unaudited)	6
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	26
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	38
Item 4.	Controls and Procedures	38
PART II – Other Information
Item 1.	Legal Proceedings	39
Item 1A.	Risk Factors	39
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	39
Item 3.	Defaults Upon Senior Securities	39
Item 4.	Mine Safety Disclosures	39
Item 5.	Other Information	39
Item 6.	Exhibits	39
Signatures		41

2

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, 2012			March 31, 2013
Current assets:
Cash and cash equivalents	$	8,627		$	7,709
Accounts receivable, net		144,676			147,795
Other receivables		21			—
Prepaid expenses		5,336			5,758
Deferred tax assets		16			18
Other current assets		1,213			1,141
Total current assets		159,889			162,421
Property, equipment and leasehold improvements, net		10,333			10,132
Goodwill		370,143			366,858
Intangible assets, net		152,896			136,223
Long-term accounts receivable, less current portion		31,708			31,870
Deferred tax assets, noncurrent		4,173			12,703
Deferred financing costs, net		10,258			9,713
Other assets		1,101			1,690
Total assets	$	740,501		$	731,610
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	46,940		$	46,202
Accrued expenses		35,995			36,670
Accrued interest expense		10,918			4,928
Deferred revenue		3,951			4,374
Current portion of subordinated unsecured notes payable		275			279
Current portion of contingent earnout obligation		91			92
Current portion of working capital facilities		5,983			6,440
Other current liabilities		5,973			5,727
Total current liabilities		110,126			104,712
Senior unsecured notes payable		250,000			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		128,402			125,307
Long-term subordinated unsecured notes payable, less current portion		300			305
Other long-term liabilities		7,525			7,342
Total liabilities		496,353			487,666
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.0001 par value; Authorized 50,000,000 shares; no shares issued and outstanding at December 31, 2012 and March 31, 2013		—			—
Common stock, $0.0001 par value; Authorized 250,000,000 shares; issued and outstanding 34,341,360 and 34,915,084 shares at December 31, 2012 and March 31, 2013, respectively		3			3
Additional paid-in capital		285,938			293,577
Accumulated other comprehensive income (loss)		3,183			(1,068	)
Accumulated deficit		(36,488	)		(40,080	)
Treasury stock, at cost; Outstanding 905,349 shares at December 31, 2012 and March 31, 2013		(8,488	)		(8,488	)
Total stockholders’ equity		244,148			243,944
Total liabilities and stockholders' equity	$	740,501		$	731,610

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

3

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Consolidated Statements of Comprehensive Loss

(In thousands, except share and per share amounts)

(Unaudited)

	For the three months ended March 31,
	2012			2013
Revenues	$	123,738		$	148,703
Costs and expenses:
Costs of revenues		81,173			97,384
Selling, general and administrative expenses		28,632			33,257
Depreciation and amortization		14,025			16,326
Total costs and expenses		123,830			146,967
Income (loss) from operations		(92	)		1,736
Interest and other expenses, net:
Interest expense, net		6,462			7,578
Other expense		165			—
Gain on interest rate swap		(54	)		(48	)
Total interest and other expenses, net		6,573			7,530
Loss before income taxes		(6,665	)		(5,794	)
Benefit for income taxes		(2,342	)		(2,202	)
Net loss	$	(4,323	)	$	(3,592	)
Per share data:
Net loss per share:
Basic and diluted	$	(0.13	)	$	(0.10	)
Weighted average number of common shares outstanding:
Basic and diluted		34,085,761			34,464,664
Comprehensive Loss:
Net loss	$	(4,323	)	$	(3,592	)
Foreign currency translation adjustments, net of tax		2,450			(4,251	)
Total comprehensive loss	$	(1,873	)	$	(7,843	)

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

4

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

	For the three months ended March 31,
	2012			2013
Operating activities:
Net loss	$	(4,323	)	$	(3,592	)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Gain on interest rate swap		(54	)		(48	)
Depreciation and amortization		14,025			16,326
Amortization of deferred rent		(143	)		(19	)
Share-based compensation		4,696			4,131
Excess tax benefit related to share-based compensation		—			(407	)
Provision for doubtful accounts		1,095			920
Amortization of deferred financing costs		514			580
Deferred income taxes		(3,937	)		(6,037	)
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable		(4,910	)		(11,725	)
Prepaid expenses and other current assets		(357	)		(198	)
Accounts payable and accrued expenses		3,469			4,643
Accrued interest expense		(5,428	)		(5,990	)
Deferred revenue and customer deposits		539			666
Other liabilities		(387	)		(360	)
Net cash provided by (used in) operating activities		4,799			(1,110	)
Investing activities:
Purchases of equipment and leasehold improvements, net		(552	)		(1,770	)
Working capital and other settlements for acquisitions		908			—
Net cash provided by (used in) investing activities		356			(1,770	)
Financing activities:
Borrowings under senior secured revolving credit facility		11,000			10,000
Proceeds from the exercise of options and warrants		50			2,441
Excess tax benefit related to share-based compensation		—			407
Purchases of stock for treasury		(387	)		—
Repayment of subordinated unsecured notes payable		(546	)		—
Payment of deferred financing costs		(414	)		(52	)
Net repayments under working capital facilities		(3,789	)		(800	)
Repayment under senior secured revolving credit facility		(11,000	)		(10,000	)
Other		(95	)		—
Net cash provided by (used in) financing activities		(5,181	)		1,996
Exchange rate impact on cash and cash equivalents		76			(34	)
Net increase (decrease) in cash and cash equivalents		50			(918	)
Cash and cash equivalents, beginning of period		8,416			8,627
Cash and cash equivalents, end of period	$	8,466		$	7,709
Supplemental disclosures of cash flow information:
Cash paid for interest	$	11,570		$	12,796
Cash paid for income taxes		1,228			3,404

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

5

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 additional IME companies.  In 2012, ExamWorks, Inc. acquired three additional IME companies. To date, the Company has acquired 40 IME companies. As of March 31, 2013, ExamWorks, Inc. operates out of 57 service centers serving all 50 United States, Canada, the United Kingdom and Australia. In June 2010, ExamWorks, Inc. effected a corporate reorganization creating a holding company, ExamWorks Group, Inc., with ExamWorks, Inc. becoming a 100% 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, 2013 and for the periods ended March 31, 2012 and 2013 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, 2012 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, 2012, 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, 2013 are not necessarily indicative of the results that may be expected for the year ending December 31, 2013.

The consolidated financial statements include the accounts of ExamWorks and its 100% owned subsidiaries. Significant intercompany accounts and transactions have been eliminated in consolidation.

(a)              Use of Estimates

The preparation of financial statements in conformity with U.S. generally accepted accounting principles ("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 the valuation of equity issued prior to the Company’s IPO, purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts, the portion of accounts receivable deemed to be long term in nature, the valuation of deferred tax assets 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 on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the year. Translation adjustments resulting from this process are recorded to other comprehensive income (loss) and are reported net of the effect of income taxes on the consolidated financial statements.

(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, 2012 and March 31, 2013.

6

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(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 $4.4 million and $3.7 million as of December 31, 2012 and March 31, 2013, 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.  The Company assumes, that on average, all accounts receivable will be collected within one year and thus classifies these as current assets; however, there are certain receivables, principally in the U.K., that have aged longer than one year, and the Company has recorded an estimate for those receivables that will not be collected within one year as long term in the Consolidated Balance Sheets.

(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, 2012 and 2013, no individual customer accounted for more than 10% of revenues. At December 31, 2012 and March 31, 2013, there were no individual customers that accounted for greater than 10% of the accounts receivable balance.

As of March 31, 2013, the Company had cash and cash equivalents totaling approximately $7.7 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $2.2 million were held in the U.S. The U.S. amounts were insured in full against bank failure through December 31, 2012 under section 343 of the Dodd-Frank Wall Street Reform and Consumer Protection Act, which provided temporary unlimited deposit insurance coverage for non-interest-bearing transaction accounts at all FDIC-insured depository institutions. The temporary unlimited deposit insurance program, which expired on December 31, 2012, was offered by the FDIC in addition to, and separate from, the standard FDIC insurance coverage, which continues to exist, for deposit accounts up to $250,000, per depositor and account ownership category, at each separately insured depository institution.

(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, 2012 and March 31, 2013, 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 2012 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, 2012 and March 31, 2013. The goodwill impairment review will continue to be performed annually or more frequently if facts and circumstances warrant a review.

7

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

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, 2013 of $8.1 million, of which $402,000 and $30,000 were incurred in the three months ended March 31, 2012 and 2013, respectively. 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 (“Initial Notes”). In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% Senior Notes due 2019 (the “Exchange Notes,” and together with the Initial Notes, the “Senior Unsecured Notes”) registered with the SEC with substantially identical terms to the Initial Notes. The Company has incurred deferred financing costs of $7.1 million associated with the Senior Unsecured Notes, of which $12,000 and $22,000 were incurred in the three months ended March 31, 2012 and 2013, respectively.

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, 2012 and 2013, the Company amortized $514,000 and $580,000 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 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 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, the contingency has been resolved and the cash has been collected.   As of December 31, 2012, the Company had deferred $12.6 million in contingent revenues and $9.1 million in costs and expenses associated with the contingent revenues.  For the three months ended March 31, 2013, the Company deferred an additional $2.4 million in contingent revenues and $1.8 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 other indirect costs including labor and overhead related to the generation of revenues.

8

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(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, warrants, shares of restricted stock with service restrictions that have not yet been satisfied and unvested restricted stock units (“RSUs”) is calculated using the treasury stock method.

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, 2013, the potentially dilutive securities include options, warrants, unvested RSUs and shares of restricted stock with a service restriction not yet satisfied exercisable into 10.4 million shares of common stock.

For the three months ended March 31, 2012 and 2013, 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, shares of restricted stock and RSUs.  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.

Stock Options

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 weighted average of the Company’s peer group’s median implied volatility, the Company’s mean reversion volatility and the median of the Company’s peer group’s most recent historical volatilities for 2013 stock option grants. Expected life assumptions are based upon the “simplified” method for those options issued in the first quarter of 2013 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.

9

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

The assumptions utilized for stock option grants during the three months ended March 31, 2013 were as follows:

	Three months ended March 31, 2013
Volatility		48.66	%
Expected life (years)		6.00
Risk-free interest rate		1.02	%
Dividend yield		—
Fair value	$	6.63

In the three months ended March 31, 2013, the Company issued approximately 365,000 stock option awards to employees and the aggregate fair value was $2.4 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 $2.9 million for the three months ended March 31, 2013, of which $728,000 was included in costs of revenues and $2.2 million was recorded in SGA expenses.

At March 31, 2013, the unrecognized compensation expense related to stock option grants was $18.8 million, with a remaining weighted average life of 1.6 years.

A summary of option activity for the three months ended March 31, 2013 is as follows:

	Number of options			Weighted average exercise price		Weighted average remaining contractual life (years)		Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2012		9,463,657		$	11.76
Options granted		364,600			14.24
Options forfeited		(137,202	)		15.34
Options exercised		(334,121	)		8.58
Outstanding at March 31, 2013		9,356,934		$	11.93		7.9	$	61,857
Exercisable at March 31, 2013		5,158,810		$	10.63		7.4	$	40,459

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 months ended March 31, 2013 was $2.0 million.

Restricted Stock and Restricted Stock Units

The Company has granted members of the Board of Directors and certain employees, time lapse restricted stock and RSUs which vest after a stipulated number of years from the grant date depending on the terms of the issue. The fair value of shares of restricted stock and RSUs is determined based upon the market price of the underlying common stock as of the date of grant.  Time lapse restricted shares issued and RSUs vest over one, two and three-year periods.  The agreements under which the restricted stock and RSUs are issued provide that shares awarded may not be sold or otherwise transferred until restrictions established under the stock plans have been satisfied.  The restriction on these awards could expire earlier than the stipulated time frame in the event of a change in control or merger or other acquisition.  Share based compensation expense related to shares of restricted stock and RSUs was $149,000 and $803,000 in the three months ended March 31, 2012 and 2013, respectively, all of which is included in SGA expenses.

10

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

The following is a summary of non-vested restricted share and RSU activity for the three months ended March 31, 2013:

	Number of awards			Weighted average grant date fair value
Non-vested awards at December 31, 2012		189,412		$	13.68
Awards granted		508,690			14.08
Awards vested		—			—
Awards forfeited		(1,080	)		14.05
Non-vested awards at March 31, 2013		697,022		$	13.97

At December 31, 2012 and March 31, 2013, total unrecognized compensation cost related to non-vested restricted shares and RSUs was approximately $2.3 million and $7.5 million, respectively, which is expected to be recognized over a weighted average period of 2.5 years and 2.7 years, respectively.

During the three months ended March 31, 2013, the Company has accrued share-based compensation expense of $446,000 related to a 2013 incentive compensation plan, all of which was recorded in SGA expenses.  The compensation plan has both a 2013 annual performance metric and subsequent service requirement.  If the performance metric is met, the associated liability will be settled in the first quarter of 2014 with an indeterminate number of restricted shares which will vest equally on June 1, 2014 and June 1, 2015.

(o)              Fair Value Measurements

The Company’s financial liabilities, which are measured at fair value on a recurring basis, in accordance with ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”), are categorized using the fair value hierarchy at December 31, 2012 and March 31, 2013, and are as follows (in thousands):

	Level 1		Level 2		Level 3		Total
As of December 31, 2012
Financial instruments:
Interest rate swap	$	—	$	101	$	—	$	101
Contingent consideration		—		—		846		846
As of March 31, 2013
Financial instruments:
Interest rate swap	$	—	$	53	$	—	$	53
Contingent consideration		—		—		855		855

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 earnout provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010. The total increase in fair value of the contingent consideration of $9,000 in the three months ended March 31, 2013 was recorded in interest and other expenses, net in the Consolidated Statements of Comprehensive Loss due to changes in the fair value of the contingent consideration.  

In February 2007, the FASB issued authoritative guidance codified as ASC Topic 825 Financial Instruments (“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 years ended December 31, 2012, and as of and for the three months ended March 31, 2013, respectively.

11

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(p)              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 U.S. 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, reported net of tax as appropriate, from those business units not using the U.S. dollar as their functional currency.

(q)              Recent Accounting Pronouncements

Recently Adopted Accounting Pronouncements

In February 2013 the FASB issued ASU No. 2013-02, “Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income.” This update amends Accounting Standards Codification (ASC) Topic 220, “Comprehensive Income,” to require reporting entities to provide information about the amounts reclassified from accumulated other comprehensive income by component. In addition, reporting entities will be required to present, either on the face of the statement of operations or in the footnotes to the financial statements, significant amounts reclassified from accumulated other comprehensive income by statement of operations line item. ASU 2013-02 is effective prospectively for reporting periods beginning after December 15, 2012.  The Company adopted these provisions effective January 1, 2013 and the adoption of these provisions did not have a material impact on its financial position, results of operations and cash flows.

There were various other accounting standards and interpretations issued during 2013 the Company has not yet been required to adopt, none of which are expected to have a material impact on its financial position, results of operations and cash flows.

  (3)            Acquisitions

ExamWorks operates in a highly fragmented industry and has completed 40 acquisitions since July 14, 2008. A key component of ExamWorks’ acquisition strategy is growth through acquisitions that expand its geographic coverage, that 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 client 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)              2012 Acquisitions

In 2012, the Company completed the following individually insignificant acquisitions with an aggregate purchase price of $109.2 million, comprised of $112.0 million cash consideration less cash acquired of $2.9 million, and 6,190 shares of the Company’s common stock with an estimated fair value of $85,000. In conjunction with these 2012 acquisitions, the Company incurred transaction costs of $1.3 million, of which $2,000 were incurred in the three months ended March 31, 2013.  There were no transaction costs incurred relating to these 2012 acquisitions in the three months ended March 31, 2012.  These amounts are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Comprehensive Loss. 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
Makos Health Associates Corp	Substantially all of the assets and assumed certain liabilities	July 12, 2012
MedHealth Holdings Pty Limited	100% of the outstanding common stock	August 31, 2012
PMG	100% of the outstanding common stock	December 19, 2012

12

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

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

	Preliminary purchase price allocation December 31, 2012			Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2013
Equipment and leasehold improvements	$	850		$	—		$	850
Customer relationships		44,413			—			44,413
Tradename		11,901			—			11,901
Covenants not to compete		313			—			313
Technology		666			—			666
Goodwill		60,373			(592	)		59,781
Net deferred tax liability associated with step-up in book basis		(9,610	)		—			(9,610	)
Assets acquired and liabilities assumed, net		269			592			861
Totals	$	109,175		$	—		$	109,175

Goodwill of $52.9 million and other intangible assets of $50.2 million are expected to be deductible for U.S. federal income tax purposes, a portion of which give rise to annual foreign tax credit limitations subject to the provisions of IRC Section 901(m). 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, 2012 assumes that the 2012 acquisitions were completed on January 1, 2011. There we no acquisitions completed in the three months ended March 31, 2013 and thus there are no differences between the reported and pro forma results of operations.

For the three months ended March 31, 2012, pro forma revenues and net loss were $140.3 million and $6.4 million, respectively. Pro forma net loss per share, on both a basic and diluted basis, was $0.19.

For the three months ended March 31, 2012, the pro forma results include adjustments to reflect additional interest expense of $1.7 million associated with the funding of the acquisitions assuming that acquisition related debt was incurred on January 1, 2011. In addition, incremental depreciation and amortization expense was recorded as if the acquisitions had occurred on January 1, 2011 and amounted to $3.2 million for the three months ended March 31, 2012. Finally, adjustments of $905,000 were made to SGA expenses for the three months ended March 31, 2012, 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, 2011 or of future operations of the Company.

13

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(4)              Property, Equipment and Leasehold Improvements

Property, equipment and leasehold improvements at December 31, 2012 and March 31, 2013, consist of the following (in thousands):

	Estimated useful lives (years)			December 31, 2012		March 31, 2013
Building		15		$	600	$	600
Computer and office equipment		3			15,557		16,368
Furniture and fixtures	3	to	5		2,586		2,878
Leasehold improvements	Lease term				1,877		1,960
					20,620		21,806
Less accumulated depreciation and amortization					10,287		11,674
Total				$	10,333	$	10,132

Depreciation expense for the three months ended March 31, 2012 and 2013 was $1.2 million and $1.4 million, respectively.

 (5)             Goodwill and Intangible Assets

 Goodwill at December 31, 2012 and March 31, 2013 consists of the following (in thousands):

	December 31, 2012		March 31, 2013
Balance at  beginning of period	$	300,260	$	370,143
Goodwill acquired during the period		60,374		—
Adjustments to prior year acquisitions		7,109		(592	)
Effect of foreign currency translation		2,400		(2,693	)
Balance at end of period	$	370,143	$	366,858

Intangible assets at December 31, 2012 and March 31, 2013, consist of the following (in thousands):

				December 31, 2012
	Estimated useful lives (months)			Gross carrying amount		Accumulated amortization		Net carrying value
Amortizable intangible assets:
Customer relationships	40	to	60	$	204,699	$	(90,040)	$	114,659
Tradenames	45	to	84		60,620		(24,413)		36,207
Covenants not to compete		36			3,116		(2,313)		803
Technology	24	to	40		7,530		(6,303)		1,227
Totals				$	275,965	$	(123,069)	$	152,896

14

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

				March 31, 2013
	Estimated useful lives (months)			Gross carrying amount		Accumulated amortization		Net carrying value
Amortizable intangible assets:
Customer relationships	40	to	60	$	202,186	$	(100,126)	$	102,060
Tradenames	45	to	84		59,876		(27,103)		32,773
Covenants not to compete		36			3,102		(2,451)		651
Technology	24	to	40		7,382		(6,643)		739
Totals				$	272,546	$	(136,323)	$	136,223

The aggregate intangible amortization expense was $12.8 million and $14.9 million for the three months ended March 31, 2012 and 2013, respectively. The estimated future amortization expense of intangible assets is as follows (in thousands):

	Amount
Nine months ended December 31, 2013	$	40,981
Year ended December 31:
2014		39,805
2015		29,769
2016		16,166
2017		9,088
Thereafter		414
Total	$	136,223

(6)              Accrued Expenses

Accrued expenses at December 31, 2012 and March 31, 2013 consist of the following (in thousands):

	December 31, 2012		March 31, 2013
Accrued compensation and benefits	$	7,217	$	8,329
Accrued selling and professional fees		5,777		5,326
Accrued income and other taxes		2,384		2,741
Accrued medical panel fees		2,646		2,758
Accrued value added tax		14,872		14,599
Other accrued expenses		3,099		2,917
Total	$	35,995	$	36,670

(7)              Stockholders’ Equity

During the three months ended March 31, 2013, the Company issued approximately 303,000 shares of common stock to settle options exercised during the period.

During the three months ended March 31, 2013, the Company issued approximately 40,000 shares of common stock to settle warrants exercised during the period.

During the three months ended March 31, 2013, the Company issued approximately 231,000 shares of restricted stock with a fair value of $3.2 million to certain officers and employees for services to be provided during the next three years.  The Company will record the expense related to these awards in SGA expenses over the requisite service period.

15

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

During the three months ended March 31, 2013, the Company did not repurchase any shares under the share repurchase program.  As of March 31, 2013, the Company has approximately 905,000 shares of common stock held as treasury shares with an average value of $9.38 per share, and the ability to repurchase an additional $10.2 million in shares of its common stock.

(8)              Related Party Transactions

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, 2012 and 2013, the Company paid Compass $32,000 and $34,000 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 2013 through 2023.

Future minimum lease payments under the operating leases for the nine months ended December 31, 2013 and in each of the years subsequent to December 31, 2013 are as follows (in thousands):

	Amount
Nine months ended December 31, 2013	$	8,737
Year ended December 31:
2014		10,264
2015		8,869
2016		6,152
2017		4,286
Thereafter		6,819
Total	$	45,127

Related rent expense was $2.3 million and $3.0 million for the three months ended March 31, 2012 and 2013, respectively.

(b)               Employee Benefit Plans

The Company and certain of its subsidiaries each sponsor separate voluntary defined contribution pension plans. The plans cover employees that meet specific age and length of service requirements. The Company and certain of its subsidiaries have various matching and vesting arrangements within their individual plans. For the three months ended March 31, 2012 and 2013, the Company recorded $98,000 and $139,000 in compensation expense related to these plans, respectively.

16

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(10)            Long-Term Debt

	December 31, 2012		March 31, 2013
	(In thousands)
Senior Unsecured Notes Payable (a)	$	250,000	$	250,000
Senior Secured Revolving Credit Facility, Bank of America, N.A. (b)		99,926		100,115
Working capital facilities, Barclays (c)		34,459		31,632
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)		575		584
		384,960		382,331
Less current portion		6,258		6,719
	$	378,702	$	375,612

(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 “Initial Notes”). The Initial Notes were issued at a price of 100% of their principal amount. 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 was used for general corporate purposes, including acquisitions. In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% senior notes due 2019 (the “Exchange Notes,” and together with the Initial Notes, the “Senior Unsecured Notes”) registered with the SEC with substantially identical terms to the Initial Notes. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks’ existing and future U.S. subsidiaries (the “Guarantors”).

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.

(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.

17

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

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 any fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for any fiscal quarter ending thereafter, 2.00 to 1.00.

On August 27, 2012, the Company entered into a fourth amendment to its Senior Secured Revolving Credit Facility (the “Fourth Amendment”). The Fourth Amendment amended the Senior Secured Revolving Credit Facility to add the Australian dollar as an alternative currency and increased the alternative currency sublimit from USD $60.0 million to USD $100.0 million.

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 Senior Secured 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 2.00%.

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, 2013, the Company had $100.1 million outstanding under the Senior Secured Revolving Credit Facility, resulting in $162.4 million of undrawn commitments.  Of the total amount outstanding as of March 31, 2013, $52.1 million was denominated in Australian dollars (“AUD”) with the balance denominated in U.S. dollars. 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.

18

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(c)              On September 29, 2010, the Company’s indirect 100% owned subsidiary 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, 2013) and serves to finance UKIM’s unpaid account receivables.  The working capital facility has a minimum term of 36 months. 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, 2013, UKIM had $6.4 million outstanding under the working capital facility, resulting in approximately $1.2 million in availability.

On May 12, 2011, the Company’s indirect 100% 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, 2013) and serves to finance Premex’s unpaid account receivables.  The working capital facility has a minimum term of 36 months. 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, 2013, Premex had $25.2 million outstanding under the working capital facility, resulting in approximately $15.1 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 $6.9 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, $2.5 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $750,000, maturing in 2014. The Company did not make any principal payments during the three months ended March 31, 2013.

As of March 31, 2013, future maturities of long-term debt were as follows (in thousands):

	Amount
Nine months ended December 31, 2013	$	6,719
Year ended December 31:
2014		25,497
2015		—
2016		100,115
2017		—
Thereafter		250,000
Total	$	382,331

(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 $4.8 million and $4.4 million as of December 31, 2012 and March 31, 2013, 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, 2012 and 2013 of $54,000 and $48,000 respectively, and such amount was reported in interest and other expenses, net on the accompanying Consolidated Statements of Comprehensive Loss.

19

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

In September 2012, in order to protect against foreign currency exposure on its Australian operations, the Company borrowed in Australian dollars as a hedge of its net investment in Australia related to the MedHealth acquisition. The Company has outstanding debt of approximately AUD$50.0 million that is designated as a hedge of its net investment in Australia as of December 31, 2012 and March 31, 2013. This non-derivative net investment hedge was classified as long-term debt in the Company’s Consolidated Balance Sheets. In accordance with ASC 815, the translation of this debt instrument designated as a net investment hedge is recorded in accumulated other comprehensive loss, offsetting the currency translation adjustment of the related net investment that is also recorded in accumulated other comprehensive loss. This instrument will mature in conjunction with amounts outstanding under the Senior Secured Revolving Credit Facility.

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

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, 2012, the liability related to unrecognized tax benefits was approximately $327,000. The Company recorded an additional liability of $6,000 in the three months ended March 31, 2013 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, 2013 (in thousands):

Balance at January 1, 2013	$	327
Increase to prior year tax positions		6
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, 2013	$	333

The Company is no longer subject to U.S. federal income or state tax return examinations by tax authorities for tax years before 2008 and 2007, respectively, which periods relate to certain acquired businesses. 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 12 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.

20

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

(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 by geography is as follows (in thousands):

Revenues:	For the three months ended March 31,
	2012		2013
United States	$	87,195	$	91,178
Canada		6,886		7,421
United Kingdom		29,657		33,767
Australia		—		16,337
Total	$	123,738	$	148,703

Long-lived assets: (1)	December 31, 2012		March 31, 2013
United States	$	337,831	$	329,947
Canada		34,919		31,995
United Kingdom		99,140		92,641
Australia		94,291		92,190
Total	$	566,181	$	546,773

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

(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 100% 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, 2012 and March 31, 2013, and for the three months ended March 31, 2012 and 2013 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 100% owned subsidiaries. On August 31, 2012, the Company acquired 100% of the outstanding common stock of MedHealth Holdings Pty Limited ("MedHealth"), an Australian entity. In connection with this acquisition, the Company formed a new Delaware holding company, ExamWorks AP, Inc. (“ExamWorks AP”). ExamWorks AP was added to the Indenture as a guarantor of the Senior Unsecured Notes and is a direct subsidiary of the Company.

21

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

Condensed Consolidating Statement of Comprehensive Loss 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	)
Comprehensive Loss:
Net loss	$	(1,788	)	$	(2,535	)	$	—	$	(4,323	)
Foreign currency translation adjustments, net of tax		—			2,450			—		2,450
Total comprehensive loss	$	(1,788	)	$	(85	)	$	—	$	(1,873	)

Condensed Consolidating Statement of Comprehensive Loss for the three months ended March 31, 2013

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	91,178		$	57,525		$	—	$	148,703
Costs and expenses:
Costs of revenues		64,131			33,253			—		97,384
Selling, general and administrative expenses		18,124			15,133			—		33,257
Depreciation and amortization		8,623			7,703			—		16,326
Total costs and expenses		90,878			56,089			—		146,967
Income from operations		300			1,436			—		1,736
Interest and other expenses, net		5,559			1,971			—		7,530
Loss before income taxes		(5,259	)		(535	)		—		(5,794	)
Provision (benefit) for income taxes		(3,058	)		856			—		(2,202	)
Net loss	$	(2,201	)	$	(1,391	)	$	—	$	(3,592	)
Comprehensive Loss:
Net loss	$	(2,201	)	$	(1,391	)	$	—	$	(3,592	)
Foreign currency translation adjustments, net of tax		(75	)		(4,176	)		—		(4,251	)
Total comprehensive loss	$	(2,276	)	$	(5,567	)	$	—	$	(7,843	)

22

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

Condensed Consolidating Balance Sheet as of December 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	$	4,125	$	4,502	$	—		$	—		$	8,627
Accounts receivable, net		43,939		100,737		—			—			144,676
Other receivables		17		4		—			—			21
Prepaid expenses		2,723		2,613		—			—			5,336
Deferred tax assets		37		—		—			(21	)		16
Other current assets		—		1,213		—			—			1,213
Total current assets		50,841		109,069		—			(21	)		159,889
Property, equipment and leasehold improvements, net		8,339		1,994		—			—			10,333
Goodwill		258,890		111,253		—			—			370,143
Intangible assets, net		62,420		90,476		—			—			152,896
Long-term accounts receivable, less current portion		—		31,708		—			—			31,708
Deferred tax assets, noncurrent		61		4,112		—			—			4,173
Deferred financing costs, net		—		—		10,258			—			10,258
Other assets		495		606		—			—			1,101
Total assets	$	381,046	$	349,218	$	10,258		$	(21	)	$	740,501
Liabilities and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable	$	14,756	$	32,184	$	—		$	—		$	46,940
Accrued expenses		8,067		27,928		—			—			35,995
Accrued interest expense		—		—		10,918			—			10,918
Deferred revenue		103		3,848		—			—			3,951
Current portion of subordinated unsecured notes payable		275		—		—			—			275
Deferred tax liability		—		21		—			(21	)		—
Current portion of contingent earnout obligation		91		—		—			—			91
Current portion of working capital facilities		—		5,983		—			—			5,983
Other current liabilities		2,226		3,747		—			—			5,973
Total current liabilities		25,518		73,711		10,918			(21	)		110,126
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		—		28,476		99,926			—			128,402
Long-term subordinated unsecured notes payable, less current portion		300		—		—			—			300
Other long-term liabilities		1,493		6,032		—			—			7,525
Total liabilities		27,311		108,219		360,844			(21	)		496,353
Commitments and contingencies
Stockholders’ equity (deficit) (1)		353,735		240,999		(350,586	)		—			244,148
Total liabilities and stockholders' equity (deficit)	$	381,046	$	349,218	$	10,258		$	(21	)	$	740,501

(1) Includes intercompany investments in subsidiaries.

23

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

(Notes to Consolidated Financial Statements - Unaudited)

Condensed Consolidating Balance Sheet as of March 31, 2013

(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	$	2,208	$	5,501	$	—		$	—		$	7,709
Accounts receivable, net		45,810		101,985		—			—			147,795
Other receivables		—		—		—			—			—
Prepaid expenses		2,516		3,242		—			—			5,758
Deferred tax assets		22		—		—			(4	)		18
Other current assets		—		1,141		—			—			1,141
Total current assets		50,556		111,869		—			(4	)		162,421
Property, equipment and leasehold improvements, net		8,037		2,095		—			—			10,132
Goodwill		248,900		117,958		—			—			366,858
Intangible assets, net		54,987		81,236		—			—			136,223
Long-term accounts receivable, less current portion		—		31,870		—			—			31,870
Deferred tax assets, noncurrent		8,003		4,700		—			—			12,703
Deferred financing costs, net		—		—		9,713			—			9,713
Other assets		492		1,198		—			—			1,690
Total assets	$	370,975	$	350,926	$	9,713		$	(4	)	$	731,610
Liabilities and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable	$	13,584	$	32,618	$	—		$	—		$	46,202
Accrued expenses		7,809		28,861		—			—			36,670
Accrued interest expense		—		—		4,928			—			4,928
Deferred revenue		94		4,280		—			—			4,374
Current portion of subordinated unsecured notes payable		279		—		—			—			279
Deferred tax liability		—		4		—			(4	)		—
Current portion of contingent earnout obligation		92		—		—			—			92
Current portion of working capital facilities		—		6,440		—			—			6,440
Other current liabilities		1,809		3,918		—			—			5,727
Total current liabilities		23,667		76,121		4,928			(4	)		104,712
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		—		25,192		100,115			—			125,307
Long-term subordinated unsecured notes payable, less current portion		305		—		—			—			305
Other long-term liabilities		1,459		5,883		—			—			7,342
Total liabilities		25,431		107,196		355,043			(4	)		487,666
Commitments and contingencies
Stockholders’ equity (deficit) (1)		345,544		243,730		(345,330	)		—			243,944
Total liabilities and stockholders’ equity (deficit)	$	370,975	$	350,926	$	9,713		$	(4	)	$	731,610

(1) Includes intercompany investments in subsidiaries.

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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	)
Repayment of subordinated unsecured notes payable		(546	)		—			—			(546	)
Payment of deferred financing costs		—			—			(414	)		(414	)
Net repayments of working capital facilities		—			(3,789	)		—			(3,789	)
Repayment under senior secured revolving credit facility		—			—			(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

Condensed Consolidating Statement of Cash Flows for the three months ended March 31, 2013

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by (used in) operating activities	$	(3,794	)	$	2,684		$	—		$	(1,110	)
Investing activities:
Purchases of equipment and leasehold improvements, net		(919	)		(851	)		—			(1,770	)
Net cash used in investing activities		(919	)		(851	)		—			(1,770	)
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			10,000			10,000
Proceeds from the exercise of options and warrants		—			—			2,441			2,441
Excess tax benefit related to share-based compensation		—			—			407			407
Payment of deferred financing costs		—			—			(52	)		(52	)
Net repayments of working capital facilities		—			(800	)		—			(800	)
Repayment under senior secured revolving credit facility		—			—			(10,000	)		(10,000	)
Intercompany investments and other		2,796			—			(2,796	)		—
Net cash provided by (used in) financing activities		2,796			(800	)		—			1,996
Exchange rate impact on cash and cash equivalents		—			(34	)		—			(34	)
Net increase (decrease) in cash and cash equivalents		(1,917	)		999			—			(918	)
Cash and cash equivalents, beginning of period		4,125			4,502			—			8,627
Cash and cash equivalents, end of period	$	2,208		$	5,501		$	—		$	7,709

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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, 2012. 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 40 IME businesses, including a leading provider of software solutions to the IME industry. We currently operate out of 57 service centers servicing all 50 U.S. states, Canada, the United Kingdom and Australia.

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 and MedHealth acquisitions, we began to market our services under several brands, including but not limited to, ExamWorks, MES, Premex and MedHealth. 

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EXAMWORKS GROUP, INC. AND SUBSIDIARIES

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. For example, our acquisition of MedHealth in August 2012 enabled us to enter the Australian market and, expand our range of clients and services, and increase our international market presence.  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 40 acquisitions:

Acquisition Date	Name
December 19, 2012	● PMG
August 31, 2012	● MedHealth
July 7, 2012	● Makos
October 27, 2011	● Bronshvag
October 24, 2011	● Matrix Health Management
October 3, 2011	● Capital Vocational Specialists
	● 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

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 and the cash has been collected.

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EXAMWORKS GROUP, INC. AND SUBSIDIARIES

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 other 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 except share and per share data):

	For the three months ended March 31,
	2012			2013
Revenues	$	123,738		$	148,703
Costs and expenses:
Costs of revenues		81,173			97,384
Selling, general and administrative expenses		28,632			33,257
Depreciation and amortization		14,025			16,326
Total costs and expenses		123,830			146,967
Income (loss) from operations		(92	)		1,736
Interest and other expenses, net		6,573			7,530
Loss before income taxes		(6,665	)		(5,794	)
Benefit for income taxes		(2,342	)		(2,202	)
Net loss	$	(4,323	)	$	(3,592	)
Per share data
Net loss per share — basic and diluted	$	(0.13	)	$	(0.10	)
Weighted average number of common shares outstanding — basic and diluted		34,085,761			34,464,664
Other Financial Data:
Adjusted EBITDA(1)	$	18,829		$	23,005

(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.

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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 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.

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	2012			2013
Net loss	$	(4,323	)	$	(3,592	)
Share-based compensation expense (i)		4,696			4,131
Depreciation and amortization expense		14,025			16,326
Acquisition-related transaction costs		145			449
Other non-recurring costs(ii)		55			363
Interest and other expenses, net		6,573			7,530
Benefit for income taxes		(2,342	)		(2,202	)
Adjusted EBITDA	$	18,829		$	23,005

(i)  Share-based compensation expense of $744,000 and $728,000 is included in costs of revenues for the three months ended March 31, 2012 and 2013, respectively, and the remainder is included in SGA expenses.

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

Comparison of the Three Months Ended March 31, 2013 and 2012

Revenues. Revenues were $148.7 million for the three months ended March 31, 2013 compared to $123.7 million for the three months ended March 31, 2012, an increase of $25.0 million, or 20%. The increase in revenues over the 2012 period was due primarily to acquisitions completed in 2012 and, to a lesser extent, increased IME service volumes in our U.K. business.

Actual revenues were $148.7 million for the three months ended March 31, 2013 compared to pro forma revenues of $140.3 million for the three months ended March 31, 2012, representing a 6% increase year over year. There were no acquisitions during in the three months ended March 31, 2013 and thus actual revenues are the same as pro forma revenues for the period.  The increase in revenues over the 2012 period on a pro forma basis was due primarily to increased IME service volumes in our U.K and Australia businesses, and to a lesser extent a more favorable sales mix. Pro forma revenues for the three months ended March 31, 2012 assumes that the 2012 acquisitions were completed on January 1, 2011.

Costs of revenues. Costs of revenues were $97.4 million for the three months ended March 31, 2013 compared to $81.2 million for the three months ended March 31, 2012, an increase of $16.2 million, or 20%. The increase in costs of revenues over the 2012 period was primarily due to acquisitions completed in 2012. Costs of revenues as a percentage of revenues were consistent at 65.5% and 65.6% for the three months ended March 31, 2013 and 2012, respectively.

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EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Selling, general and administrative. SGA expenses were $33.3 million for the three months ended March 31, 2013 compared to $28.6 million for the three months ended March 31, 2012, an increase of $4.7 million, or 16%. The increase in SGA expenses over the 2012 period was primarily due to acquisitions completed in 2012, with personnel expenses, including share-based compensation, accounting for $5.7 million of this increase and the remainder resulting primarily from increases in referral commissions, rent, computer related expenses, travel, phone and other professional expenses, offset by a decrease in acquisition related transaction costs.

Depreciation and amortization. D&A expenses were $16.3 million for the three months ended March 31, 2013 compared to $14.0 million for the three months ended March 31, 2012, an increase of $2.3 million, or 16%. The increase in D&A expenses over the 2012 period was due primarily to additional amortization of finite-lived intangible and tangible assets related to acquisitions completed during 2012.

Interest and other expenses, net. Interest and other expenses, net were $7.5 million for the three months ended March 31, 2013 compared to $6.6 million for the three months ended March 31, 2012, an increase of $957,000, or 15%. Interest and other expenses, net increased primarily due to increased interest expenses related to additional borrowings on our Senior Secured Revolving Credit Facility to fund acquisitions and deferred loan cost amortization offset by adjustments to an interest rate swap.

Income tax benefit. Income tax benefit was $2.2 million for the three months ended March 31, 2013 compared with $2.3 million for the three months ended March 31, 2012, a decreased benefit of $140,000, or 6%. Our effective income tax rate was 38.0% and 35.1% for the three months ended March 31, 2013 and 2012, respectively. The tax rates in the 2013 and 2012 periods were impacted primarily by foreign tax rate differentials and non-deductible items.

Net loss. For the foregoing reasons, net loss was $3.6 million for the three months ended March 31, 2013 compared to $4.3 million for the three months ended March 31, 2012.

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 credit and working capital facilities 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.

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.

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EXAMWORKS GROUP, INC. AND SUBSIDIARIES

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 our 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 any fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for any fiscal quarter ending thereafter, 2.00 to 1.00.

On August 27, 2012, we entered into a fourth amendment to our Senior Secured Revolving Credit Facility (the “Fourth Amendment”).  The Fourth Amendment amended the Senior Secured Revolving Credit Facility to add the Australian dollar as an alternative currency and increased the alternative currency sublimit from USD $60.0 million to USD $100.0 million.

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 Senior Secured 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 Senior Secured Revolving Credit 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, 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 our lines of business, enter into transactions with affiliates and other corporate actions.  As of March 31, 2013, we were in compliance with the financial covenants in the Senior Secured Revolving Credit Facility.

The Senior Secured Revolving Credit Facility also includes events of default typical of these types of credit facilities and transactions, including, but not limited to, the nonpayment of principal, interest, fees or other amounts owing under the new Senior Secured Revolving Credit Facility, the violation of covenants, the inaccuracy of representations and warranties, cross defaults, insolvency, certain ERISA events, material judgments and change of control. The occurrence of an event of default could result in the lenders not being required to lend any additional amounts and the acceleration of obligations under the new senior secured revolving credit facility, causing such obligations to be due and payable immediately, which could materially and adversely affect us.

As of March 31, 2013, we had $100.1 million outstanding under the Senior Secured Revolving Credit Facility, bearing interest at a rate of LIBOR plus 3.00%, resulting in $162.4 million of undrawn commitments. Of the total amount outstanding as of March 31, 2013, $52.1 million was denominated in Australian dollars ("AUD") with the balance denominated in U.S. dollars. The credit agreement governing our Senior Revolving Credit Facility contains restrictive covenants, including among other things, financial covenants which may limit the amount of borrowings available to us.

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EXAMWORKS GROUP, INC. AND SUBSIDIARIES

Working Capital Facilities

On September 29, 2010, our indirect 100% owned subsidiary 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, 2013) and serves to finance UKIM’s unpaid account receivables.  The working capital facility has a minimum term of 36 months. 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, 2013, UKIM had $6.4 million outstanding under the working capital facility, resulting in approximately $1.2 million in availability.

On May 12, 2011, our indirect 100% 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, 2013) and serves to finance Premex’s unpaid account receivables.  The working capital facility has a minimum term of 36 months. 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, 2013, Premex had $25.2 million outstanding under the working capital facility, resulting in approximately $15.1 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 “Initial Notes”). The Initial Notes were issued at a price of 100% of their principal amount. 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 was used for general corporate purposes, including acquisitions. In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, we completed an exchange offer of the privately placed Initial Notes for new 9.0% Senior Notes due 2019 (the “Exchange Notes,” and together with the Initial Notes, the “Senior Unsecured Notes”) registered with the SEC with substantially identical terms to the Initial Notes. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks’ existing and future U.S. subsidiaries (the “Guarantors”).

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 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, 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), 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.

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Cash Flow Summary

Cash and cash equivalents were $7.7 million at March 31, 2013 as compared with $8.5 million at March 31, 2012.

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,
	2012			2013
Net cash provided by (used in) operating activities	$	4,799		$	(1,110	)
Net cash provided by (used in) investing activities		356			(1,770	)
Net cash provided by (used in) financing activities		(5,181	)		1,996
Exchange rate impact on cash and cash equivalents		76			(34	)
Net increase (decrease) in cash and cash equivalents	$	50		$	(918	)

Operating Activities. Net cash used in operating activities was $1.1 million for the three months ended March 31, 2013 as compared with net cash provided by operating activities of $4.8 million for the three months ended March 31, 2012.  Net cash used in operating activities for 2013 consisted of our net loss of $3.6 million and a net increase in working capital of approximately $13.0 million in 2013, which was offset by net non-cash charges of $15.5 million (principally including $16.3 million in depreciation and amortization and $4.1 million in share-based compensation, offset by a net decrease in deferred income taxes of $6.0 million). The 2013 increase in working capital primarily consisted of increases in accounts receivable in our U.K. business and decreased accrued interest expense offset by increased accounts payable and accrued expenses and deferred revenues and customer deposits.

Net cash provided by operating activities of $4.8 million 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 of provision for bad debts, offset by a net decrease in deferred income taxes of $3.9 million). The 2012 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 expenses, offset by increased accounts payable and accrued expenses.

Investing Activities. Net cash used in investing activities was $1.8 million for the three months ended March 31, 2013 as compared to net cash provided by investing activities of $356,000 for the three months ended March 31, 2012.  The 2013 use of cash was due primarily to increased capital expenditures over the year-ago period.

Net cash provided by investing activities was $356,000 for the three months ended March 31, 2012.   The 2012 cash provided was attributable to inflows from acquisition settlement related activities during 2012 of $908,000, offset by capital expenditures of $552,000.

 Financing Activities. Net cash provided by financing activities was $2.0 million for the three months ended March 31, 2013 as compared to net used in financing activities of $5.2 million for the three months ended March 31, 2012.  The 2013 cash provided was primarily attributable to borrowings under our Senior Secured Revolving Credit Facility of $10.0 million and the proceeds from the exercise of options and warrants of $2.4 million, offset by repayments under our Senior Secured Revolving Credit Facility of $10.0 million and net repayments under our working capital facilities of $800,000.

Net cash used in financing activities was $5.2 million for the three months ended March 31, 2012.  The 2012 use of cash was primarily attributable to repayments under our Senior Secured Revolving Credit Facility of $11.0 million, 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, offset by borrowings under our Senior Secured Revolving Credit Facility of $11.0 million.

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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, 2013 are set forth below (in thousands):

					Payments due by year ending December 31,
	Total		Period from April 1, 2013 to December 31, 2013		2014		2015		2016		2017		Thereafter
Amounts outstanding under senior unsecured notes payable	$	250,000	$	—	$	—	$	—	$	—	$	—	$	250,000
Amounts outstanding under senior secured revolving credit facility		100,115		—		—		—		100,115		—		—
Operating leases		45,127		8,737		10,264		8,869		6,152		4,286		6,819
Amounts outstanding under working capital facilities		31,632		6,440		25,192		—		—		—		—
Subordinated unsecured notes payable		584		279		305		—		—		—		—
Total	$	427,458	$	15,456	$	35,761	$	8,869	$	106,267	$	4,286	$	256,819

As of March 31, 2013, we leased our office spaces for our corporate locations in Atlanta, Georgia and New York, New York and also for 56 of our 57 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 that began in January 2012 and end in 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, 2013 and applicable interest rates currently ranging between 0.0% and 6.3%, interest amounts are expected to be approximately $4.2 million for the nine months ended December 31, 2013, approximately $5.0 million for the year ended December 31, 2014, approximately $4.7 million for the year ended December 31, 2015 and approximately $2.4 million for the year ended December 31, 2016.

Off-Balance Sheet Arrangements

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

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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, the portion of accounts receivable deemed to be long term in nature, 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 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 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 the cash has been collected and the contingency has been resolved.  

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.

We assume, that on average, all accounts receivable will be collected within one year and thus classify these as current assets; however, there are certain receivables, principally in the U.K., that have aged longer than one year as of December 31, 2012 and March 31, 2013, and we have recorded an estimate for those receivables that will not be collected within one year as long term in the Consolidated Balance Sheets.

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.

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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 2012 and reviewed subsequent events through March 31, 2013 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 its financial statements, we estimate income taxes in each of the jurisdictions in which we 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.

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 its deferred tax assets as we 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.

We apply 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.

We are no longer subject to U.S. federal income or state tax return examinations by tax authorities for tax years before 2008 and 2007, respectively, which periods relate to certain acquired businesses. 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 12 months.

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 the weighted average of our peer group’s median implied volatility, our mean reversion volatility and the median of our peer group’s most recent historical volatilities for 2013 stock option grants. Expected life assumptions for those stock options granted in 2013 are based upon 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, 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.

36

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

The fair value of restricted stock units and shares of restricted stock is determined based upon the market price of the underlying common stock as of the date of grant.

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

Our financial liabilities, which are measured at fair value on a recurring basis in accordance with ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”),are categorized using the fair value hierarchy as of December 31, 2012 and March 31, 2013 were as follows (in thousands):

	Level 1		Level 2		Level 3		Total
As of December 31, 2012
Financial instruments:
Interest rate swap	$	—	$	101	$	—	$	101
Contingent consideration		—		—		846		846
As of March 31, 2013
Financial instruments:
Interest rate swap	$	—	$	53	$	—	$	53
Contingent consideration		—		—		855		855

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 earnout provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010. The total increase in fair value of the contingent consideration of $9,000 in the three months ended March 31, 2013 was recorded in interest and other expenses, net in the Consolidated Statements of Comprehensive Loss due to changes in the fair value of the contingent consideration.  

Recent Accounting Pronouncements

In addition to the recently adopted accounting pronouncements discussed above in conjunction with our critical accounting policies, we believe the following recently adopted accounting pronouncements are important to an understanding of our financial statements.

Recently Adopted Accounting Pronouncements

In February 2013 the FASB issued ASU No. 2013-02, “Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income.” This update amends Accounting Standards Codification (ASC) Topic 220, “Comprehensive Income,” to require reporting entities to provide information about the amounts reclassified from accumulated other comprehensive income by component. In addition, reporting entities will be required to present, either on the face of the statement of operations or in the footnotes to the financial statements, significant amounts reclassified from accumulated other comprehensive income by statement of operations line item. ASU 2013-02 is effective prospectively for reporting periods beginning after December 15, 2012.  We adopted these provisions effective January 1, 2013 and the adoption of these provisions did not have a material impact on our financial position, results of operations and cash flows.

37

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

There were various other accounting standards and interpretations issued during 2013 that we have not yet been required to adopt, none of which are expected to have a material impact on our financial position, results of operations and cash flows.

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, 2013, we had cash and cash equivalents totaling approximately $7.7 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $2.2 million were held in the U.S. The U.S. amounts were insured in full against bank failurethrough December 31, 2012 under section 343 of the Dodd-Frank Wall Street Reform and Consumer Protection Act, which provided temporary unlimited deposit insurancecoverage for non-interest-bearing transaction accounts at all FDIC-insured depository institutions. The temporary unlimited deposit insurance program, which expired on December 31, 2012, was offered by the FDIC in addition to, and separate from, the standard FDIC insurance coverage, which continues to exist, for deposit accounts up to $250,000, per depositor and account ownership category, at each separately insured depository institution.

Our outstanding debts of $31.6 million and $100.1 million at March 31, 2013 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 $1.3 million 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, 2013.

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, 2013, we have foreign currency risks related to our revenues and operating expenses denominated in currencies other than the U.S. dollar, namely, the Canadian dollar, the Pound Sterling and the Australian dollar. 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 related to the Canadian dollar and the Pound Sterling 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 in these currencies.

In September 2012, in order to protect against foreign currency exposure on our Australian operations, we borrowed in Australian dollars as a hedge of our net investment in Australia related to the MedHealth acquisition. We have outstanding debt of approximately AUD$50.0 million that is designated as a hedge of our net investment in Australia as of March 31, 2013.  This non-derivative net investment hedge was classified as long-term debt in the Company’s Consolidated Balance Sheets. In accordance with ASC 815, the translation of this debt instrument designated as a net investment hedge is recorded in accumulated other comprehensive loss, offsetting the currency translation adjustment of the related net investment that is also recorded in accumulated other comprehensive loss. This instrument will mature in conjunction with amounts outstanding under the Senior Secured Revolving Credit Facility.

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, 2013.  Based upon our evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of March 31, 2013, 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.

38

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

There were no changes in our internal control over financial reporting during the period ended March 31, 2013 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, 2012.

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

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 restrict 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).

39

EXAMWORKS GROUP, INC. AND SUBSIDIARIES

2.5*  Sale and Purchase Deed relating to the sale and purchase of MedHealth Holdings Pty Limited dated August 31, 2012 among EW Pacific Pty Ltd, the shareholders of MedHealth Holdings Pty Limited set forth therein, and certain additional restrained parties set forth therein (incorporated by reference to Exhibit 2.1 to the Company’s Form 8-K filed on August 31, 2012).

2.6*  Additional Sellers Deed relating to the sale and purchase of MedHealth Holdings Pty Limited dated August 31, 2012 among EW Pacific Pty Ltd and certain minority shareholders of MedHealth Holdings Pty Limited. (incorporated by reference to Exhibit 2.2 to the Company’s Form 8-K filed on August 31, 2012).

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).

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).

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

**  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.

40

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 8, 2013	By:	/s/ J. Miguel Fernandez de Castro
		J. Miguel Fernandez de Castro
		Senior Executive Vice President and Chief
		Financial Officer (Principal Financial Officer)

41

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 internal control over financial reporting (as defined in Exchange Act Rules 13a-(f) and 15d-15(f)) 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 8, 2013	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 internal control over financial reporting (as defined in Exchange Act Rules 13a-(f) and 15d-15(f))  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 8, 2013	By:	/s/    J. Miguel Fernandez de Castro
		J. Miguel Fernandez de Castro
		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, 2013, 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 8, 2013	By:	/s/    James K. Price
		James K. Price
		Chief Executive Officer
Date: May 8, 2013	By:	/s/    J. Miguel Fernandez de Castro
		J. Miguel Fernandez de Castro
		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 $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Depreciation	$ 1.4	$ 1.2

XML

Note 11 - Financial Instruments (Detail)				3 Months Ended
	Mar. 31, 2013 USD ($)	Mar. 31, 2013 AUD	Dec. 31, 2012 USD ($)	Mar. 31, 2013 Interest Expense [Member] USD ($)	Mar. 31, 2012 Interest Expense [Member] USD ($)
Derivative, Fixed Interest Rate	4.36%	4.36%
Derivative, Notional Amount	$ 4,400,000		$ 4,800,000
Unrealized Gain (Loss) on Derivatives				48,000	54,000
Long-term Debt, Fair Value (in Dollars)		50,000,000

XML

Note 9 - Commitments and Contingencies (Detail) (USD $)	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Operating Leases, Rent Expense	$ 3,000,000	$ 2,300,000
Defined Contribution Plan, Cost Recognized	$ 139,000	$ 98,000

XML

Note 12 - Income Taxes (Detail) (USD $)	3 Months Ended
	Mar. 31, 2013	Dec. 31, 2012
Unrecognized Tax Benefits	$ 333,000	$ 327,000
Unrecognized Tax Benefits, Period Increase (Decrease)	$ 6,000

XML

Note 7 - Stockholders' Equity (Detail) (USD $) In Millions, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Dec. 31, 2012
Stock Issued During Period, Shares, Share-based Compensation, Gross	303,000
Warrants Exercised During Period	40,000
Stock Issued During Period, Shares, Restricted Stock Award, Gross	231,000
Stock Issued During Period, Value, Restricted Stock Award, Gross (in Dollars)	$ 3.2
Treasury Stock, Shares	905,349	905,349
Treasury Stock Acquired, Average Cost Per Share (in Dollars per share)	$ 9.38
Stock Repurchase Program, Remaining Authorized Repurchase Amount (in Dollars)	$ 10.2

XML

Note 2 - Summary of Significant Accounting Policies (Detail) - Assumptions Utilized for Stock Option Grants (USD $)	3 Months Ended
	Mar. 31, 2013
Volatility	48.66%
Expected life (years)	6 years
Risk-free interest rate	1.02%
Dividend yield	0.00%
Fair value (in Dollars per share)	$ 6.63

XML

Note 13 - Segment and Geographical Information (Detail) - Revenues by Geographic Area (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Revenues by Country	$ 148,703	$ 123,738
United States [Member]
Revenues by Country	91,178	87,195
Canada [Member]
Revenues by Country	7,421	6,886
United Kingdom [Member]
Revenues by Country	33,767	29,657
Australia [Member]
Revenues by Country	$ 16,337

XML

Note 6 - Accrued Expenses (Tables)

3 Months Ended

Mar. 31, 2013

Schedule of Accrued Liabilities [Table Text Block]

	December 31, 2012		March 31, 2013
Accrued compensation and benefits	$	7,217	$	8,329
Accrued selling and professional fees		5,777		5,326
Accrued income and other taxes		2,384		2,741
Accrued medical panel fees		2,646		2,758
Accrued value added tax		14,872		14,599
Other accrued expenses		3,099		2,917
Total	$	35,995	$	36,670

XML

Note 10 - Long-Term Debt (Detail)	0 Months Ended		1 Months Ended	12 Months Ended											3 Months Ended		3 Months Ended
	Jul. 19, 2011 USD ($)	May 06, 2011 USD ($)	Feb. 27, 2012	Dec. 31, 2011 USD ($)	Jul. 15, 2015	Dec. 31, 2012 USD ($)	Jan. 15, 2012	Jul. 07, 2011 USD ($)	Feb. 09, 2011 USD ($)	Dec. 31, 2010 USD ($)	Nov. 02, 2010 USD ($)	Dec. 31, 2012 UKIM [Member] USD ($)	Mar. 31, 2013 Premex Group [Member] USD ($)	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]	Sep. 29, 2010 UKIM [Member] GBP (£)	Mar. 31, 2013 Premex Group [Member]	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 ($)	Dec. 31, 2010 Noninterest Bearing [Member] USD ($)	Dec. 31, 2012 Australian Dollars [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 Repurchase Percentage of Face Amount					101.00%
Line of Credit Facility, Maximum Borrowing Capacity		300,000,000						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
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
Line of Credit Facility, Covenant Terms			1.00
Secured Revolving Credit Facility, Alternative Currency Sublimit				60,000,000		100,000,000
Debt Instrument, Basis Spread on Variable Rate																			2.50%		2.40%	0.50%	1.00%
Line of Credit Facility, Amount Outstanding						100,100,000						6,400,000	25,200,000														52,100,000
Line of Credit Facility, Remaining Borrowing Capacity						162,400,000						1,200,000	15,100,000
Debt Instrument, Interest Rate at Period End																		0.50%		0.50%
Business Acquisition, Cost of Acquired Entity, Liabilities Incurred										6,900,000
Notes Payable																									4,400,000	2,500,000
Debt Instrument, Periodic Payment															50,000		76,000
Debt Instrument, Annual Principal Payment														$ 250,000		$ 750,000

XML

Note 5 - Goodwill and Intangible Assets (Detail) - Goodwill (USD $) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2013	Dec. 31, 2012
Balance at beginning of period	$ 370,143	$ 300,260
Goodwill acquired during the period		60,374
Adjustments to prior year acquisitions	(592)	7,109
Effect of foreign currency translation	(2,693)	2,400
Balance at end of period	$ 366,858	$ 370,143

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Note 3 - Acquisitions (Detail) (USD $)	3 Months Ended		12 Months Ended					57 Months Ended	63 Months Ended
	Mar. 31, 2013	Mar. 31, 2012	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2008	Mar. 31, 2013	Mar. 31, 2013
Number of Businesses Acquired			3	9	14	11	3	40	40
Business Acquisition, Cost of Acquired Entity, Purchase Price			$ 109,200,000
Business Acquisition, Cost of Acquired Entity, Cash Paid			112,000,000
Business Acquisition, Purchase Price Allocation, Current Assets, Cash and Cash Equivalents			2,900,000
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares (in Shares)			6,190
Business Acquisition, Equity Interest Issued or Issuable, Value Assigned			85,000
Business Acquisition, Cost of Acquired Entity, Transaction Costs	2,000		1,300,000					2,000	2,000
Business Acquisition, Pro Forma Revenue	140,300,000
Business Acquisition, Pro Forma Net Income (Loss)	6,400,000
Basic Earnings Per Share, Pro Forma (in Dollars per share)	$ 0.19
Depreciation, Depletion and Amortization	16,326,000	14,025,000
Selling, General and Administrative Expense	33,257,000	28,632,000
MedHealth Holdings [Member]
Business Acquisition, Percentage of Voting Interests Acquired			100.00%
Parthenia Medical Group [Member]
Business Acquisition, Percentage of Voting Interests Acquired			100.00%
Other 2012 Acquisitions [Member]
Business Acquisition, Purchase Price Allocation, Goodwill, Expected Tax Deductible Amount			52,900,000
Business Acquisition Purchase Price Allocation Intangible Assets Expected Tax Deductible Amount			50,200,000
Pro Forma Additional Expenses [Member]
Interest Expense		1,700,000
Depreciation, Depletion and Amortization	3,200,000
Selling, General and Administrative Expense	$ 905,000

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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, 2013 Pricing Tier 1 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 1 [Member] Base Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 1 [Member]	Mar. 31, 2013 Pricing Tier 2 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 2 [Member] Base Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 2 [Member]	Mar. 31, 2013 Pricing Tier 3 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 3 [Member] Base Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 3 [Member]	Mar. 31, 2013 Pricing Tier 4 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 4 [Member] Base Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 4 [Member]	Mar. 31, 2013 Pricing Tier 5 [Member] Eurocurrency Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 5 [Member] Base Rate Loans [Member]	Mar. 31, 2013 Pricing Tier 5 [Member]
Consolidated Leverage Ratio						2.50 to 1.0			2.00 to 1.0 but < 2.50 to 1.0			1.50 to 1.0 but < 2.00 to 1.0			1.00 to 1.0 but < 1.50 to 1.0			< 1.00 to 1.0
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%

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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, 2013	Mar. 31, 2012
Net cash provided by (used in) operating activities	$ (1,110)	$ 4,799
Investing activities:
Purchases of equipment and leasehold improvements, net	(1,770)	(552)
Working capital and other settlements for acquisitions		908
Net cash provided by (used in) investing activities	(1,770)	356
Financing activities:
Borrowings under senior secured revolving credit facility	10,000	11,000
Proceeds from the exercise of options and warrants	2,441	50
Excess tax benefit related to share-based compensation	407
Purchases of stock for treasury		(387)
Repayment of subordinated unsecured notes payable		(546)
Payment of deferred financing costs	(52)	(414)
Net borrowings (repayments) under working capital facilities	(800)	(3,789)
Repayment under senior secured revolving credit facility	(10,000)	(11,000)
Intercompany investments and other		(95)
Net cash provided by (used in) financing activities	1,996	(5,181)
Exchange rate impact on cash and cash equivalents	(34)	76
Net increase (decrease) in cash and cash equivalents	(918)	50
Cash and cash equivalents, beginning of period	8,627	8,416
Cash and cash equivalents, end of period	7,709	8,466
Guarantor Subsidiaries [Member]
Net cash provided by (used in) operating activities	(3,794)	1,398
Investing activities:
Purchases of equipment and leasehold improvements, net	(919)	(407)
Working capital and other settlements for acquisitions		47
Net cash provided by (used in) investing activities	(919)	(360)
Financing activities:
Repayment of subordinated unsecured notes payable		(546)
Intercompany investments and other	2,796	(846)
Net cash provided by (used in) financing activities	2,796	(1,392)
Net increase (decrease) in cash and cash equivalents	(1,917)	(354)
Cash and cash equivalents, beginning of period	4,125	6,044
Cash and cash equivalents, end of period	2,208	5,690
Non-Guarantor Subsidiaries [Member]
Net cash provided by (used in) operating activities	2,684	3,401
Investing activities:
Purchases of equipment and leasehold improvements, net	(851)	(145)
Working capital and other settlements for acquisitions		861
Net cash provided by (used in) investing activities	(851)	716
Financing activities:
Net borrowings (repayments) under working capital facilities	(800)	(3,789)
Net cash provided by (used in) financing activities	(800)	(3,789)
Exchange rate impact on cash and cash equivalents	(34)	76
Net increase (decrease) in cash and cash equivalents	999	404
Cash and cash equivalents, beginning of period	4,502	2,372
Cash and cash equivalents, end of period	5,501	2,776
Parent Company [Member]
Financing activities:
Borrowings under senior secured revolving credit facility	10,000	11,000
Proceeds from the exercise of options and warrants	2,441	50
Excess tax benefit related to share-based compensation	407
Purchases of stock for treasury		(387)
Payment of deferred financing costs	(52)	(414)
Repayment under senior secured revolving credit facility	(10,000)	(11,000)
Intercompany investments and other	$ (2,796)	$ 751

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Note 8 - Related Party Transactions (Detail) (Compass [Member], USD $)	1 Months Ended	3 Months Ended
	Jun. 30, 2010	Mar. 31, 2013	Mar. 31, 2012
Compass [Member]
Related Party Transaction, Expenses from Transactions with Related Party	$ 10,080
Related Party Transaction, Amounts of Transaction		$ 34,000	$ 32,000

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Note 4 - Property, Equipment and Leasehold Improvements

3 Months Ended

Mar. 31, 2013

Property, Plant and Equipment Disclosure [Text Block]

(4)              Property, Equipment and Leasehold Improvements

Property, equipment and leasehold improvements at December 31, 2012 and March 31, 2013, consist of the following (in thousands):

	Estimated useful lives (years)			December 31, 2012		March 31, 2013
Building		15		$	600	$	600
Computer and office equipment		3			15,557		16,368
Furniture and fixtures	3	to	5		2,586		2,878
Leasehold improvements	Lease term				1,877		1,960
					20,620		21,806
Less accumulated depreciation and amortization					10,287		11,674
Total				$	10,333	$	10,132

Depreciation expense for the three months ended March 31, 2012 and 2013 was $1.2 million and $1.4 million, respectively.

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Note 5 - Goodwill and Intangible Assets (Detail) - Intangible Assets (USD $) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2013	Dec. 31, 2012
Amortizable intangible assets:
Gross carrying value	272,546	275,965
Accumulated Amortization	(136,323)	(123,069)
Net carrying value	136,223	152,896
Minimum [Member] | Customer Relationships [Member]
Amortizable intangible assets:
Estimated useful lives	40 months	40 months
Minimum [Member] | Trade Names [Member]
Amortizable intangible assets:
Estimated useful lives	45 months	45 months
Minimum [Member] | Unpatented Technology [Member]
Amortizable intangible assets:
Estimated useful lives	24 months	24 months
Maximum [Member] | Customer Relationships [Member]
Amortizable intangible assets:
Estimated useful lives	60 months	60 months
Maximum [Member] | Trade Names [Member]
Amortizable intangible assets:
Estimated useful lives	84 months	84 months
Maximum [Member] | Unpatented Technology [Member]
Amortizable intangible assets:
Estimated useful lives	40 months	40 months
Customer Relationships [Member]
Amortizable intangible assets:
Gross carrying value	202,186	204,699
Accumulated Amortization	(100,126)	(90,040)
Net carrying value	102,060	114,659
Trade Names [Member]
Amortizable intangible assets:
Gross carrying value	59,876	60,620
Accumulated Amortization	(27,103)	(24,413)
Net carrying value	32,773	36,207
Noncompete Agreements [Member]
Amortizable intangible assets:
Estimated useful lives	36 months	36 months
Gross carrying value	3,102	3,116
Accumulated Amortization	(2,451)	(2,313)
Net carrying value	651	803
Unpatented Technology [Member]
Amortizable intangible assets:
Gross carrying value	7,382	7,530
Accumulated Amortization	(6,643)	(6,303)
Net carrying value	739	1,227

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Note 13 - Segment and Geographical Information (Tables)

3 Months Ended

Mar. 31, 2013

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

Revenues:	For the three months ended March 31,
	2012		2013
United States	$	87,195	$	91,178
Canada		6,886		7,421
United Kingdom		29,657		33,767
Australia		—		16,337
Total	$	123,738	$	148,703

Disclosure on Geographic Areas, Long-Lived Assets

Long-lived assets: (1)	December 31, 2012		March 31, 2013
United States	$	337,831	$	329,947
Canada		34,919		31,995
United Kingdom		99,140		92,641
Australia		94,291		92,190
Total	$	566,181	$	546,773

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Note 12 - Income Taxes (Tables)

3 Months Ended

Mar. 31, 2013

Summary of Income Tax Contingencies [Table Text Block]

Balance at January 1, 2013	$	327
Increase to prior year tax positions		6
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, 2013	$	333

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Note 12 - Income Taxes (Detail) - Unrecognized Tax Benefits (USD $)	3 Months Ended
	Mar. 31, 2013
Balance	$ 327,000
Increase to prior year tax positions	6,000
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	$ 333,000

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Note 5 - Goodwill and Intangible Assets (Detail) - Intangible Amortization Expense (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013	Dec. 31, 2012
Nine months ended December 31, 2013	$ 40,981
Year ended December 31:
2014	39,805
2015	29,769
2016	16,166
2017	9,088
Thereafter	414
Total	$ 136,223	$ 152,896

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

3 Months Ended

Mar. 31, 2013

Schedule of Condensed Income Statement [Table Text Block]

	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	)
Comprehensive Loss:
Net loss	$	(1,788	)	$	(2,535	)	$	—	$	(4,323	)
Foreign currency translation adjustments, net of tax		—			2,450			—		2,450
Total comprehensive loss	$	(1,788	)	$	(85	)	$	—	$	(1,873	)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	91,178		$	57,525		$	—	$	148,703
Costs and expenses:
Costs of revenues		64,131			33,253			—		97,384
Selling, general and administrative expenses		18,124			15,133			—		33,257
Depreciation and amortization		8,623			7,703			—		16,326
Total costs and expenses		90,878			56,089			—		146,967
Income from operations		300			1,436			—		1,736
Interest and other expenses, net		5,559			1,971			—		7,530
Loss before income taxes		(5,259	)		(535	)		—		(5,794	)
Provision (benefit) for income taxes		(3,058	)		856			—		(2,202	)
Net loss	$	(2,201	)	$	(1,391	)	$	—	$	(3,592	)
Comprehensive Loss:
Net loss	$	(2,201	)	$	(1,391	)	$	—	$	(3,592	)
Foreign currency translation adjustments, net of tax		(75	)		(4,176	)		—		(4,251	)
Total comprehensive loss	$	(2,276	)	$	(5,567	)	$	—	$	(7,843	)

Schedule of Condensed 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	$	4,125	$	4,502	$	—		$	—		$	8,627
Accounts receivable, net		43,939		100,737		—			—			144,676
Other receivables		17		4		—			—			21
Prepaid expenses		2,723		2,613		—			—			5,336
Deferred tax assets		37		—		—			(21	)		16
Other current assets		—		1,213		—			—			1,213
Total current assets		50,841		109,069		—			(21	)		159,889
Property, equipment and leasehold improvements, net		8,339		1,994		—			—			10,333
Goodwill		258,890		111,253		—			—			370,143
Intangible assets, net		62,420		90,476		—			—			152,896
Long-term accounts receivable, less current portion		—		31,708		—			—			31,708
Deferred tax assets, noncurrent		61		4,112		—			—			4,173
Deferred financing costs, net		—		—		10,258			—			10,258
Other assets		495		606		—			—			1,101
Total assets	$	381,046	$	349,218	$	10,258		$	(21	)	$	740,501
Liabilities and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable	$	14,756	$	32,184	$	—		$	—		$	46,940
Accrued expenses		8,067		27,928		—			—			35,995
Accrued interest expense		—		—		10,918			—			10,918
Deferred revenue		103		3,848		—			—			3,951
Current portion of subordinated unsecured notes payable		275		—		—			—			275
Deferred tax liability		—		21		—			(21	)		—
Current portion of contingent earnout obligation		91		—		—			—			91
Current portion of working capital facilities		—		5,983		—			—			5,983
Other current liabilities		2,226		3,747		—			—			5,973
Total current liabilities		25,518		73,711		10,918			(21	)		110,126
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		—		28,476		99,926			—			128,402
Long-term subordinated unsecured notes payable, less current portion		300		—		—			—			300
Other long-term liabilities		1,493		6,032		—			—			7,525
Total liabilities		27,311		108,219		360,844			(21	)		496,353
Commitments and contingencies
Stockholders’ equity (deficit) (1)		353,735		240,999		(350,586	)		—			244,148
Total liabilities and stockholders' equity (deficit)	$	381,046	$	349,218	$	10,258		$	(21	)	$	740,501

Assets	Guarantor Subsidiaries		Non-Guarantor Subsidiaries		ExamWorks Group, Inc. (Parent Corporation)			Consolidation and Elimination Entries			Consolidated Totals
Current assets:
Cash and cash equivalents	$	2,208	$	5,501	$	—		$	—		$	7,709
Accounts receivable, net		45,810		101,985		—			—			147,795
Other receivables		—		—		—			—			—
Prepaid expenses		2,516		3,242		—			—			5,758
Deferred tax assets		22		—		—			(4	)		18
Other current assets		—		1,141		—			—			1,141
Total current assets		50,556		111,869		—			(4	)		162,421
Property, equipment and leasehold improvements, net		8,037		2,095		—			—			10,132
Goodwill		248,900		117,958		—			—			366,858
Intangible assets, net		54,987		81,236		—			—			136,223
Long-term accounts receivable, less current portion		—		31,870		—			—			31,870
Deferred tax assets, noncurrent		8,003		4,700		—			—			12,703
Deferred financing costs, net		—		—		9,713			—			9,713
Other assets		492		1,198		—			—			1,690
Total assets	$	370,975	$	350,926	$	9,713		$	(4	)	$	731,610
Liabilities and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable	$	13,584	$	32,618	$	—		$	—		$	46,202
Accrued expenses		7,809		28,861		—			—			36,670
Accrued interest expense		—		—		4,928			—			4,928
Deferred revenue		94		4,280		—			—			4,374
Current portion of subordinated unsecured notes payable		279		—		—			—			279
Deferred tax liability		—		4		—			(4	)		—
Current portion of contingent earnout obligation		92		—		—			—			92
Current portion of working capital facilities		—		6,440		—			—			6,440
Other current liabilities		1,809		3,918		—			—			5,727
Total current liabilities		23,667		76,121		4,928			(4	)		104,712
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		—		25,192		100,115			—			125,307
Long-term subordinated unsecured notes payable, less current portion		305		—		—			—			305
Other long-term liabilities		1,459		5,883		—			—			7,342
Total liabilities		25,431		107,196		355,043			(4	)		487,666
Commitments and contingencies
Stockholders’ equity (deficit) (1)		345,544		243,730		(345,330	)		—			243,944
Total liabilities and stockholders’ equity (deficit)	$	370,975	$	350,926	$	9,713		$	(4	)	$	731,610

Schedule of Condensed Cash Flow Statement [Table Text Block]

	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	)
Repayment of subordinated unsecured notes payable		(546	)		—			—			(546	)
Payment of deferred financing costs		—			—			(414	)		(414	)
Net repayments of working capital facilities		—			(3,789	)		—			(3,789	)
Repayment under senior secured revolving credit facility		—			—			(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

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by (used in) operating activities	$	(3,794	)	$	2,684		$	—		$	(1,110	)
Investing activities:
Purchases of equipment and leasehold improvements, net		(919	)		(851	)		—			(1,770	)
Net cash used in investing activities		(919	)		(851	)		—			(1,770	)
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			10,000			10,000
Proceeds from the exercise of options and warrants		—			—			2,441			2,441
Excess tax benefit related to share-based compensation		—			—			407			407
Payment of deferred financing costs		—			—			(52	)		(52	)
Net repayments of working capital facilities		—			(800	)		—			(800	)
Repayment under senior secured revolving credit facility		—			—			(10,000	)		(10,000	)
Intercompany investments and other		2,796			—			(2,796	)		—
Net cash provided by (used in) financing activities		2,796			(800	)		—			1,996
Exchange rate impact on cash and cash equivalents		—			(34	)		—			(34	)
Net increase (decrease) in cash and cash equivalents		(1,917	)		999			—			(918	)
Cash and cash equivalents, beginning of period		4,125			4,502			—			8,627
Cash and cash equivalents, end of period	$	2,208		$	5,501		$	—		$	7,709

XML

Note 1 - Nature of Operations and Basis of Presentation (Detail) In Millions, unless otherwise specified	12 Months Ended					57 Months Ended	63 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2008	Mar. 31, 2013	Mar. 31, 2013
Number of Businesses Acquired	3	9	14	11	3	40	40
Number Of Service Centers						57	57
Number of States in which Entity Operates						50	50
Stock Issued During Period, Shares, New Issues (in Shares)			9.3

XML

Note 3 - Acquisitions

3 Months Ended

Mar. 31, 2013

Mergers, Acquisitions and Dispositions Disclosures [Text Block]

  (3)            Acquisitions

ExamWorks operates in a highly fragmented industry and has completed 40 acquisitions since July 14, 2008. A key component of ExamWorks’ acquisition strategy is growth through acquisitions that expand its geographic coverage, that 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 client 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)              2012 Acquisitions

In 2012, the Company completed the following individually insignificant acquisitions with an aggregate purchase price of $109.2 million, comprised of $112.0 million cash consideration less cash acquired of $2.9 million, and 6,190 shares of the Company’s common stock with an estimated fair value of $85,000. In conjunction with these 2012 acquisitions, the Company incurred transaction costs of $1.3 million, of which $2,000 were incurred in the three months ended March 31, 2013.  There were no transaction costs incurred relating to these 2012 acquisitions in the three months ended March 31, 2012.  These amounts are reported in SGA expenses in the Company’s accompanying Consolidated Statements of Comprehensive Loss. 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
Makos Health Associates Corp	Substantially all of the assets and assumed certain liabilities	July 12, 2012
MedHealth Holdings Pty Limited	100% of the outstanding common stock	August 31, 2012
PMG	100% of the outstanding common stock	December 19, 2012

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

	Preliminary purchase price allocation December 31, 2012			Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2013
Equipment and leasehold improvements	$	850		$	—		$	850
Customer relationships		44,413			—			44,413
Tradename		11,901			—			11,901
Covenants not to compete		313			—			313
Technology		666			—			666
Goodwill		60,373			(592	)		59,781
Net deferred tax liability associated with step-up in book basis		(9,610	)		—			(9,610	)
Assets acquired and liabilities assumed, net		269			592			861
Totals	$	109,175		$	—		$	109,175

Goodwill of $52.9 million and other intangible assets of $50.2 million are expected to be deductible for U.S. federal income tax purposes, a portion of which give rise to annual foreign tax credit limitations subject to the provisions of IRC Section 901(m). 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, 2012 assumes that the 2012 acquisitions were completed on January 1, 2011. There we no acquisitions completed in the three months ended March 31, 2013 and thus there are no differences between the reported and pro forma results of operations.

For the three months ended March 31, 2012, pro forma revenues and net loss were $140.3 million and $6.4 million, respectively. Pro forma net loss per share, on both a basic and diluted basis, was $0.19.

For the three months ended March 31, 2012, the pro forma results include adjustments to reflect additional interest expense of $1.7 million associated with the funding of the acquisitions assuming that acquisition related debt was incurred on January 1, 2011. In addition, incremental depreciation and amortization expense was recorded as if the acquisitions had occurred on January 1, 2011 and amounted to $3.2 million for the three months ended March 31, 2012. Finally, adjustments of $905,000 were made to SGA expenses for the three months ended March 31, 2012, 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, 2011 or of future operations of the Company.

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Note 2 - Summary of Significant Accounting Policies (Detail) (USD $)	3 Months Ended		12 Months Ended				3 Months Ended					12 Months Ended	15 Months Ended		3 Months Ended		3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012	Dec. 31, 2011	Dec. 31, 2012	Jan. 15, 2012	Jul. 19, 2011	Mar. 31, 2013 Stock Options [Member] Cost of Sales [Member]	Mar. 31, 2013 Stock Options [Member] General and Administrative Expense [Member]	Mar. 31, 2013 Stock Options [Member]	Mar. 31, 2013 Restricted Stock [Member] General and Administrative Expense [Member]	Mar. 31, 2013 Restricted Stock [Member]	Dec. 31, 2012 Restricted Stock [Member]	Mar. 31, 2013 Options and Warrants [Member]	Mar. 31, 2013 Unsubordinated Unsecured Note [Member]	Mar. 31, 2012 Senior Secured Revolving Credit Facility [Member]	Mar. 31, 2013 Senior Secured Revolving Credit Facility [Member]	Mar. 31, 2013 Senior Unsecured Notes [Member]	Mar. 31, 2012 Senior Unsecured Notes [Member]	Mar. 31, 2013 United States [Member]	Mar. 31, 2013 Accrued [Member]
Allowance for Doubtful Accounts Receivable	$ 3,700,000			$ 4,400,000
Cash and Cash Equivalents, at Carrying Value	7,709,000	8,466,000	8,416,000	8,627,000															2,200,000
Deferred Finance Costs, Gross																402,000	7,100,000			8,100,000
Deferred Financing Costs Incurred															30,000		22,000	12,000
Proceeds from Unsecured Notes Payable			250,000,000
Debt Instrument, Interest Rate, Stated Percentage			9.00%		9.00%	9.00%
Amortization of Financing Costs	580,000	514,000
Deferred Revenue	2,400,000			12,600,000
Deferred Costs, Current	1,800,000			9,100,000
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in Shares)	10,400,000												9,900,000	68,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross (in Shares)	365,000
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Total Fair Value	2,400,000
Share-based Compensation	4,131,000	4,696,000					728,000	2,200,000	2,900,000		149,000
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized									18,800,000		7,500,000	2,300,000
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Period for Recognition											2 years 255 days	2 years 6 months
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value	40,459,000								2,000,000
Stock Issued During Period, Shares, Restricted Stock Award, Gross (in Shares)	231,000									803,000
Accrued Share Based Compensation	446,000
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability	$ 9,000

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Note 4 - Property, Equipment and Leasehold Improvements (Detail) - Property, Equipment and Leasehold Improvements (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Dec. 31, 2012
Property, plant, and equipment	$ 21,806	$ 20,620
Less accumulated depreciation and amortization	11,674	10,287
Total	10,132	10,333
Building [Member]
Estimated useful lives	15
Property, plant, and equipment	600	600
Computer and Office Equipment [Member]
Estimated useful lives	3
Property, plant, and equipment	16,368	15,557
Furniture and Fixtures [Member] | Minimum [Member]
Estimated useful lives	3
Furniture and Fixtures [Member] | Maximum [Member]
Estimated useful lives	5
Furniture and Fixtures [Member]
Estimated useful lives
Property, plant, and equipment	2,878	2,586
Leasehold Improvements [Member] | Minimum [Member]
Estimated useful lives	Lease term
Leasehold Improvements [Member]
Property, plant, and equipment	$ 1,960	$ 1,877

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Note 10 - Long-Term Debt (Detail) - Future Maturities of Long-Term Debt (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013
Nine months ended December 31, 2013	$ 6,719
Year ended December 31:
2014	25,497
2015	0
2016	100,115
2017	0
Thereafter	250,000
Total	$ 382,331

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Consolidated Balance Sheets (unaudited) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013		Dec. 31, 2012
Current assets:
Cash and cash equivalents	$ 7,709		$ 8,627
Accounts receivable, net	147,795		144,676
Other receivables			21
Prepaid expenses	5,758		5,336
Deferred tax assets	18		16
Other current assets	1,141		1,213
Total current assets	162,421		159,889
Property, equipment and leasehold improvements, net	10,132		10,333
Goodwill	366,858		370,143
Intangible assets, net	136,223		152,896
Long-term accounts receivable, less current portion	31,870		31,708
Deferred tax assets, noncurrent	12,703		4,173
Deferred financing costs, net	9,713		10,258
Other assets	1,690		1,101
Total assets	731,610		740,501
Current liabilities:
Accounts payable	46,202		46,940
Accrued expenses	36,670		35,995
Accrued interest expense	4,928		10,918
Deferred revenue	4,374		3,951
Current portion of subordinated unsecured notes payable	279		275
Current portion of contingent earnout obligation	92		91
Current portion of working capital facilities	6,440		5,983
Other current liabilities	5,727		5,973
Total current liabilities	104,712		110,126
Senior unsecured notes payable	250,000		250,000
Senior secured revolving credit facility and working capital facilities, less current portion	125,307		128,402
Long-term subordinated unsecured notes payable, less current portion	305		300
Other long-term liabilities	7,342		7,525
Total liabilities	487,666		496,353
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $0.0001 par value; Authorized 50,000,000 shares; no shares issued and outstanding at December 31, 2012 and March 31, 2013	0		0
Common stock, $0.0001 par value; Authorized 250,000,000 shares; issued and outstanding 34,341,360 and 34,915,084 shares at December 31, 2012 and March 31, 2013, respectively	3		3
Additional paid-in capital	293,577		285,938
Accumulated other comprehensive income (loss)	(1,068)		3,183
Accumulated deficit	(40,080)		(36,488)
Treasury stock, at cost; Outstanding 905,349 shares at December 31, 2012 and March 31, 2013	(8,488)		(8,488)
Total stockholders’ equity	243,944	[1]	244,148	[1]
Total liabilities and stockholders' equity	$ 731,610		$ 740,501

[1] Includes intercompany investments in subsidiaries.

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Note 6 - Accrued Expenses (Detail) - Accrued Expenses (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013	Dec. 31, 2012
Accrued compensation and benefits	$ 8,329	$ 7,217
Accrued selling and professional fees	5,326	5,777
Accrued income and other taxes	2,741	2,384
Accrued medical panel fees	2,758	2,646
Accrued value added tax	14,599	14,872
Other accrued expenses	2,917	3,099
Total	$ 36,670	$ 35,995

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Note 1 - Nature of Operations and Basis of Presentation

3 Months Ended

Mar. 31, 2013

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 additional IME companies.  In 2012, ExamWorks, Inc. acquired three additional IME companies. To date, the Company has acquired 40 IME companies. As of March 31, 2013, ExamWorks, Inc. operates out of 57 service centers serving all 50 United States, Canada, the United Kingdom and Australia. In June 2010, ExamWorks, Inc. effected a corporate reorganization creating a holding company, ExamWorks Group, Inc., with ExamWorks, Inc. becoming a 100% 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, 2013 and for the periods ended March 31, 2012 and 2013 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, 2012 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, 2012, 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, 2013 are not necessarily indicative of the results that may be expected for the year ending December 31, 2013.

The consolidated financial statements include the accounts of ExamWorks and its 100% owned subsidiaries. Significant intercompany accounts and transactions have been eliminated in consolidation.

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Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Statement of Operations and Comprehensive Income (Loss) (USD $)	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Revenues	$ 148,703,000	$ 123,738,000
Costs of revenues	97,384,000	81,173,000
Selling, general and administrative expenses	33,257,000	28,632,000
Depreciation and amortization	16,326,000	14,025,000
Total costs and expenses	146,967,000	123,830,000
Income (loss) from operations	1,736,000	(92,000)
Interest and other expenses, net	7,530,000	6,573,000
Income (loss) before income taxes	(5,794,000)	(6,665,000)
Provision (benefit) for income taxes	(2,202,000)	(2,342,000)
Net loss	(3,592,000)	(4,323,000)
Foreign currency translation adjustments, net of tax	(4,251,000)	2,450,000
Total comprehensive income (loss)	(7,843,000)	(1,873,000)
Guarantor Subsidiaries [Member]
Revenues	91,178,000	87,195,000
Costs of revenues	64,131,000	60,415,000
Selling, general and administrative expenses	18,124,000	17,022,000
Depreciation and amortization	8,623,000	8,719,000
Total costs and expenses	90,878,000	86,156,000
Income (loss) from operations	300,000	1,039,000
Interest and other expenses, net	5,559,000	5,312,000
Income (loss) before income taxes	(5,259,000)	(4,273,000)
Provision (benefit) for income taxes	(3,058,000)	(2,485,000)
Net loss	(2,201,000)	(1,788,000)
Foreign currency translation adjustments, net of tax	(75,000)
Total comprehensive income (loss)	(2,276,000)	(1,788,000)
Non-Guarantor Subsidiaries [Member]
Revenues	57,525,000	36,543,000
Costs of revenues	33,253,000	20,758,000
Selling, general and administrative expenses	15,133,000	11,610,000
Depreciation and amortization	7,703,000	5,306,000
Total costs and expenses	56,089,000	37,674,000
Income (loss) from operations	1,436,000	(1,131,000)
Interest and other expenses, net	1,971,000	1,261,000
Income (loss) before income taxes	(535,000)	(2,392,000)
Provision (benefit) for income taxes	856,000	143,000
Net loss	(1,391,000)	(2,535,000)
Foreign currency translation adjustments, net of tax	(4,176,000)	2,450,000
Total comprehensive income (loss)	$ (5,567,000)	$ (85,000)

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Note 2 - Summary of Significant Accounting Policies (Detail) - Summary of Changes in Non Vested Restricted Shares and RSUs (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013
Number of awards nonvested	189,412
Weighted average grant date fair value of nonvested awards (in Dollars per share)	$ 13.68
Awards granted	508,690
Awards granted (in Dollars per share)	$ 14.08
Awards forfeited	(1,080)
Awards forfeited (in Dollars per share)	$ 14.05
Number of awards nonvested	697,022
Weighted average grant date fair value of nonvested awards (in Dollars per share)	$ 13.97

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Note 3 - Acquisitions (Tables)

3 Months Ended

Mar. 31, 2013

Schedule of Preliminary Purchase Price Allocation [Table Text Block]

	Preliminary purchase price allocation December 31, 2012			Adjustments/ reclassifications			Preliminary purchase price allocation March 31, 2013
Equipment and leasehold improvements	$	850		$	—		$	850
Customer relationships		44,413			—			44,413
Tradename		11,901			—			11,901
Covenants not to compete		313			—			313
Technology		666			—			666
Goodwill		60,373			(592	)		59,781
Net deferred tax liability associated with step-up in book basis		(9,610	)		—			(9,610	)
Assets acquired and liabilities assumed, net		269			592			861
Totals	$	109,175		$	—		$	109,175

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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, 2013	Dec. 31, 2012
Fair Value, Inputs, Level 2 [Member] | Interest Rate Swap [Member]
Financial Instruments	$ 53	$ 101
Fair Value, Inputs, Level 3 [Member] | Contingent Consideration [Member]
Financial Instruments	855	846
Interest Rate Swap [Member]
Financial Instruments	53	101
Contingent Consideration [Member]
Financial Instruments	$ 855	$ 846

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Note 5 - Goodwill and Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2013

Schedule of Goodwill [Table Text Block]

	December 31, 2012		March 31, 2013
Balance at  beginning of period	$	300,260	$	370,143
Goodwill acquired during the period		60,374		—
Adjustments to prior year acquisitions		7,109		(592	)
Effect of foreign currency translation		2,400		(2,693	)
Balance at end of period	$	370,143	$	366,858

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

				December 31, 2012
	Estimated useful lives (months)			Gross carrying amount		Accumulated amortization		Net carrying value
Amortizable intangible assets:
Customer relationships	40	to	60	$	204,699	$	(90,040)	$	114,659
Tradenames	45	to	84		60,620		(24,413)		36,207
Covenants not to compete		36			3,116		(2,313)		803
Technology	24	to	40		7,530		(6,303)		1,227
Totals				$	275,965	$	(123,069)	$	152,896

				March 31, 2013
	Estimated useful lives (months)			Gross carrying amount		Accumulated amortization		Net carrying value
Amortizable intangible assets:
Customer relationships	40	to	60	$	202,186	$	(100,126)	$	102,060
Tradenames	45	to	84		59,876		(27,103)		32,773
Covenants not to compete		36			3,102		(2,451)		651
Technology	24	to	40		7,382		(6,643)		739
Totals				$	272,546	$	(136,323)	$	136,223

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

	Amount
Nine months ended December 31, 2013	$	40,981
Year ended December 31:
2014		39,805
2015		29,769
2016		16,166
2017		9,088
Thereafter		414
Total	$	136,223

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Note 2 - Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2013

Significant Accounting Policies [Text Block]

(a)              Use of Estimates

The preparation of financial statements in conformity with U.S. generally accepted accounting principles ("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 the valuation of equity issued prior to the Company’s IPO, purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts, the portion of accounts receivable deemed to be long term in nature, the valuation of deferred tax assets 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 on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the year. Translation adjustments resulting from this process are recorded to other comprehensive income (loss) and are reported net of the effect of income taxes on the consolidated financial statements.

(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, 2012 and March 31, 2013.

(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 $4.4 million and $3.7 million as of December 31, 2012 and March 31, 2013, 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.  The Company assumes, that on average, all accounts receivable will be collected within one year and thus classifies these as current assets; however, there are certain receivables, principally in the U.K., that have aged longer than one year, and the Company has recorded an estimate for those receivables that will not be collected within one year as long term in the Consolidated Balance Sheets.

(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, 2012 and 2013, no individual customer accounted for more than 10% of revenues. At December 31, 2012 and March 31, 2013, there were no individual customers that accounted for greater than 10% of the accounts receivable balance.

As of March 31, 2013, the Company had cash and cash equivalents totaling approximately $7.7 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $2.2 million were held in the U.S. The U.S. amounts were insured in full against bank failure through December 31, 2012 under section 343 of the Dodd-Frank Wall Street Reform and Consumer Protection Act, which provided temporary unlimited deposit insurance coverage for non-interest-bearing transaction accounts at all FDIC-insured depository institutions. The temporary unlimited deposit insurance program, which expired on December 31, 2012, was offered by the FDIC in addition to, and separate from, the standard FDIC insurance coverage, which continues to exist, for deposit accounts up to $250,000, per depositor and account ownership category, at each separately insured depository institution.

(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, 2012 and March 31, 2013, 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 2012 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, 2012 and March 31, 2013. 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, 2013 of $8.1 million, of which $402,000 and $30,000 were incurred in the three months ended March 31, 2012 and 2013, respectively. 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 (“Initial Notes”). In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% Senior Notes due 2019 (the “Exchange Notes,” and together with the Initial Notes, the “Senior Unsecured Notes”) registered with the SEC with substantially identical terms to the Initial Notes. The Company has incurred deferred financing costs of $7.1 million associated with the Senior Unsecured Notes, of which $12,000 and $22,000 were incurred in the three months ended March 31, 2012 and 2013, respectively.

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, 2012 and 2013, the Company amortized $514,000 and $580,000 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 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 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, the contingency has been resolved and the cash has been collected.   As of December 31, 2012, the Company had deferred $12.6 million in contingent revenues and $9.1 million in costs and expenses associated with the contingent revenues.  For the three months ended March 31, 2013, the Company deferred an additional $2.4 million in contingent revenues and $1.8 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 other 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, warrants, shares of restricted stock with service restrictions that have not yet been satisfied and unvested restricted stock units (“RSUs”) is calculated using the treasury stock method.

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, 2013, the potentially dilutive securities include options, warrants, unvested RSUs and shares of restricted stock with a service restriction not yet satisfied exercisable into 10.4 million shares of common stock.

For the three months ended March 31, 2012 and 2013, 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, shares of restricted stock and RSUs.  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.

Stock Options

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 weighted average of the Company’s peer group’s median implied volatility, the Company’s mean reversion volatility and the median of the Company’s peer group’s most recent historical volatilities for 2013 stock option grants. Expected life assumptions are based upon the “simplified” method for those options issued in the first quarter of 2013 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, 2013 were as follows:

	Three months ended March 31, 2013
Volatility		48.66	%
Expected life (years)		6.00
Risk-free interest rate		1.02	%
Dividend yield		—
Fair value	$	6.63

In the three months ended March 31, 2013, the Company issued approximately 365,000 stock option awards to employees and the aggregate fair value was $2.4 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 $2.9 million for the three months ended March 31, 2013, of which $728,000 was included in costs of revenues and $2.2 million was recorded in SGA expenses.

At March 31, 2013, the unrecognized compensation expense related to stock option grants was $18.8 million, with a remaining weighted average life of 1.6 years.

A summary of option activity for the three months ended March 31, 2013 is as follows:

	Number of options			Weighted average exercise price		Weighted average remaining contractual life (years)		Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2012		9,463,657		$	11.76
Options granted		364,600			14.24
Options forfeited		(137,202	)		15.34
Options exercised		(334,121	)		8.58
Outstanding at March 31, 2013		9,356,934		$	11.93		7.9	$	61,857
Exercisable at March 31, 2013		5,158,810		$	10.63		7.4	$	40,459

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 months ended March 31, 2013 was $2.0 million.

Restricted Stock and Restricted Stock Units

The Company has granted members of the Board of Directors and certain employees, time lapse restricted stock and RSUs which vest after a stipulated number of years from the grant date depending on the terms of the issue. The fair value of shares of restricted stock and RSUs is determined based upon the market price of the underlying common stock as of the date of grant.  Time lapse restricted shares issued and RSUs vest over one, two and three-year periods.  The agreements under which the restricted stock and RSUs are issued provide that shares awarded may not be sold or otherwise transferred until restrictions established under the stock plans have been satisfied.  The restriction on these awards could expire earlier than the stipulated time frame in the event of a change in control or merger or other acquisition.  Share based compensation expense related to shares of restricted stock and RSUs was $149,000 and $803,000 in the three months ended March 31, 2012 and 2013, respectively, all of which is included in SGA expenses.

The following is a summary of non-vested restricted share and RSU activity for the three months ended March 31, 2013:

	Number of awards			Weighted average grant date fair value
Non-vested awards at December 31, 2012		189,412		$	13.68
Awards granted		508,690			14.08
Awards vested		—			—
Awards forfeited		(1,080	)		14.05
Non-vested awards at March 31, 2013		697,022		$	13.97

At December 31, 2012 and March 31, 2013, total unrecognized compensation cost related to non-vested restricted shares and RSUs was approximately $2.3 million and $7.5 million, respectively, which is expected to be recognized over a weighted average period of 2.5 years and 2.7 years, respectively.

During the three months ended March 31, 2013, the Company has accrued share-based compensation expense of $446,000 related to a 2013 incentive compensation plan, all of which was recorded in SGA expenses.  The compensation plan has both a 2013 annual performance metric and subsequent service requirement.  If the performance metric is met, the associated liability will be settled in the first quarter of 2014 with an indeterminate number of restricted shares which will vest equally on June 1, 2014 and June 1, 2015.

(o)              Fair Value Measurements

The Company’s financial liabilities, which are measured at fair value on a recurring basis, in accordance with ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”), are categorized using the fair value hierarchy at December 31, 2012 and March 31, 2013, and are as follows (in thousands):

	Level 1		Level 2		Level 3		Total
As of December 31, 2012
Financial instruments:
Interest rate swap	$	—	$	101	$	—	$	101
Contingent consideration		—		—		846		846
As of March 31, 2013
Financial instruments:
Interest rate swap	$	—	$	53	$	—	$	53
Contingent consideration		—		—		855		855

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 earnout provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010. The total increase in fair value of the contingent consideration of $9,000 in the three months ended March 31, 2013 was recorded in interest and other expenses, net in the Consolidated Statements of Comprehensive Loss due to changes in the fair value of the contingent consideration.  

In February 2007, the FASB issued authoritative guidance codified as ASC Topic 825 Financial Instruments (“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 years ended December 31, 2012, and as of and for the three months ended March 31, 2013, respectively.

(p)              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 U.S. 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, reported net of tax as appropriate, from those business units not using the U.S. dollar as their functional currency.

(q)              Recent Accounting Pronouncements

Recently Adopted Accounting Pronouncements

In February 2013 the FASB issued ASU No. 2013-02, “Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income.” This update amends Accounting Standards Codification (ASC) Topic 220, “Comprehensive Income,” to require reporting entities to provide information about the amounts reclassified from accumulated other comprehensive income by component. In addition, reporting entities will be required to present, either on the face of the statement of operations or in the footnotes to the financial statements, significant amounts reclassified from accumulated other comprehensive income by statement of operations line item. ASU 2013-02 is effective prospectively for reporting periods beginning after December 15, 2012.  The Company adopted these provisions effective January 1, 2013 and the adoption of these provisions did not have a material impact on its financial position, results of operations and cash flows.

There were various other accounting standards and interpretations issued during 2013 the Company has not yet been required to adopt, none of which are expected to have a material impact on its financial position, results of operations and cash flows.

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Consolidated Balance Sheets (unaudited) (Parentheticals) (USD $)	Mar. 31, 2013	Dec. 31, 2012
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, par value (in Dollars per share)	$ 0.0001	$ 0.0001
Common stock, shares authroized	250,000,000	250,000,000
Common stock, shares issued	34,915,084	34,341,360
Common stock, shares outstanding	34,915,084	34,341,360
Treasury stock, shares	905,349	905,349

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Note 12 - Income Taxes

3 Months Ended

Mar. 31, 2013

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

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, 2012, the liability related to unrecognized tax benefits was approximately $327,000. The Company recorded an additional liability of $6,000 in the three months ended March 31, 2013 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, 2013 (in thousands):

Balance at January 1, 2013	$	327
Increase to prior year tax positions		6
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, 2013	$	333

The Company is no longer subject to U.S. federal income or state tax return examinations by tax authorities for tax years before 2008 and 2007, respectively, which periods relate to certain acquired businesses. 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 12 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.

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Document And Entity Information	3 Months Ended
	Mar. 31, 2013	May 01, 2013
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		35,053,934
Amendment Flag	false
Entity Central Index Key	0001498021
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Accelerated Filer
Entity Well-known Seasoned Issuer	Yes
Document Period End Date	Mar. 31, 2013
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	Q1

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Note 13 - Segment and Geographical Information

3 Months Ended

Mar. 31, 2013

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 by geography is as follows (in thousands):

Revenues:	For the three months ended March 31,
	2012		2013
United States	$	87,195	$	91,178
Canada		6,886		7,421
United Kingdom		29,657		33,767
Australia		—		16,337
Total	$	123,738	$	148,703

Long-lived assets: (1)	December 31, 2012		March 31, 2013
United States	$	337,831	$	329,947
Canada		34,919		31,995
United Kingdom		99,140		92,641
Australia		94,291		92,190
Total	$	566,181	$	546,773

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

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Consolidated Statements of Comprehensive Loss (unaudited) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Revenues	$ 148,703	$ 123,738
Costs and expenses:
Costs of revenues	97,384	81,173
Selling, general and administrative expenses	33,257	28,632
Depreciation and amortization	16,326	14,025
Total costs and expenses	146,967	123,830
Income (loss) from operations	1,736	(92)
Interest and other expenses, net:
Interest expense, net	7,578	6,462
Other expense		165
Gain on interest rate swap	(48)	(54)
Total interest and other expenses, net	7,530	6,573
Loss before income taxes	(5,794)	(6,665)
Benefit for income taxes	(2,202)	(2,342)
Net loss	(3,592)	(4,323)
Net loss per share:
Basic and diluted (in Dollars per share)	$ (0.10)	$ (0.13)
Weighted average number of common shares outstanding:
Basic and diluted (in Shares)	34,464,664	34,085,761
Comprehensive Loss:
Net loss	(3,592)	(4,323)
Foreign currency translation adjustments, net of tax	(4,251)	2,450
Total comprehensive loss	$ (7,843)	$ (1,873)

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Note 7 - Stockholders' Equity

3 Months Ended

Mar. 31, 2013

Stockholders' Equity Note Disclosure [Text Block]

(7)              Stockholders’ Equity

During the three months ended March 31, 2013, the Company issued approximately 303,000 shares of common stock to settle options exercised during the period.

During the three months ended March 31, 2013, the Company issued approximately 40,000 shares of common stock to settle warrants exercised during the period.

During the three months ended March 31, 2013, the Company issued approximately 231,000 shares of restricted stock with a fair value of $3.2 million to certain officers and employees for services to be provided during the next three years.  The Company will record the expense related to these awards in SGA expenses over the requisite service period.

During the three months ended March 31, 2013, the Company did not repurchase any shares under the share repurchase program.  As of March 31, 2013, the Company has approximately 905,000 shares of common stock held as treasury shares with an average value of $9.38 per share, and the ability to repurchase an additional $10.2 million in shares of its common stock.

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Note 6 - Accrued Expenses

3 Months Ended

Mar. 31, 2013

Accounts Payable and Accrued Liabilities Disclosure [Text Block]

(6)              Accrued Expenses

Accrued expenses at December 31, 2012 and March 31, 2013 consist of the following (in thousands):

	December 31, 2012		March 31, 2013
Accrued compensation and benefits	$	7,217	$	8,329
Accrued selling and professional fees		5,777		5,326
Accrued income and other taxes		2,384		2,741
Accrued medical panel fees		2,646		2,758
Accrued value added tax		14,872		14,599
Other accrued expenses		3,099		2,917
Total	$	35,995	$	36,670

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

3 Months Ended

Mar. 31, 2013

Property, Plant and Equipment [Table Text Block]

	Estimated useful lives (years)			December 31, 2012		March 31, 2013
Building		15		$	600	$	600
Computer and office equipment		3			15,557		16,368
Furniture and fixtures	3	to	5		2,586		2,878
Leasehold improvements	Lease term				1,877		1,960
					20,620		21,806
Less accumulated depreciation and amortization					10,287		11,674
Total				$	10,333	$	10,132

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Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries

3 Months Ended

Mar. 31, 2013

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 100% 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, 2012 and March 31, 2013, and for the three months ended March 31, 2012 and 2013 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 100% owned subsidiaries. On August 31, 2012, the Company acquired 100% of the outstanding common stock of MedHealth Holdings Pty Limited ("MedHealth"), an Australian entity. In connection with this acquisition, the Company formed a new Delaware holding company, ExamWorks AP, Inc. (“ExamWorks AP”). ExamWorks AP was added to the Indenture as a guarantor of the Senior Unsecured Notes and is a direct subsidiary of the Company.

Condensed Consolidating Statement of Comprehensive Loss 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	)
Comprehensive Loss:
Net loss	$	(1,788	)	$	(2,535	)	$	—	$	(4,323	)
Foreign currency translation adjustments, net of tax		—			2,450			—		2,450
Total comprehensive loss	$	(1,788	)	$	(85	)	$	—	$	(1,873	)

Condensed Consolidating Statement of Comprehensive Loss for the three months ended March 31, 2013

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)		Consolidated Totals
Revenues	$	91,178		$	57,525		$	—	$	148,703
Costs and expenses:
Costs of revenues		64,131			33,253			—		97,384
Selling, general and administrative expenses		18,124			15,133			—		33,257
Depreciation and amortization		8,623			7,703			—		16,326
Total costs and expenses		90,878			56,089			—		146,967
Income from operations		300			1,436			—		1,736
Interest and other expenses, net		5,559			1,971			—		7,530
Loss before income taxes		(5,259	)		(535	)		—		(5,794	)
Provision (benefit) for income taxes		(3,058	)		856			—		(2,202	)
Net loss	$	(2,201	)	$	(1,391	)	$	—	$	(3,592	)
Comprehensive Loss:
Net loss	$	(2,201	)	$	(1,391	)	$	—	$	(3,592	)
Foreign currency translation adjustments, net of tax		(75	)		(4,176	)		—		(4,251	)
Total comprehensive loss	$	(2,276	)	$	(5,567	)	$	—	$	(7,843	)

Condensed Consolidating Balance Sheet as of December 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	$	4,125	$	4,502	$	—		$	—		$	8,627
Accounts receivable, net		43,939		100,737		—			—			144,676
Other receivables		17		4		—			—			21
Prepaid expenses		2,723		2,613		—			—			5,336
Deferred tax assets		37		—		—			(21	)		16
Other current assets		—		1,213		—			—			1,213
Total current assets		50,841		109,069		—			(21	)		159,889
Property, equipment and leasehold improvements, net		8,339		1,994		—			—			10,333
Goodwill		258,890		111,253		—			—			370,143
Intangible assets, net		62,420		90,476		—			—			152,896
Long-term accounts receivable, less current portion		—		31,708		—			—			31,708
Deferred tax assets, noncurrent		61		4,112		—			—			4,173
Deferred financing costs, net		—		—		10,258			—			10,258
Other assets		495		606		—			—			1,101
Total assets	$	381,046	$	349,218	$	10,258		$	(21	)	$	740,501
Liabilities and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable	$	14,756	$	32,184	$	—		$	—		$	46,940
Accrued expenses		8,067		27,928		—			—			35,995
Accrued interest expense		—		—		10,918			—			10,918
Deferred revenue		103		3,848		—			—			3,951
Current portion of subordinated unsecured notes payable		275		—		—			—			275
Deferred tax liability		—		21		—			(21	)		—
Current portion of contingent earnout obligation		91		—		—			—			91
Current portion of working capital facilities		—		5,983		—			—			5,983
Other current liabilities		2,226		3,747		—			—			5,973
Total current liabilities		25,518		73,711		10,918			(21	)		110,126
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		—		28,476		99,926			—			128,402
Long-term subordinated unsecured notes payable, less current portion		300		—		—			—			300
Other long-term liabilities		1,493		6,032		—			—			7,525
Total liabilities		27,311		108,219		360,844			(21	)		496,353
Commitments and contingencies
Stockholders’ equity (deficit) (1)		353,735		240,999		(350,586	)		—			244,148
Total liabilities and stockholders' equity (deficit)	$	381,046	$	349,218	$	10,258		$	(21	)	$	740,501

(1) Includes intercompany investments in subsidiaries.

Condensed Consolidating Balance Sheet as of March 31, 2013

(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	$	2,208	$	5,501	$	—		$	—		$	7,709
Accounts receivable, net		45,810		101,985		—			—			147,795
Other receivables		—		—		—			—			—
Prepaid expenses		2,516		3,242		—			—			5,758
Deferred tax assets		22		—		—			(4	)		18
Other current assets		—		1,141		—			—			1,141
Total current assets		50,556		111,869		—			(4	)		162,421
Property, equipment and leasehold improvements, net		8,037		2,095		—			—			10,132
Goodwill		248,900		117,958		—			—			366,858
Intangible assets, net		54,987		81,236		—			—			136,223
Long-term accounts receivable, less current portion		—		31,870		—			—			31,870
Deferred tax assets, noncurrent		8,003		4,700		—			—			12,703
Deferred financing costs, net		—		—		9,713			—			9,713
Other assets		492		1,198		—			—			1,690
Total assets	$	370,975	$	350,926	$	9,713		$	(4	)	$	731,610
Liabilities and Stockholders’ Equity (Deficit)
Current liabilities:
Accounts payable	$	13,584	$	32,618	$	—		$	—		$	46,202
Accrued expenses		7,809		28,861		—			—			36,670
Accrued interest expense		—		—		4,928			—			4,928
Deferred revenue		94		4,280		—			—			4,374
Current portion of subordinated unsecured notes payable		279		—		—			—			279
Deferred tax liability		—		4		—			(4	)		—
Current portion of contingent earnout obligation		92		—		—			—			92
Current portion of working capital facilities		—		6,440		—			—			6,440
Other current liabilities		1,809		3,918		—			—			5,727
Total current liabilities		23,667		76,121		4,928			(4	)		104,712
Senior unsecured notes payable		—		—		250,000			—			250,000
Senior secured revolving credit facility and working capital facilities, less current portion		—		25,192		100,115			—			125,307
Long-term subordinated unsecured notes payable, less current portion		305		—		—			—			305
Other long-term liabilities		1,459		5,883		—			—			7,342
Total liabilities		25,431		107,196		355,043			(4	)		487,666
Commitments and contingencies
Stockholders’ equity (deficit) (1)		345,544		243,730		(345,330	)		—			243,944
Total liabilities and stockholders’ equity (deficit)	$	370,975	$	350,926	$	9,713		$	(4	)	$	731,610

(1) Includes intercompany investments in subsidiaries.

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	)
Repayment of subordinated unsecured notes payable		(546	)		—			—			(546	)
Payment of deferred financing costs		—			—			(414	)		(414	)
Net repayments of working capital facilities		—			(3,789	)		—			(3,789	)
Repayment under senior secured revolving credit facility		—			—			(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

Condensed Consolidating Statement of Cash Flows for the three months ended March 31, 2013

(In thousands)

	Guarantor Subsidiaries			Non-Guarantor Subsidiaries			ExamWorks Group, Inc. (Parent Corporation)			Consolidated Totals
Net cash provided by (used in) operating activities	$	(3,794	)	$	2,684		$	—		$	(1,110	)
Investing activities:
Purchases of equipment and leasehold improvements, net		(919	)		(851	)		—			(1,770	)
Net cash used in investing activities		(919	)		(851	)		—			(1,770	)
Financing activities:
Borrowings under senior secured revolving credit facility		—			—			10,000			10,000
Proceeds from the exercise of options and warrants		—			—			2,441			2,441
Excess tax benefit related to share-based compensation		—			—			407			407
Payment of deferred financing costs		—			—			(52	)		(52	)
Net repayments of working capital facilities		—			(800	)		—			(800	)
Repayment under senior secured revolving credit facility		—			—			(10,000	)		(10,000	)
Intercompany investments and other		2,796			—			(2,796	)		—
Net cash provided by (used in) financing activities		2,796			(800	)		—			1,996
Exchange rate impact on cash and cash equivalents		—			(34	)		—			(34	)
Net increase (decrease) in cash and cash equivalents		(1,917	)		999			—			(918	)
Cash and cash equivalents, beginning of period		4,125			4,502			—			8,627
Cash and cash equivalents, end of period	$	2,208		$	5,501		$	—		$	7,709

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Note 10 - Long-Term Debt

3 Months Ended

Mar. 31, 2013

Debt Disclosure [Text Block]

(10)            Long-Term Debt

	December 31, 2012		March 31, 2013
	(In thousands)
Senior Unsecured Notes Payable (a)	$	250,000	$	250,000
Senior Secured Revolving Credit Facility, Bank of America, N.A. (b)		99,926		100,115
Working capital facilities, Barclays (c)		34,459		31,632
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)		575		584
		384,960		382,331
Less current portion		6,258		6,719
	$	378,702	$	375,612

(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 “Initial Notes”). The Initial Notes were issued at a price of 100% of their principal amount. 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 was used for general corporate purposes, including acquisitions. In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% senior notes due 2019 (the “Exchange Notes,” and together with the Initial Notes, the “Senior Unsecured Notes”) registered with the SEC with substantially identical terms to the Initial Notes. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks’ existing and future U.S. subsidiaries (the “Guarantors”).

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.

(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 any fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for any fiscal quarter ending thereafter, 2.00 to 1.00.

On August 27, 2012, the Company entered into a fourth amendment to its Senior Secured Revolving Credit Facility (the “Fourth Amendment”). The Fourth Amendment amended the Senior Secured Revolving Credit Facility to add the Australian dollar as an alternative currency and increased the alternative currency sublimit from USD $60.0 million to USD $100.0 million.

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 Senior Secured 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 2.00%.

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, 2013, the Company had $100.1 million outstanding under the Senior Secured Revolving Credit Facility, resulting in $162.4 million of undrawn commitments.  Of the total amount outstanding as of March 31, 2013, $52.1 million was denominated in Australian dollars (“AUD”) with the balance denominated in U.S. dollars. 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 100% owned subsidiary 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, 2013) and serves to finance UKIM’s unpaid account receivables.  The working capital facility has a minimum term of 36 months. 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, 2013, UKIM had $6.4 million outstanding under the working capital facility, resulting in approximately $1.2 million in availability.

On May 12, 2011, the Company’s indirect 100% 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, 2013) and serves to finance Premex’s unpaid account receivables.  The working capital facility has a minimum term of 36 months. 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, 2013, Premex had $25.2 million outstanding under the working capital facility, resulting in approximately $15.1 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 $6.9 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, $2.5 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $750,000, maturing in 2014. The Company did not make any principal payments during the three months ended March 31, 2013.

As of March 31, 2013, future maturities of long-term debt were as follows (in thousands):

	Amount
Nine months ended December 31, 2013	$	6,719
Year ended December 31:
2014		25,497
2015		—
2016		100,115
2017		—
Thereafter		250,000
Total	$	382,331

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Note 14 - Condensed Consolidating Financial Information of Guarantor Subsidiaries (Detail) - Condensed Consolidating Balance Sheet (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013		Dec. 31, 2012		Mar. 31, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 7,709		$ 8,627		$ 8,466	$ 8,416
Accounts receivable, net	147,795		144,676
Other receivables			21
Prepaid expenses	5,758		5,336
Deferred tax assets	18		16
Other current assets	1,141		1,213
Total current assets	162,421		159,889
Property, equipment and leasehold improvements, net	10,132		10,333
Goodwill	366,858		370,143			300,260
Intangible assets, net	136,223		152,896
Long-term accounts receivable, less current portion	31,870		31,708
Deferred tax assets, noncurrent	12,703		4,173
Deferred financing costs, net	9,713		10,258
Other assets	1,690		1,101
Total assets	731,610		740,501
Current liabilities:
Accounts payable	46,202		46,940
Accrued expenses	36,670		35,995
Accrued interest expense	4,928		10,918
Deferred revenue	4,374		3,951
Current portion of subordinated unsecured notes payable	279		275
Current portion of contingent earnout obligation	92		91
Current portion of working capital facilities	6,440		5,983
Other current liabilities	5,727		5,973
Total current liabilities	104,712		110,126
Senior unsecured notes payable	250,000		250,000
Senior revolving credit facility and working capital facilities	125,307		128,402
Long-term contingent earnout obligation, less current portion	305		300
Other long-term liabilities	7,342		7,525
Total liabilities	487,666		496,353
Stockholders’ equity (deficit) (1)	243,944	[1]	244,148	[1]
Total liabilities and stockholders' equity (deficit)	731,610		740,501
Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	2,208		4,125
Accounts receivable, net	45,810		43,939
Other receivables			17
Prepaid expenses	2,516		2,723
Deferred tax assets	22		37
Total current assets	50,556		50,841
Property, equipment and leasehold improvements, net	8,037		8,339
Goodwill	248,900		258,890
Intangible assets, net	54,987		62,420
Deferred tax assets, noncurrent	8,003		61
Other assets	492		495
Total assets	370,975		381,046
Current liabilities:
Accounts payable	13,584		14,756
Accrued expenses	7,809		8,067
Deferred revenue	94		103
Current portion of subordinated unsecured notes payable	279		275
Current portion of contingent earnout obligation	92		91
Other current liabilities	1,809		2,226
Total current liabilities	23,667		25,518
Long-term contingent earnout obligation, less current portion	305		300
Other long-term liabilities	1,459		1,493
Total liabilities	25,431		27,311
Stockholders’ equity (deficit) (1)	345,544	[1]	353,735	[1]
Total liabilities and stockholders' equity (deficit)	370,975		381,046
Non-Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	5,501		4,502
Accounts receivable, net	101,985		100,737
Other receivables			4
Prepaid expenses	3,242		2,613
Other current assets	1,141		1,213
Total current assets	111,869		109,069
Property, equipment and leasehold improvements, net	2,095		1,994
Goodwill	117,958		111,253
Intangible assets, net	81,236		90,476
Long-term accounts receivable, less current portion	31,870		31,708
Deferred tax assets, noncurrent	4,700		4,112
Other assets	1,198		606
Total assets	350,926		349,218
Current liabilities:
Accounts payable	32,618		32,184
Accrued expenses	28,861		27,928
Deferred revenue	4,280		3,848
Deferred tax liability	4
Deferred tax liability			21
Current portion of working capital facilities	6,440		5,983
Other current liabilities	3,918		3,747
Total current liabilities	76,121		73,711
Senior revolving credit facility and working capital facilities	25,192		28,476
Other long-term liabilities	5,883		6,032
Total liabilities	107,196		108,219
Stockholders’ equity (deficit) (1)	243,730	[1]	240,999	[1]
Total liabilities and stockholders' equity (deficit)	350,926		349,218
Parent Company [Member]
Current assets:
Deferred financing costs, net	9,713		10,258
Total assets	9,713		10,258
Current liabilities:
Accrued interest expense	4,928		10,918
Total current liabilities	4,928		10,918
Senior unsecured notes payable	250,000		250,000
Senior revolving credit facility and working capital facilities	100,115		99,926
Total liabilities	355,043		360,844
Stockholders’ equity (deficit) (1)	(345,330)	[1]	(350,586)	[1]
Total liabilities and stockholders' equity (deficit)	9,713		10,258
Consolidation, Eliminations [Member]
Current assets:
Deferred tax assets	(4)		(21)
Total current assets	(4)		(21)
Total assets	(4)		(21)
Current liabilities:
Deferred tax liability	(4)
Deferred tax liability			(21)
Total current liabilities	(4)		(21)
Total liabilities	(4)		(21)
Stockholders’ equity (deficit) (1)		[1]		[1]
Total liabilities and stockholders' equity (deficit)	$ (4)		$ (21)

[1] Includes intercompany investments in subsidiaries.

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Note 8 - Related Party Transactions

3 Months Ended

Mar. 31, 2013

Related Party Transactions Disclosure [Text Block]

(8)              Related Party Transactions

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, 2012 and 2013, the Company paid Compass $32,000 and $34,000 in rental payments, respectively.

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Note 9 - Commitments and Contingencies

3 Months Ended

Mar. 31, 2013

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 2013 through 2023.

Future minimum lease payments under the operating leases for the nine months ended December 31, 2013 and in each of the years subsequent to December 31, 2013 are as follows (in thousands):

	Amount
Nine months ended December 31, 2013	$	8,737
Year ended December 31:
2014		10,264
2015		8,869
2016		6,152
2017		4,286
Thereafter		6,819
Total	$	45,127

Related rent expense was $2.3 million and $3.0 million for the three months ended March 31, 2012 and 2013, respectively.

(b)               Employee Benefit Plans

The Company and certain of its subsidiaries each sponsor separate voluntary defined contribution pension plans. The plans cover employees that meet specific age and length of service requirements. The Company and certain of its subsidiaries have various matching and vesting arrangements within their individual plans. For the three months ended March 31, 2012 and 2013, the Company recorded $98,000 and $139,000 in compensation expense related to these plans, respectively.

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Note 11 - Financial Instruments

3 Months Ended

Mar. 31, 2013

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 $4.8 million and $4.4 million as of December 31, 2012 and March 31, 2013, 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, 2012 and 2013 of $54,000 and $48,000 respectively, and such amount was reported in interest and other expenses, net on the accompanying Consolidated Statements of Comprehensive Loss.

In September 2012, in order to protect against foreign currency exposure on its Australian operations, the Company borrowed in Australian dollars as a hedge of its net investment in Australia related to the MedHealth acquisition. The Company has outstanding debt of approximately AUD$50.0 million that is designated as a hedge of its net investment in Australia as of December 31, 2012 and March 31, 2013. This non-derivative net investment hedge was classified as long-term debt in the Company’s Consolidated Balance Sheets. In accordance with ASC 815, the translation of this debt instrument designated as a net investment hedge is recorded in accumulated other comprehensive loss, offsetting the currency translation adjustment of the related net investment that is also recorded in accumulated other comprehensive loss. This instrument will mature in conjunction with amounts outstanding under the Senior Secured Revolving Credit Facility.

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

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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, 2013
Outstanding at December 31, 2012	9,463,657
Outstanding at December 31, 2012 (in Dollars per share)	$ 11.76
Outstanding at March 31, 2013	9,356,934
Outstanding at March 31, 2013 (in Dollars per share)	$ 11.93
Outstanding at March 31, 2013	7 years 328 days
Outstanding at March 31, 2013 (in Dollars)	$ 61,857
Exercisable at March 31, 2013	5,158,810
Exercisable at March 31, 2013 (in Dollars per share)	$ 10.63
Exercisable at March 31, 2013	7 years 146 days
Exercisable at March 31, 2013 (in Dollars)	$ 40,459
Options granted	365,000
Options granted (in Dollars per share)	$ 14.24
Options forfeited	(137,202)
Options forfeited (in Dollars per share)	$ 15.34
Options exercised	(334,121)
Options exercised (in Dollars per share)	$ 8.58

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Note 10 - Long-Term Debt (Detail) - Debt (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013		Dec. 31, 2012
	$ 382,331		$ 384,960
Less current portion	6,719		6,258
	375,612		378,702
Senior Unsecured Notes Payable [Member]
Unsecured notes payable	250,000	[1]	250,000	[1]
Senior Secured Revolving Credit Facility [Member]
Revolving credit facilities	100,115	[2]	99,926	[2]
Working Capital Facilities [Member]
Revolving credit facilities	31,632	[3]	34,459	[3]
Various Unsecured Notes Payable [Member]
Unsecured notes payable	$ 584	[4]	$ 575	[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 "Initial Notes"). The Initial Notes were issued at a price of 100% of their principal amount. 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 was used for general corporate purposes, including acquisitions. In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% senior notes due 2019 (the "Exchange Notes," and together with the Initial Notes, the "Senior Unsecured Notes") registered with the SEC with substantially identical terms to the Initial Notes. The Senior Unsecured Notes are senior obligations of ExamWorks and are guaranteed by ExamWorks' existing and future U.S. subsidiaries (the "Guarantors"). 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.

[2] The Company entered into a Senior Secured Revolving Credit Facility agreement dated November 2, 2010 with Bank of America, N.A. The facility initially consisted of a $180.0 million revolving credit facility. The 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 any fiscal quarter ending during the period from December 31, 2011 to and including September 30, 2012, 1.75 to 1.00 and (ii) for any fiscal quarter ending thereafter, 2.00 to 1.00. On August 27, 2012, the Company entered into a fourth amendment to its Senior Secured Revolving Credit Facility (the "Fourth Amendment"). The Fourth Amendment amended the Senior Secured Revolving Credit Facility to add the Australian dollar as an alternative currency and increased the alternative currency sublimit from USD $60.0 million to USD $100.0 million. 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: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, 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.s of December 31, 2012, the Company had $99.9 million outstanding under the Senior Secured Revolving Credit Facility, bearing interest at a rate of LIBOR plus 3.00%, resulting in $162.6 million of undrawn commitments. Of the total amount outstanding as of December 31, 2012, $51.9 million was denominated in Australian dollars ("AUD") with the balance denominated in U.S. dollars. 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.

[3] On September 29, 2010, the Company's indirect 100% owned subsidiary 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 December 31, 2012) and serves to finance UKIM's unpaid account receivables. The working capital facility has a minimum term of 36 months. 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 December 31, 2012, the Company had $6.0 million outstanding under the working capital facility, resulting in approximately $2.1 million in availability. On May 12, 2011, the Company's indirect 100% 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 December 31, 2012) and serves to finance Premex's unpaid account receivables. The working capital facility has a minimum term of 36 months. 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 December 31, 2012, the Company had $28.5 million outstanding under the working capital facility, resulting in approximately $14.4 million in availability.

[4] During 2009 and 2010, the Company issued seller debt in the form of subordinated unsecured notes payable with an estimated fair value of approximately $6.9 million relating to certain acquisitions (see Note 3). 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, $2.5 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $750,000, maturing in 2014. The Company made principal payments totaling $2.2 million during the year ended December 31, 2012.

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Note 2 - Summary of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2013

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

	Three months ended March 31, 2013
Volatility		48.66	%
Expected life (years)		6.00
Risk-free interest rate		1.02	%
Dividend yield		—
Fair value	$	6.63

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

	Number of options			Weighted average exercise price		Weighted average remaining contractual life (years)		Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2012		9,463,657		$	11.76
Options granted		364,600			14.24
Options forfeited		(137,202	)		15.34
Options exercised		(334,121	)		8.58
Outstanding at March 31, 2013		9,356,934		$	11.93		7.9	$	61,857
Exercisable at March 31, 2013		5,158,810		$	10.63		7.4	$	40,459

Schedule of Share-based Compensation, Restricted Stock and Restricted Stock Units Activity [Table Text Block]

	Number of awards			Weighted average grant date fair value
Non-vested awards at December 31, 2012		189,412		$	13.68
Awards granted		508,690			14.08
Awards vested		—			—
Awards forfeited		(1,080	)		14.05
Non-vested awards at March 31, 2013		697,022		$	13.97

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, 2012
Financial instruments:
Interest rate swap	$	—	$	101	$	—	$	101
Contingent consideration		—		—		846		846
As of March 31, 2013
Financial instruments:
Interest rate swap	$	—	$	53	$	—	$	53
Contingent consideration		—		—		855		855

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Note 9 - Commitments and Contingencies (Tables)

3 Months Ended

Mar. 31, 2013

Operating Leases of Lessee Disclosure [Table Text Block]

	Amount
Nine months ended December 31, 2013	$	8,737
Year ended December 31:
2014		10,264
2015		8,869
2016		6,152
2017		4,286
Thereafter		6,819
Total	$	45,127

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Note 9 - Commitments and Contingencies (Detail) - Future Minimum Lease Payments (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013
Nine months ended December 31, 2013	$ 8,737
Year ended December 31:
2014	10,264
2015	8,869
2016	6,152
2017	4,286
Thereafter	6,819
Total	$ 45,127

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Note 5 - Goodwill and Intangible Assets (Detail) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Amortization of Intangible Assets	$ 14.9	$ 12.8

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Consolidated Statements of Cash Flows (unaudited) (USD $)	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Operating activities:
Net loss	$ (3,592,000)	$ (4,323,000)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Gain on interest rate swap	(48,000)	(54,000)
Depreciation and amortization	16,326,000	14,025,000
Amortization of deferred rent	(19,000)	(143,000)
Share-based compensation	4,131,000	4,696,000
Excess tax benefit related to share-based compensation	(407,000)
Provision for doubtful accounts	920,000	1,095,000
Amortization of deferred financing costs	580,000	514,000
Deferred income taxes	(6,037,000)	(3,937,000)
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable	(11,725,000)	(4,910,000)
Prepaid expenses and other current assets	(198,000)	(357,000)
Accounts payable and accrued expenses	4,643,000	3,469,000
Accrued interest expense	(5,990,000)	(5,428,000)
Deferred revenue and customer deposits	666,000	539,000
Other liabilities	(360,000)	(387,000)
Net cash provided by (used in) operating activities	(1,110,000)	4,799,000
Investing activities:
Purchases of equipment and leasehold improvements, net	(1,770,000)	(552,000)
Working capital and other settlements for acquisitions		908,000
Net cash provided by (used in) investing activities	(1,770,000)	356,000
Financing activities:
Borrowings under senior secured revolving credit facility	10,000,000	11,000,000
Proceeds from the exercise of options and warrants	2,441,000	50,000
Excess tax benefit related to share-based compensation	407,000
Purchases of stock for treasury		(387,000)
Repayment of subordinated unsecured notes payable		(546,000)
Payment of deferred financing costs	(52,000)	(414,000)
Net repayments under working capital facilities	(800,000)	(3,789,000)
Repayment under senior secured revolving credit facility	(10,000,000)	(11,000,000)
Other		(95,000)
Net cash provided by (used in) financing activities	1,996,000	(5,181,000)
Exchange rate impact on cash and cash equivalents	(34,000)	76,000
Net increase (decrease) in cash and cash equivalents	(918,000)	50,000
Cash and cash equivalents, beginning of period	8,627,000	8,416,000
Cash and cash equivalents, end of period	7,709,000	8,466,000
Supplemental disclosures of cash flow information:
Cash paid for interest	12,796,000	11,570,000
Cash paid for income taxes	$ 3,404,000	$ 1,228,000

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Note 5 - Goodwill and Intangible Assets

3 Months Ended

Mar. 31, 2013

Goodwill and Intangible Assets Disclosure [Text Block]

 (5)             Goodwill and Intangible Assets

 Goodwill at December 31, 2012 and March 31, 2013 consists of the following (in thousands):

	December 31, 2012		March 31, 2013
Balance at  beginning of period	$	300,260	$	370,143
Goodwill acquired during the period		60,374		—
Adjustments to prior year acquisitions		7,109		(592	)
Effect of foreign currency translation		2,400		(2,693	)
Balance at end of period	$	370,143	$	366,858

Intangible assets at December 31, 2012 and March 31, 2013, consist of the following (in thousands):

				December 31, 2012
	Estimated useful lives (months)			Gross carrying amount		Accumulated amortization		Net carrying value
Amortizable intangible assets:
Customer relationships	40	to	60	$	204,699	$	(90,040)	$	114,659
Tradenames	45	to	84		60,620		(24,413)		36,207
Covenants not to compete		36			3,116		(2,313)		803
Technology	24	to	40		7,530		(6,303)		1,227
Totals				$	275,965	$	(123,069)	$	152,896

				March 31, 2013
	Estimated useful lives (months)			Gross carrying amount		Accumulated amortization		Net carrying value
Amortizable intangible assets:
Customer relationships	40	to	60	$	202,186	$	(100,126)	$	102,060
Tradenames	45	to	84		59,876		(27,103)		32,773
Covenants not to compete		36			3,102		(2,451)		651
Technology	24	to	40		7,382		(6,643)		739
Totals				$	272,546	$	(136,323)	$	136,223

The aggregate intangible amortization expense was $12.8 million and $14.9 million for the three months ended March 31, 2012 and 2013, respectively. The estimated future amortization expense of intangible assets is as follows (in thousands):

	Amount
Nine months ended December 31, 2013	$	40,981
Year ended December 31:
2014		39,805
2015		29,769
2016		16,166
2017		9,088
Thereafter		414
Total	$	136,223

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Note 13 - Segment and Geographical Information (Detail) - Long-Lived Assets by Geographic Area (USD $) In Thousands, unless otherwise specified	Mar. 31, 2013	Dec. 31, 2012
Long-lived Assets by Country	$ 546,773	$ 566,181
United States [Member]
Long-lived Assets by Country	329,947	337,831
Canada [Member]
Long-lived Assets by Country	31,995	34,919
United Kingdom [Member]
Long-lived Assets by Country	92,641	99,140
Australia [Member]
Long-lived Assets by Country	$ 92,190	$ 94,291

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Note 10 - Long-Term Debt (Tables)

3 Months Ended

Mar. 31, 2013

Schedule of Debt [Table Text Block]

	December 31, 2012		March 31, 2013
	(In thousands)
Senior Unsecured Notes Payable (a)	$	250,000	$	250,000
Senior Secured Revolving Credit Facility, Bank of America, N.A. (b)		99,926		100,115
Working capital facilities, Barclays (c)		34,459		31,632
Various subordinated unsecured notes payable; maturing at various dates from 2011 through 2014 (d)		575		584
		384,960		382,331
Less current portion		6,258		6,719
	$	378,702	$	375,612

Schedule of Guarantor Obligations [Table Text Block]

Pricing Tier	Consolidated Senior Secured 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, 2013	$	6,719
Year ended December 31:
2014		25,497
2015		—
2016		100,115
2017		—
Thereafter		250,000
Total	$	382,331

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Note 3 - Acquisitions (Detail) - Preliminary Allocation (USD $) In Thousands, unless otherwise specified	Mar. 01, 2013	Dec. 31, 2012
Totals		$ 109,200
Preliminary Purchase Price Allocation [Member] | Customer Relationships [Member]
Intangible assets	44,413	44,413
Preliminary Purchase Price Allocation [Member] | Trade Names [Member]
Intangible assets	11,901	11,901
Preliminary Purchase Price Allocation [Member] | Noncompete Agreements [Member]
Intangible assets	313	313
Preliminary Purchase Price Allocation [Member] | Unpatented Technology [Member]
Intangible assets	666	666
Preliminary Purchase Price Allocation [Member]
Equipment and leasehold improvements	850	850
Goodwill	59,781	60,373
Net deferred tax liability associated with step-up in book basis	(9,610)	(9,610)
Assets acquired and liabilities assumed, net	861	269
Totals	109,175	109,175
Purchase Price Adjustments and Reclassifications [Member]
Goodwill	(592)
Assets acquired and liabilities assumed, net	$ 592

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Accounting Policies, by Policy (Policies)

3 Months Ended

Mar. 31, 2013

Use of Estimates, Policy [Policy Text Block]

(a)              Use of Estimates

The preparation of financial statements in conformity with U.S. generally accepted accounting principles ("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 the valuation of equity issued prior to the Company’s IPO, purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts, the portion of accounts receivable deemed to be long term in nature, the valuation of deferred tax assets and the valuation of share-based compensation and derivative instruments.

Foreign Currency Transactions and Translations Policy [Policy Text Block]

(b)               Foreign Currencies

Assets and liabilities recorded in foreign currencies are translated into U.S. dollars at the exchange rate on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the year. Translation adjustments resulting from this process are recorded to other comprehensive income (loss) and are reported net of the effect of income taxes on the consolidated financial statements.

Cash and Cash Equivalents, Policy [Policy Text Block]

(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, 2012 and March 31, 2013.

Receivables, Policy [Policy Text Block]

(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 $4.4 million and $3.7 million as of December 31, 2012 and March 31, 2013, 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.  The Company assumes, that on average, all accounts receivable will be collected within one year and thus classifies these as current assets; however, there are certain receivables, principally in the U.K., that have aged longer than one year, and the Company has recorded an estimate for those receivables that will not be collected within one year as long term in the Consolidated Balance Sheets.

Concentration Risk Disclosure [Text Block]

(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, 2012 and 2013, no individual customer accounted for more than 10% of revenues. At December 31, 2012 and March 31, 2013, there were no individual customers that accounted for greater than 10% of the accounts receivable balance.

As of March 31, 2013, the Company had cash and cash equivalents totaling approximately $7.7 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $2.2 million were held in the U.S. The U.S. amounts were insured in full against bank failure through December 31, 2012 under section 343 of the Dodd-Frank Wall Street Reform and Consumer Protection Act, which provided temporary unlimited deposit insurance coverage for non-interest-bearing transaction accounts at all FDIC-insured depository institutions. The temporary unlimited deposit insurance program, which expired on December 31, 2012, was offered by the FDIC in addition to, and separate from, the standard FDIC insurance coverage, which continues to exist, for deposit accounts up to $250,000, per depositor and account ownership category, at each separately insured depository institution.

Property, Plant and Equipment, Policy [Policy Text Block]

(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.

Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]

(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, 2012 and March 31, 2013, no impairment was noted.

Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]

(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 2012 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, 2012 and March 31, 2013. 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]

(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, 2013 of $8.1 million, of which $402,000 and $30,000 were incurred in the three months ended March 31, 2012 and 2013, respectively. 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 (“Initial Notes”). In June 2012, in accordance with the registration rights granted to the original purchasers of the Initial Notes, the Company completed an exchange offer of the privately placed Initial Notes for new 9.0% Senior Notes due 2019 (the “Exchange Notes,” and together with the Initial Notes, the “Senior Unsecured Notes”) registered with the SEC with substantially identical terms to the Initial Notes. The Company has incurred deferred financing costs of $7.1 million associated with the Senior Unsecured Notes, of which $12,000 and $22,000 were incurred in the three months ended March 31, 2012 and 2013, respectively.

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, 2012 and 2013, the Company amortized $514,000 and $580,000 to interest expense, respectively.

Revenue Recognition, Policy [Policy Text Block]

(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 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 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, the contingency has been resolved and the cash has been collected.   As of December 31, 2012, the Company had deferred $12.6 million in contingent revenues and $9.1 million in costs and expenses associated with the contingent revenues.  For the three months ended March 31, 2013, the Company deferred an additional $2.4 million in contingent revenues and $1.8 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]

(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 other indirect costs including labor and overhead related to the generation of revenues.

Income Tax, Policy [Policy Text Block]

(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.

Earnings Per Share, Policy [Policy Text Block]

(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, warrants, shares of restricted stock with service restrictions that have not yet been satisfied and unvested restricted stock units (“RSUs”) is calculated using the treasury stock method.

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, 2013, the potentially dilutive securities include options, warrants, unvested RSUs and shares of restricted stock with a service restriction not yet satisfied exercisable into 10.4 million shares of common stock.

For the three months ended March 31, 2012 and 2013, 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]

(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, shares of restricted stock and RSUs.  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.

Stock Options

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 weighted average of the Company’s peer group’s median implied volatility, the Company’s mean reversion volatility and the median of the Company’s peer group’s most recent historical volatilities for 2013 stock option grants. Expected life assumptions are based upon the “simplified” method for those options issued in the first quarter of 2013 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, 2013 were as follows:

	Three months ended March 31, 2013
Volatility		48.66	%
Expected life (years)		6.00
Risk-free interest rate		1.02	%
Dividend yield		—
Fair value	$	6.63

In the three months ended March 31, 2013, the Company issued approximately 365,000 stock option awards to employees and the aggregate fair value was $2.4 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 $2.9 million for the three months ended March 31, 2013, of which $728,000 was included in costs of revenues and $2.2 million was recorded in SGA expenses.

At March 31, 2013, the unrecognized compensation expense related to stock option grants was $18.8 million, with a remaining weighted average life of 1.6 years.

A summary of option activity for the three months ended March 31, 2013 is as follows:

	Number of options			Weighted average exercise price		Weighted average remaining contractual life (years)		Aggregate intrinsic value (in thousands)
Outstanding at December 31, 2012		9,463,657		$	11.76
Options granted		364,600			14.24
Options forfeited		(137,202	)		15.34
Options exercised		(334,121	)		8.58
Outstanding at March 31, 2013		9,356,934		$	11.93		7.9	$	61,857
Exercisable at March 31, 2013		5,158,810		$	10.63		7.4	$	40,459

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 months ended March 31, 2013 was $2.0 million.

Restricted Stock and Restricted Stock Units

The Company has granted members of the Board of Directors and certain employees, time lapse restricted stock and RSUs which vest after a stipulated number of years from the grant date depending on the terms of the issue. The fair value of shares of restricted stock and RSUs is determined based upon the market price of the underlying common stock as of the date of grant.  Time lapse restricted shares issued and RSUs vest over one, two and three-year periods.  The agreements under which the restricted stock and RSUs are issued provide that shares awarded may not be sold or otherwise transferred until restrictions established under the stock plans have been satisfied.  The restriction on these awards could expire earlier than the stipulated time frame in the event of a change in control or merger or other acquisition.  Share based compensation expense related to shares of restricted stock and RSUs was $149,000 and $803,000 in the three months ended March 31, 2012 and 2013, respectively, all of which is included in SGA expenses.

The following is a summary of non-vested restricted share and RSU activity for the three months ended March 31, 2013:

	Number of awards			Weighted average grant date fair value
Non-vested awards at December 31, 2012		189,412		$	13.68
Awards granted		508,690			14.08
Awards vested		—			—
Awards forfeited		(1,080	)		14.05
Non-vested awards at March 31, 2013		697,022		$	13.97

At December 31, 2012 and March 31, 2013, total unrecognized compensation cost related to non-vested restricted shares and RSUs was approximately $2.3 million and $7.5 million, respectively, which is expected to be recognized over a weighted average period of 2.5 years and 2.7 years, respectively.

During the three months ended March 31, 2013, the Company has accrued share-based compensation expense of $446,000 related to a 2013 incentive compensation plan, all of which was recorded in SGA expenses.  The compensation plan has both a 2013 annual performance metric and subsequent service requirement.  If the performance metric is met, the associated liability will be settled in the first quarter of 2014 with an indeterminate number of restricted shares which will vest equally on June 1, 2014 and June 1, 2015.

Fair Value of Financial Instruments, Policy [Policy Text Block]

(o)              Fair Value Measurements

The Company’s financial liabilities, which are measured at fair value on a recurring basis, in accordance with ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”), are categorized using the fair value hierarchy at December 31, 2012 and March 31, 2013, and are as follows (in thousands):

	Level 1		Level 2		Level 3		Total
As of December 31, 2012
Financial instruments:
Interest rate swap	$	—	$	101	$	—	$	101
Contingent consideration		—		—		846		846
As of March 31, 2013
Financial instruments:
Interest rate swap	$	—	$	53	$	—	$	53
Contingent consideration		—		—		855		855

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 earnout provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010. The total increase in fair value of the contingent consideration of $9,000 in the three months ended March 31, 2013 was recorded in interest and other expenses, net in the Consolidated Statements of Comprehensive Loss due to changes in the fair value of the contingent consideration.  

In February 2007, the FASB issued authoritative guidance codified as ASC Topic 825 Financial Instruments (“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 years ended December 31, 2012, and as of and for the three months ended March 31, 2013, respectively.

Comprehensive Income Loss Policy Text Block

(p)              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 U.S. 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, reported net of tax as appropriate, 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]

(q)              Recent Accounting Pronouncements

Recently Adopted Accounting Pronouncements

In February 2013 the FASB issued ASU No. 2013-02, “Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income.” This update amends Accounting Standards Codification (ASC) Topic 220, “Comprehensive Income,” to require reporting entities to provide information about the amounts reclassified from accumulated other comprehensive income by component. In addition, reporting entities will be required to present, either on the face of the statement of operations or in the footnotes to the financial statements, significant amounts reclassified from accumulated other comprehensive income by statement of operations line item. ASU 2013-02 is effective prospectively for reporting periods beginning after December 15, 2012.  The Company adopted these provisions effective January 1, 2013 and the adoption of these provisions did not have a material impact on its financial position, results of operations and cash flows.

There were various other accounting standards and interpretations issued during 2013 the Company has not yet been required to adopt, none of which are expected to have a material impact on its financial position, results of operations and cash flows.