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Description of Business and Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2015
Accounting Policies [Abstract]  
Business Combination, Segment Allocation
The following table summarizes the goodwill recorded in connection with the acquisitions that occurred during 2015 and 2014:
Company acquired
 
Date acquired
 
(in thousands)
CurePet, Inc. ("CurePet"); see Note 21, "Investment in Joint Venture"
 
January 2014
 
$
(1,783
)
DCM Group Inc. (d.b.a. i3 Software) ("i3"); final purchase allocation adjustments
 
December 2014
 
(2,099
)
Via Media Health Communications Private Limited ("Via Media Health")
 
March 2015
 
2,042

PB Systems, Inc. and PB Systems Private Limited (together being "PB Systems")
 
June 2015
 
6,826

Total changes to goodwill during 2015
 
 
 
$
4,986

 
 
 
 
 
CurePet, Inc. ("CurePet")
 
January 2014
 
$
2,687

HealthCare Magic Private Limited ("HealthCare Magic")
 
May 2014
 
5,619

Vertex, Incorporated ("Vertex")
 
October 2014
 
27,728

Oakstone Publishing, LLC ("Oakstone")
 
December 2014
 
28,769

DCM Group Inc. (d.b.a. i3 Software) ("i3") ; preliminary allocation
 
December 2014
 
3,700

Total changes to goodwill during 2014
 
 
 
$
68,503

Schedule of Revenue by Product/Service Groups
Presented in the table below is the breakout of our revenue streams for each of those product/service groups for the years ended December 31, 2015 , 2014 and 2013.
 
For the Year Ended
 
December 31,
(dollar amounts in thousands)
 
2015
 
2014
 
2013
Exchanges
 
$
190,746

 
$
169,437

 
$
163,925

Broker Systems
 
14,481

 
17,948

 
18,378

Risk Compliance Solutions (“RCS”), fka Business Process Outsourcing (“BPO”)
 
55,917

 
21,813

 
15,678

Carrier Systems
 
4,338

 
5,123

 
6,729

Totals
 
$
265,482

 
$
214,321

 
$
204,710

Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis
Additional information regarding the Company's assets and liabilities that are measured at fair value on a recurring basis is presented in the following tables:

 
 
Fair Values at Reporting Date Using*
Descriptions
 
Balance at December 31, 2015
Quoted Prices in Active Markets for Identical Assets or Liabilities (Level 1)
Significant Other Observable Inputs (Level 2)
Significant Unobservable Inputs (Level 3)
 
 
(In thousands)
Assets
 
 
 
 
 
Available-for-sale securities:
 
 
 
 
 
Commercial bank certificates of deposits
 
$
1,538

$
1,538

$

$

Total assets measured at fair value
 
$
1,538

$
1,538

$

$

 
 
 
 
 
 
Liabilities
 
 
 
 
 
Derivatives:
 
 
 
 
 
Contingent accrued earn-out acquisition consideration (a)
 
4,277



4,277

Total liabilities measured at fair value
 
$
4,277

$

$

$
4,277

 
 
 
 
 
 
(a) The income valuation approach is applied and the valuation inputs include the contingent payment arrangement terms, projected cash flows, rate of return, and probability assessments.
* During the year ended December 31, 2015 there were no transfers between fair value Levels 1, 2 or 3.

 
 
Fair Values at Reporting Date Using*
Descriptions
 
Balance at December 31, 2014
Quoted Prices in Active Markets for Identical Assets or Liabilities (Level 1)
Significant Other Observable Inputs (Level 2)
Significant Unobservable Inputs (Level 3)
 
 
(In thousands)
Assets
 
 
 
 
 
Available-for-sale securities:
 
 
 
 
 
Commercial bank certificates of deposits
 
$
281

281



Total assets measured at fair value
 
$
281

$
281

$

$

 
 
 
 
 
 
Liabilities
 
 
 
 
 
Derivatives:
 
 
 
 
 
Contingent accrued earn-out acquisition consideration (a)
 
5,367



5,367

Total liabilities measured at fair value
 
$
5,367

$

$

$
5,367

 
 
 
 
 
 
(a) The income valuation approach is applied and the valuation inputs include the contingent payment arrangement terms, projected cash flows, rate of return, and probability assessments.
* During the year ended December 31, 2014 there were no transfers between fair value Levels 1, 2 or 3.
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation
For the Company's assets and liabilities measured at fair value on a recurring basis using significant unobservable inputs (Level 3), the following table provides a reconciliation of the beginning and ending balances for each category therein, and gains or losses recognized during the year.

Fair Value Measurements Using Significant Unobservable Inputs (Level 3)
Contingent Liability for Accrued Earn-out Acquisition Consideration
 
Balance at December 31, 2015
 
Balance at December 31, 2014
 
 
(in thousands)
 
 
 
 
 
Beginning balance
 
$
5,367

 
14,420

 
 
 
 
 
Total remeasurement adjustments:
 
 
 
 
       (Gains) or losses included in earnings **
 
(1,533
)
 
(10,237
)
       Reductions recorded against goodwill
 
(2,000
)
 

       Foreign currency translation adjustments ***
 
(73
)
 
(314
)
 
 
 
 
 
Acquisitions and settlements
 
 
 
 
       Business acquisitions
 
2,516

 
4,312

       Settlements
 

 
(2,814
)
 
 
 
 
 
Ending balance
 
$
4,277

 
$
5,367

 
 
 
 
 
The amount of total (gains) or losses for the year included in earnings or changes to net assets, attributable to changes in unrealized (gains) or losses relating to assets or liabilities still held at year-end.
 
$
(1,533
)
 
$
(8,911
)
 
 
 
 
 
** recorded as a component of reported general and administrative expenses
*** recorded as a component of other comprehensive income within stockholders' equity

Fair Value, Significant Unobservable Inputs Used in Measurement of Contingent Consideration Liabilities
The significant unobservable inputs used in the fair value measurement of the Company's contingent consideration liabilities designated as Level 3 are as follows:
  
 
 
 
 
 
 
(in thousands)
 
Fair Value at  December 31, 2015
 
             Valuation Technique
 
Significant Unobservable
Input
Contingent acquisition consideration:
(Qatarlyst, Vertex, PB Systems, and Via Media acquisitions)
 
$4,277
 
Discounted cash flow
 
Expected future annual revenue streams and probability of achievement



  
 
 
 
 
 
 
(in thousands)
 
Fair Value at  December 31, 2014
 
             Valuation Technique
 
Significant Unobservable
Input
Contingent acquisition consideration:
(Vertex, i3 Software, HealthCare Magic, and Qatarlyst acquisitions)
 
$5,367
 
Discounted cash flow
 
Expected future annual revenue streams and probability of achievement
Schedule of Goodwill
Changes in the carrying amount of goodwill for the years ended December 31, 2015 and 2014 are as follows:
 
December 31, 2015
 
December 31, 2014
 
(in thousands)
Beginning Balance
$
402,220

 
$
337,068

Additions for current year acquisitions
8,868

 
68,503

Purchase accounting adjustments for prior year acquisitions
(2,099
)


Contributed portions of CurePet investment to Joint Venture, ; see Note 21, "Investment in Joint Venture"
(1,783
)


Foreign currency translation adjustments
(4,947
)
 
(3,351
)
Ending Balance
$
402,259

 
$
402,220

Schedule of Finite-Lived Intangible Assets by Major Class, Estimated Useful Lives
We amortize these intangible assets on a straight-line basis over their estimated useful lives, as follows:
 
Life
Category
(yrs)
Customer relationships
7-20

Developed technology
3-12

Trademarks
3-15

Non-compete agreements
5

Database
10

Schedule of Intangible Assets, Excluding Goodwill
Intangible assets as of December 31, 2015 and December 31, 2014, are as follows:
 
December 31,
 
2015
 
2014
 
(In thousands)
Finite-lived intangible assets:
 
 
 
Customer relationships
$
76,275

 
$
66,783

Developed technology
15,121

 
15,664

Trademarks
2,729

 
2,751

Non-compete agreements
743

 
751

Backlog
140

 
140

Database
212

 
212

Total intangibles
95,220

 
86,301

Accumulated amortization
(43,372
)
 
(36,930
)
Finite-lived intangibles, net
$
51,848

 
$
49,371

 
 
 
 
Indefinite-lived intangibles:
 
 
 
Customer/territorial relationships
$
30,887

 
$
30,887

Useful Lives of Property and Equipment Used in Computation of Depreciation
The estimated useful lives applied by the Company for property and equipment are as follows:
 
Life
Asset Category
(yrs)
Buildings
39
Building Improvements
15
Computer equipment
5
Furniture, fixtures and other
7
Software
3
Land
Unlimited life
Leasehold improvements
Life of the lease