Goodwill and Identifiable Assets (Tables)

3 Months Ended

Mar. 31, 2014

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The changes in the carrying amount of goodwill for the year endedDecember 31, 2013and thethree months endedMarch 31, 2014were as follows (in thousands):

	Apex		Oxford		Physician		Life Sciences Europe		Healthcare			Total
Balance as of December 31, 2012
Gross goodwill	$	289,712	$	150,619	$	51,561	$	3,753	$	122,230		$	617,875
Accumulated impairment loss	—		—		—		—		(121,717		)	(121,717		)
	289,712		150,619		51,561		3,753		513			496,158
Whitaker Acquisition (see Note 3)	—		—		7,452		—		—			7,452
CyberCoders Acquisition (see Note 3)	—		70,527		—		—		—			70,527
Divestiture - gross goodwill	—		—		—		—		(121,717		)	(121,717		)
Divestiture - accumulated impairment loss	—		—		—		—		121,717			121,717
Transfers	—		513		—		—		(513		)	—
Translation adjustment	—		—		—		811		—			811
Balance as of December 31, 2013
Gross goodwill	289,712		221,659		59,013		4,564		—			574,948
Accumulated impairment loss	—		—		—		—		—			—
	289,712		221,659		59,013		4,564		—			574,948
Acquisition accounting	—		257		—		—		—			257
Translation adjustment	—		—		—		20		—			20
Balance as of March 31, 2014
Gross goodwill	289,712		221,916		59,013		4,584		—			575,225
Accumulated impairment loss	—		—		—		—		—			—
	$	289,712	$	221,916	$	59,013	$	4,584	$	—		$	575,225

Schedule of Acquired Intangible Assets

As of March 31, 2014 and December 31, 2013, the Company had the following acquired intangible assets (in thousands):

		2014						2013
	Estimated Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Intangible assets subject to amortization:
Customer relations	3 months – 10 years	$	110,007	$	45,633	$	64,374	$	110,007	$	41,564	$	68,443
Contractor relations	2 - 7 years	43,598		31,907		11,691		43,598		30,737		12,861
Non-compete agreements	2 - 7 years	3,863		1,570		2,293		3,863		1,424		2,439
In-use software	6 years	18,900		1,051		17,849		18,900		263		18,637
		176,368		80,161		96,207		176,368		73,988		102,380
Intangible assets not subject to amortization:
Trademarks		186,075		—		186,075		186,075		—		186,075
Goodwill		575,225		—		575,225		574,948		—		574,948
Total		$	937,668	$	80,161	$	857,507	$	937,391	$	73,988	$	863,403

Schedule of Estimated Future Amortization Expense

Estimated amortization for the remainder of this fiscal year, each of the next four fiscal years and thereafter follows (in thousands):

2014	$	18,339
2015	21,326
2016	17,720
2017	12,887
2018	10,306
Thereafter	15,629
	$	96,207