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Segment Reporting (Tables)
6 Months Ended
Jun. 30, 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 (in thousands):
 
Three Months Ended June 30, 2014
 
Apex
 
Oxford
 
Physician
 
Life Sciences Europe
 
Corporate
 
Total
Revenues
$
297,893

 
$
126,004

 
$
33,657

 
$
11,064

 
$

 
$
468,618

Gross profit
84,677

 
53,611

 
10,298

 
4,141

 

 
152,727

Operating income
31,708

 
17,828

 
2,455

 
1,028

 
(14,371
)
 
38,648

Amortization
4,089

 
1,362

 
634

 
71

 

 
6,156


 
Three Months Ended June 30, 2013
 
Apex
 
Oxford
 
Physician
 
Life Sciences Europe
 
Corporate
 
Total
Revenues
$
262,347

 
$
109,153

 
$
26,466

 
$
9,898

 
$

 
$
407,864

Gross profit
72,912

 
37,122

 
7,640

 
3,658

 

 
121,332

Operating income
24,637

 
15,944

 
2,213

 
448

 
(11,467
)
 
31,775

Amortization
4,881

 
96

 
176

 
102

 
20

 
5,275


 
Six Months Ended June 30, 2014
 
Apex
 
Oxford
 
Physician
 
Life Sciences Europe
 
Corporate
 
Total
Revenues
$
576,301

 
$
243,504

 
$
65,448

 
$
22,639

 
$

 
$
907,892

Gross profit
160,183

 
102,637

 
19,136

 
8,359

 

 
290,315

Operating income
54,492

 
32,112

 
3,714

 
2,227

 
(26,615
)
 
65,930

Amortization
8,178

 
2,732

 
1,268

 
142

 
8

 
12,328


 
Six Months Ended June 30, 2013
 
Apex
 
Oxford
 
Physician
 
Life Sciences Europe
 
Corporate
 
Total
Revenues
$
502,112

 
$
211,841

 
$
52,768

 
$
20,187

 
$

 
$
786,908

Gross profit
136,893

 
71,937

 
15,123

 
7,490

 

 
231,443

Operating income
41,866

 
29,610

 
4,639

 
981

 
(22,466
)
 
54,630

Amortization
9,762

 
203

 
352

 
262

 
75

 
10,654


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
 
Six Months Ended
 
June 30,
 
June 30,
 
2014
 
2013
 
2014
 
2013
Revenues:
 
 
 
 
 
 
 
Domestic
$
448,296

 
$
388,744

 
$
866,960

 
$
747,393

Foreign
20,322

 
19,120

 
40,932

 
39,515

 
$
468,618

 
$
407,864

 
$
907,892

 
$
786,908