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Segment Reporting (Tables)
3 Months Ended
Mar. 31, 2014
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
The following tables present revenues, gross profit, operating income and amortization by reportable segment for the three months ended March 31, 2014 and 2013 (in thousands):
2014:
Apex
 
Oxford
 
Physician
 
Life Sciences Europe
 
Corporate
 
Total
Revenues
$
278,408

 
$
117,500

 
$
31,791

 
$
11,575

 
$

 
$
439,274

Gross profit
75,506

 
49,026

 
8,838

 
4,218

 

 
137,588

Operating income
22,784

 
14,284

 
1,259

 
1,199

 
(12,244
)
 
27,282

Amortization
4,089

 
1,370

 
634

 
71

 
8

 
6,172


2013:
Apex
 
Oxford
 
Physician
 
Life Sciences Europe
 
Corporate
 
Total
Revenues
$
239,765

 
$
102,688

 
$
26,302

 
$
10,289

 
$

 
$
379,044

Gross profit
63,981

 
34,815

 
7,483

 
3,832

 

 
110,111

Operating income
17,229

 
13,666

 
2,426

 
533

 
(10,999
)
 
22,855

Amortization
4,881

 
107

 
176

 
160

 
55

 
5,379


Schedule of Revenue by Geographical Areas
The Company operates internationally, with operations mainly in the United States, Europe, Canada, Australia and New Zealand. The following table presents domestic and foreign revenues (in thousands):
 
Three Months Ended
 
March 31,
 
2014
 
2013
Revenues:
 
 
 
Domestic
$
418,664

 
$
358,648

Foreign
20,610

 
20,396

 
$
439,274

 
$
379,044