7Baggers

ASGN Incorporated
(NYSE:ASGN) 

ASGN stock logo

ASGN Incorporated provides professional staffing and IT solutions in the technology, digital, creative, engineering and life sciences fields across commercial and government sectors in the United States and internationally. The company operates through three segments: Apex, Oxford, and ECS. The Apex...

Founded: 1985
Full Time Employees: 4,300
Sector: Industrials
Industry: Staffing & Employment Services

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Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-05-09 2012-03-31 2012-03-14 2011-12-31 2011-11-08 2011-09-30 2011-08-09 2011-06-30 2011-05-10 2011-03-31 2011-03-16 2010-11-08 2010-09-30 2010-08-09 2010-06-30 2010-05-10 2010-03-31 2010-03-16 2009-11-09 2009-09-30 2009-08-10 2009-06-30 2009-05-11 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 2003-06-30 2003-03-31 2002-12-31 2002-09-30 2002-06-30 2002-03-31 2001-12-31 2001-09-30 
                                                                                                                  
      revenues
    968,300,000 980,100,000 1,011,400,000 1,020,600,000 968,300,000 985,000,000 1,031,000,000 1,034,700,000 1,049,000,000 1,074,100,000 1,116,800,000 1,130,900,000 1,128,800,000 1,150,400,000 1,197,900,000 1,141,800,000 1,091,000,000 1,053,800,000 1,073,800,000 974,900,000 1,025,700,000 1,011,400,000 1,011,900,000 936,800,000 990,500,000 1,025,200,000 1,002,700,000 972,300,000 923,700,000 929,650,000 906,449,000 878,509,000 685,173,000 679,035,000 667,048,000 653,313,000 626,528,000 620,884,000 629,401,000 608,088,000 582,040,000 577,517,000 572,123,000 485,323,000 430,045,000 474,206,000 477,824,000 468,618,000 439,274,000 392,710,000 432,171,000 417,923,000 389,193,000 401,659,000 388,283,000 283,186,000 167,078,000 167,078,000  2,574,000 162,370,000 162,370,000 143,683,000 143,683 129,438,000 129,438,000 121,152,000 116,141,000 116,141,000 104,459,000 104,459,000 96,313,000 96,313,000 99,924,000 98,053,000 98,053,000 101,834,000 101,834,000 116,802,000 116,802,000 147,616,000 161,947,000 156,082,000 152,413,000 103,785,000 148,657,000 143,854,000 122,629,000 76,529,000 75,678,000 68,636,000 66,723,000 64,701,000 65,951,000 57,408,000 49,796,000 51,283,000 49,552,000 46,313,000 46,426,000 40,617,750 50,467,000 54,180,000 57,825,000   67,600,000 42,111,000 46,822,000 46,943,000 
      yoy
    0.00% -0.50% -1.90% -1.36% -7.69% -8.30% -7.68% -8.51% -7.07% -6.63% -6.77% -0.95% 3.46% 9.17% 11.56% 17.12% 6.37% 4.19% 6.12% 4.07% 3.55% -1.35% 0.92% -3.65% 7.23% 10.28% 10.62% 10.68% 34.81% 36.91% 35.89% 34.47% 9.36% 9.37% 5.98% 7.44% 7.64% 7.51% 10.01% 25.30% 35.34% 21.79% 19.74% 3.56% -2.10% 20.75% 10.56% 12.13% 12.87% -2.23% 11.30% 47.58% 132.94% 140.40%  10901.79% 2.90% 2.90%  1691.44% 25.44% 25.44% 18.60% -99.88% 11.45% 23.91% 15.98% 20.59% 20.59% 4.54% 6.53% -1.77% -5.42% -1.88% -16.05% -16.05% -31.01% -37.12% -25.17% -23.36% 42.23% 8.94% 8.50% 24.29% 35.62% 96.43% 109.59% 83.79% 18.28% 14.75% 19.56% 33.99% 26.16% 33.09% 23.96% 7.26% 26.26% -1.81% -14.52% -19.71%   -19.85% 37.32%       
      qoq
    -1.20% -3.09% -0.90% 5.40% -1.70% -4.46% -0.36% -1.36% -2.34% -3.82% -1.25% 0.19% -1.88% -3.97% 4.91% 4.66% 3.53% -1.86% 10.14% -4.95% 1.41% -0.05% 8.02% -5.42% -3.38% 2.24% 3.13% 5.26% -0.64% 2.56% 3.18% 28.22% 0.90% 1.80% 2.10% 4.28% 0.91% -1.35% 3.50% 4.48% 0.78% 0.94% 17.88% 12.85% -9.31% -0.76% 1.96% 6.68% 11.86% -9.13% 3.41% 7.38% -3.10% 3.44% 37.11% 69.49% 0.00%   -98.41% 0.00% 13.01% 99900.00% -99.89% 0.00% 6.84% 4.31% 0.00% 11.18% 0.00% 8.46% 0.00% -3.61% 1.91% 0.00% -3.71% 0.00% -12.81% 0.00% -20.87% -8.85% 3.76% 2.41% 46.85% -30.18% 3.34% 17.31% 60.24% 1.12% 10.26% 2.87% 3.13% -1.90% 14.88% 15.29% -2.90% 3.49% 6.99% -0.24% 14.30% -19.52% -6.85% -6.30%    60.53% -10.06% -0.26%  
      costs of services
    701,700,000 696,600,000 714,500,000 727,300,000 692,900,000 699,000,000 730,600,000 733,600,000 752,800,000 769,200,000 794,400,000 804,600,000 802,400,000 810,300,000 839,000,000 797,800,000 764,400,000 740,100,000 765,100,000 698,600,000 744,700,000 734,800,000 740,900,000 676,000,000 709,600,000 735,700,000 711,300,000 687,100,000 659,800,000 657,754,000 636,277,000 614,663,000 467,436,000 458,358,000 448,733,000 440,376,000 428,384,000 422,689,000 422,281,000 406,002,000 394,258,000                                                                      
      gross profit
    266,600,000 283,500,000 296,900,000 293,300,000 275,400,000 286,000,000 300,400,000 301,100,000 296,200,000 304,900,000 322,400,000 326,300,000 326,400,000 340,100,000 358,900,000 344,000,000 326,600,000 313,700,000 308,700,000 276,300,000 281,000,000 276,600,000 271,000,000 260,800,000 280,900,000 289,500,000 291,400,000 285,200,000 263,900,000 271,896,000 270,172,000 263,846,000 217,737,000 220,677,000 218,315,000 212,937,000 198,144,000 198,195,000 207,120,000 202,086,000 187,782,000 192,932,000 191,404,000 158,534,000 135,875,000 151,991,000 155,606,000 152,727,000 137,588,000 119,949,000 130,616,000 124,567,000 113,274,000 121,282,000 119,039,000 88,954,000 55,048,000 55,048,000  2,980,000 54,528,000 54,528,000 48,794,000 48,794 43,154,000 43,154,000 42,234,000 41,103,000 41,103,000 35,296,000 35,296,000 30,823,000 30,823,000 33,214,000 32,773,000 32,773,000 33,397,000 33,397,000 36,984,000 36,984,000 48,555,000 52,809,000 50,664,000 47,428,000 32,807,000 47,527,000 46,241,000 37,460,000 20,809,000 20,780,000 19,268,000 16,984,000 16,984,000 17,941,000 15,335,000 12,969,000 12,812,000 13,261,000 12,025,000 11,813,000 11,162,500 13,959,000 15,212,000 15,480,000   20,157,000 13,545,000 15,346,000 15,140,000 
      yoy
    -3.20% -0.87% -1.17% -2.59% -7.02% -6.20% -6.82% -7.72% -9.25% -10.35% -10.17% -5.15% -0.06% 8.42% 16.26% 24.50% 16.23% 13.41% 13.91% 5.94% 0.04% -4.46% -7.00% -8.56% 6.44% 6.47% 7.86% 8.09% 21.20% 23.21% 23.75% 23.91% 9.89% 11.34% 5.41% 5.37% 5.52% 2.73% 8.21% 27.47% 38.20% 26.94% 23.01% 3.80% -1.25% 26.71% 19.13% 22.61% 21.46% -1.10% 9.73% 40.04% 105.77% 120.32%  2885.03% 0.95% 0.95%  6007.31% 26.36% 26.36% 15.53% -99.88% 4.99% 22.26% 19.66% 33.35% 33.35% 6.27% 7.70% -5.95% -7.71% -0.55% -11.39% -11.39% -31.22% -36.76% -27.00% -22.02% 48.00% 11.11% 9.57% 26.61% 57.66% 128.72% 139.99% 120.56% 22.52% 15.82% 25.65% 30.96% 32.56% 35.29% 27.53% 9.79% 14.78% -5.00% -20.95% -23.69%   -24.53% 14.29%       
      qoq
    -5.96% -4.51% 1.23% 6.50% -3.71% -4.79% -0.23% 1.65% -2.85% -5.43% -1.20% -0.03% -4.03% -5.24% 4.33% 5.33% 4.11% 1.62% 11.73% -1.67% 1.59% 2.07% 3.91% -7.16% -2.97% -0.65% 2.17% 8.07% -2.94% 0.64% 2.40% 21.18% -1.33% 1.08% 2.53% 7.47% -0.03% -4.31% 2.49% 7.62% -2.67% 0.80% 20.73% 16.68% -10.60% -2.32% 1.89% 11.00% 14.71% -8.17% 4.86% 9.97% -6.60% 1.88% 33.82% 61.59% 0.00%   -94.53% 0.00% 11.75% 99900.00% -99.89% 0.00% 2.18% 2.75% 0.00% 16.45% 0.00% 14.51% 0.00% -7.20% 1.35% 0.00% -1.87% 0.00% -9.70% 0.00% -23.83% -8.06% 4.23% 6.82% 44.57% -30.97% 2.78% 23.44% 80.02% 0.14% 7.85% 13.45% 0.00% -5.33% 16.99% 18.24% 1.23% -3.39% 10.28% 1.79% 5.83% -20.03% -8.24% -1.73%    48.82% -11.74% 1.36%  
      gross margin %
    27.53% 28.93% 29.36% 28.74% 28.44% 29.04% 29.14% 29.10% 28.24% 28.39% 28.87% 28.85% 28.92% 29.56% 29.96% 30.13% 29.94% 29.77% 28.75% 28.34% 27.40% 27.35% 26.78% 27.84% 28.36% 28.24% 29.06% 29.33% 28.57% 29.25% 29.81% 30.03% 31.78% 32.50% 32.73% 32.59% 31.63% 31.92% 32.91% 33.23% 32.26% 33.41% 33.46% 32.67% 31.60% 32.05% 32.57% 32.59% 31.32% 30.54% 30.22% 29.81% 29.10% 30.20% 30.66% 31.41% 32.95% 32.95%  115.77% 33.58% 33.58% 33.96% 33.96% 33.34% 33.34% 34.86% 35.39% 35.39% 33.79% 33.79% 32.00% 32.00% 33.24% 33.42% 33.42% 32.80% 32.80% 31.66% 31.66% 32.89% 32.61% 32.46% 31.12% 31.61% 31.97% 32.14% 30.55% 27.19% 27.46% 28.07% 25.45% 26.25% 27.20% 26.71% 26.04% 24.98% 26.76% 25.96% 25.44% 27.48% 27.66% 28.08% 26.77% NaN% NaN% 29.82% 32.16% 32.78% 32.25% 
      selling, general, and administrative expenses
    224,400,000 210,500,000 212,200,000 216,800,000 214,500,000 197,900,000 207,500,000 205,600,000 210,200,000                                                                                        12,521,750 18,830,000 16,908,000            
      amortization of intangible assets
    14,500,000 16,800,000 16,800,000 16,900,000 14,300,000 13,900,000 14,000,000 15,100,000 15,100,000 17,900,000 17,800,000 17,900,000 18,100,000 19,800,000 17,900,000 13,500,000 13,900,000 15,800,000 15,900,000 12,000,000 12,200,000 14,100,000 12,900,000 12,600,000 12,100,000 12,300,000 11,900,000 13,100,000 13,800,000 13,817,000 18,540,000 18,548,000 7,601,000 8,433,000 8,248,000 8,299,000 8,464,000 9,710,000 9,742,000 10,032,000 10,144,000 11,316,000 11,325,000 6,957,000 4,869,000 6,055,000 6,018,000 6,156,000 6,172,000 5,898,000 5,199,000 5,275,000 5,379,000                                                          
      operating income
    27,700,000 56,200,000 67,900,000 59,600,000 46,600,000 74,200,000 78,900,000 80,400,000 70,900,000 83,400,000 98,600,000 97,900,000 84,200,000 90,400,000 108,400,000 110,100,000 100,600,000 95,500,000 100,100,000 87,900,000 74,800,000 82,600,000 80,900,000 76,000,000 70,900,000 81,700,000 90,900,000 73,300,000 62,700,000 74,477,000 74,297,000 65,682,000 45,692,000 60,797,000 60,870,000 59,461,000 43,608,000 45,855,000 55,410,000 50,704,000 37,757,000 42,862,000 51,465,000 32,710,000 25,071,000 39,457,000 40,883,000 38,648,000 27,282,000 30,508,000 36,888,000 32,838,000 23,734,000 26,682,000 36,496,000 19,654,000 9,947,000 9,947,000  -27,703,000 13,736,000 13,736,000 10,795,000 10,795 6,399,000 6,399,000 -8,539,000 7,442,000 7,442,000 3,332,000 3,332,000 992,000 992,000 3,638,000 4,322,000 4,322,000 3,412,000 3,412,000 3,855,000 3,855,000 10,326,000 13,619,000 11,838,000 7,731,000 4,912,250 9,201,000 7,249,000 3,199,000 3,605,000 3,514,000 2,624,000 198,000  1,576,000        312,000     6,197,000 4,210,000 5,482,000 5,769,000 
      yoy
    -40.56% -24.26% -13.94% -25.87% -34.27% -11.03% -19.98% -17.88% -15.80% -7.74% -9.04% -11.08% -16.30% -5.34% 8.29% 25.26% 34.49% 15.62% 23.73% 15.66% 5.50% 1.10% -11.00% 3.68% 13.08% 9.70% 22.35% 11.60% 37.22% 22.50% 22.06% 10.46% 4.78% 32.59% 9.85% 17.27% 15.50% 6.98% 7.67% 55.01% 50.60% 8.63% 25.88% -15.36% -8.10% 29.33% 10.83% 17.69% 14.95% 14.34% 1.07% 67.08% 138.60% 168.24%  -170.95% -27.58% -27.58%  -256728.07% 114.66% 114.66% -226.42% -99.85% -14.02% 92.05% -356.27% 650.20% 650.20% -8.41% -22.91% -77.05% -70.93% 6.62% 12.11% 12.11% -66.96% -74.95% -67.44% -50.14% 110.21% 48.02% 63.31% 141.67% 36.26% 161.84% 176.26% 1515.66%  122.97%                     
      qoq
    -50.71% -17.23% 13.93% 27.90% -37.20% -5.96% -1.87% 13.40% -14.99% -15.42% 0.72% 16.27% -6.86% -16.61% -1.54% 9.44% 5.34% -4.60% 13.88% 17.51% -9.44% 2.10% 6.45% 7.19% -13.22% -10.12% 24.01% 16.91% -15.81% 0.24% 13.12% 43.75% -24.84% -0.12% 2.37% 36.35% -4.90% -17.24% 9.28% 34.29% -11.91% -16.72% 57.34% 30.47% -36.46% -3.49% 5.78% 41.66% -10.57% -17.30% 12.33% 38.36% -11.05% -26.89% 85.69% 97.59% 0.00%   -301.68% 0.00% 27.24% 99900.00% -99.83% 0.00% -174.94% -214.74% 0.00% 123.35% 0.00% 235.89% 0.00% -72.73% -15.83% 0.00% 26.67% 0.00% -11.49% 0.00% -62.67% -24.18% 15.04% 53.12% 57.38% -46.61% 26.93% 126.60% -11.26% 2.59% 33.92% 1225.25%                47.20% -23.20% -4.97%  
      operating margin %
    2.86% 5.73% 6.71% 5.84% 4.81% 7.53% 7.65% 7.77% 6.76% 7.76% 8.83% 8.66% 7.46% 7.86% 9.05% 9.64% 9.22% 9.06% 9.32% 9.02% 7.29% 8.17% 7.99% 8.11% 7.16% 7.97% 9.07% 7.54% 6.79% 8.01% 8.20% 7.48% 6.67% 8.95% 9.13% 9.10% 6.96% 7.39% 8.80% 8.34% 6.49% 7.42% 9.00% 6.74% 5.83% 8.32% 8.56% 8.25% 6.21% 7.77% 8.54% 7.86% 6.10% 6.64% 9.40% 6.94% 5.95% 5.95%  -1076.26% 8.46% 8.46% 7.51% 7.51% 4.94% 4.94% -7.05% 6.41% 6.41% 3.19% 3.19% 1.03% 1.03% 3.64% 4.41% 4.41% 3.35% 3.35% 3.30% 3.30% 7.00% 8.41% 7.58% 5.07% 4.73% 6.19% 5.04% 2.61% 4.71% 4.64% 3.82% 0.30% 0% 2.39% 0% 0% 0% 0% 0% 0% 0% 0.62% 0% 0% NaN% NaN% 9.17% 10.00% 11.71% 12.29% 
      interest expense
    -17,100,000 -16,700,000 -17,400,000 -18,200,000 -15,400,000 -14,900,000 -16,000,000 -15,800,000 -17,600,000 -16,700,000 -18,500,000 -15,800,000 -15,400,000 -14,400,000 -12,100,000 -10,100,000 -9,300,000 -9,300,000 -9,600,000 -9,400,000 -9,200,000 -9,300,000 -9,300,000 -9,700,000 -11,400,000 -11,700,000 -12,700,000 -14,000,000 -14,500,000 -14,249,000 -14,606,000 -20,573,000 -6,545,000 -5,976,000 -7,099,000 -6,067,000 -8,501,000 -7,049,000 -8,294,000 -7,959,000 -9,025,000 -9,098,000 -9,543,000 -4,736,000 -3,067,000 -3,198,000 -3,101,000 -3,103,000 -3,328,000 -3,077,000 -3,257,000 -4,198,000 -5,331,000 -5,898,000 -6,317,000 -4,906,000 -702,000 -702,000  -6,045,000 -750,000 -750,000 -784,000 -784 -730,000 -730,000 -3,541,000 -1,601,000 -1,601,000 -1,607,000 -1,607,000 -1,560,000 -1,560,000 -1,689,000 -1,777,000 -1,777,000 -2,059,000 -2,059,000 -1,087,000 -1,087,000                               
      income before income taxes
    10,600,000 39,500,000 50,500,000 41,400,000 31,200,000 59,300,000 62,900,000 64,600,000 53,300,000 66,700,000 80,100,000 82,100,000 68,800,000 76,000,000 96,300,000 100,000,000 91,300,000 86,200,000 90,500,000 78,500,000 65,600,000 73,300,000 71,600,000 66,300,000 59,500,000 51,100,000 78,200,000 59,300,000 48,200,000 60,228,000 59,691,000 45,109,000 39,147,000 54,821,000 53,771,000 53,394,000 35,107,000 38,806,000 47,116,000 42,745,000 28,732,000 33,764,000 41,922,000 24,223,000 22,004,000 36,259,000 37,782,000 35,545,000 23,954,000 27,431,000 33,631,000 13,682,000 18,403,000 20,745,000 30,212,000 14,753,000 9,246,000 9,246,000  -33,646,000 13,004,000 13,004,000 10,015,000 10,015 5,686,000 5,686,000 -12,010,000 5,848,000 5,848,000 1,757,000 1,757,000 -536,000 -536,000 1,982,000 2,579,000 2,579,000 1,400,000 1,400,000 2,824,000 2,824,000 7,453,000 11,914,000 10,744,000 4,120,000 3,020,750 5,690,000 4,912,000 1,481,000 4,434,000 3,839,000 2,880,000 432,000          394,000     6,283,000 4,654,000 5,910,000 6,417,000 
      provision for income taxes
    5,100,000 14,300,000 12,400,000 12,100,000 10,300,000 16,900,000 15,400,000 17,400,000 15,200,000 16,400,000 20,700,000 22,000,000 19,300,000 20,400,000 25,200,000 27,400,000 23,700,000 20,800,000 24,200,000 21,200,000 16,900,000 17,900,000 19,300,000 17,500,000 15,700,000 11,800,000 20,700,000 16,200,000 13,300,000 14,302,000 10,474,000 11,508,000 9,907,000 -12,556,000 18,892,000 20,158,000 12,725,000 14,746,000 17,341,000 16,732,000 11,384,000 14,591,000 17,031,000 9,888,000 8,981,000 14,006,000 15,769,000 14,846,000 9,906,000 11,717,000 13,422,000 5,860,000 7,793,000 9,423,000 12,779,000 6,238,000 3,863,000   2,977,250 5,237,000  4,150,000  2,522,000  1,688,000 2,685,000  817,000  -234,000  947,000 1,125,000  830,000  1,176,000  3,915,000 4,977,000 4,652,000 1,717,000 1,244,750 2,435,000 1,974,000 570,000 -1,695,000 1,140,000  130,000         13,750 159,000 186,000    2,409,000 1,785,000 2,258,000 2,358,000 
      net income
    5,500,000 25,200,000 38,100,000 29,300,000 20,900,000 42,400,000 47,500,000 47,200,000 38,100,000 50,300,000 59,400,000 60,100,000 49,500,000 55,600,000 73,200,000 72,500,000 66,800,000 85,000,000 212,000,000 64,200,000 48,700,000 55,400,000 52,300,000 48,800,000 43,800,000 39,300,000 57,400,000 43,100,000 34,900,000 45,881,000 49,172,000 33,561,000 29,092,000 67,331,000 34,856,000 33,097,000 22,391,000 24,028,000 29,768,000 26,004,000 17,401,000 19,338,000 24,925,000 14,252,000 39,135,000 20,473,000 22,005,000 20,789,000 13,917,000 32,410,000 20,150,000 7,339,000 24,613,000 11,322,000 17,433,000 8,515,000 5,383,000 5,383,000  -26,693,000 7,767,000 7,767,000 5,865,000 5,865 3,164,000 3,164,000 -13,698,000 3,163,000 3,163,000 940,000 940,000 -302,000 -302,000 1,035,000 1,454,000 1,454,000 570,000 570,000 1,648,000 1,648,000 3,538,000 6,937,000 6,092,000 2,403,000 1,776,000 3,255,000 2,938,000 911,000 6,129,000 2,699,000 1,914,000 302,000 821,000 1,808,000 146,000 -2,871,000 -5,656,000 -32,245,000 -2,990,000 -1,503,000 -19,945,250 235,000 -79,564,000 -452,000   3,874,000 2,869,000 3,652,000 4,059,000 
      yoy
    -73.68% -40.57% -19.79% -37.92% -45.14% -15.71% -20.03% -21.46% -23.03% -9.53% -18.85% -17.10% -25.90% -34.59% -65.47% 12.93% 37.17% 53.43% 305.35% 31.56% 11.19% 40.97% -8.89% 13.23% 25.50% -14.34% 16.73% 28.42% 19.96% -31.86% 41.07% 1.40% 29.93% 180.22% 17.09% 27.28% 28.68% 24.25% 19.43% 82.46% -55.54% -5.54% 13.27% -31.44% 181.20% -36.83% 9.21% 183.27% -43.46% 186.26% 15.59% -13.81% 357.24% 110.33%  -131.90% -30.69% -30.69%  -455223.61% 145.48% 145.48% -142.82% -99.81% 0.03% 236.60% -1557.23% -1147.35% -1147.35% -9.18% -35.35% -120.77% -152.98% 81.58% -11.77% -11.77% -83.89% -91.78% -72.95% -31.42% 99.21% 113.12% 107.35% 163.78% -71.02% 20.60% 53.50% 201.66% 646.53% 49.28% 1210.96% -110.52% -114.52% -105.61% -104.88% 91.02% -71.64% -13821.28% -96.24% 232.52%   -2153.79% -115.75%       
      qoq
    -78.17% -33.86% 30.03% 40.19% -50.71% -10.74% 0.64% 23.88% -24.25% -15.32% -1.16% 21.41% -10.97% -24.04% 0.97% 8.53% -21.41% -59.91% 230.22% 31.83% -12.09% 5.93% 7.17% 11.42% 11.45% -31.53% 33.18% 23.50% -23.93% -6.69% 46.52% 15.36% -56.79% 93.17% 5.31% 47.81% -6.81% -19.28% 14.47% 49.44% -10.02% -22.42% 74.89% -63.58% 91.15% -6.96% 5.85% 49.38% -57.06% 60.84% 174.56% -70.18% 117.39% -35.05% 104.73% 58.18% 0.00%   -443.67% 0.00% 32.43% 99900.00% -99.81% 0.00% -123.10% -533.07% 0.00% 236.49% 0.00% -411.26% 0.00% -129.18% -28.82% 0.00% 155.09% 0.00% -65.41% 0.00% -53.42% -49.00% 13.87% 153.52% 35.30% -45.44% 10.79% 222.50% -85.14% 127.08% 41.01% 533.77% -63.22% -54.59% 1138.36% -105.09% -49.24% -82.46% 978.43% 98.94% -92.46% -8587.34% -100.30% 17502.65%    35.03% -21.44% -10.03%  
      net income margin %
    0.57% 2.57% 3.77% 2.87% 2.16% 4.30% 4.61% 4.56% 3.63% 4.68% 5.32% 5.31% 4.39% 4.83% 6.11% 6.35% 6.12% 8.07% 19.74% 6.59% 4.75% 5.48% 5.17% 5.21% 4.42% 3.83% 5.72% 4.43% 3.78% 4.94% 5.42% 3.82% 4.25% 9.92% 5.23% 5.07% 3.57% 3.87% 4.73% 4.28% 2.99% 3.35% 4.36% 2.94% 9.10% 4.32% 4.61% 4.44% 3.17% 8.25% 4.66% 1.76% 6.32% 2.82% 4.49% 3.01% 3.22% 3.22%  -1037.02% 4.78% 4.78% 4.08% 4.08% 2.44% 2.44% -11.31% 2.72% 2.72% 0.90% 0.90% -0.31% -0.31% 1.04% 1.48% 1.48% 0.56% 0.56% 1.41% 1.41% 2.40% 4.28% 3.90% 1.58% 1.71% 2.19% 2.04% 0.74% 8.01% 3.57% 2.79% 0.45% 1.27% 2.74% 0.25% -5.77% -11.03% -65.07% -6.46% -3.24% -49.10% 0.47% -146.85% -0.78% NaN% NaN% 5.73% 6.81% 7.80% 8.65% 
      earnings per share:
                                                                                                                  
      basic
    0.13 0.6 0.88 0.67 0.48 0.733 1.07 1.03 0.82            0.92 1.05 0.93 0.83 0.74 1.09 0.82 0.66 0.88 0.94 0.64 0.56                     0.21 0.33 0.19 0.14 0.14  -0.73 0.21 0.21 0.16 0.16 0.09 0.09 -0.37 0.09 0.09 0.03 0.03 -0.01 -0.01 0.03 0.04 0.04 0.02 0.02 0.05 0.05 0.09 0.2 0.17 0.07                           
      diluted
    0.13 0.59 0.87 0.67 0.48 0.723 1.06 1.02 0.81            0.91 1.03 0.99 0.92 0.82 0.74 1.08 0.81 0.66 0.87 0.93 0.63 0.55                     0.21 0.33 0.19 0.14 0.14  -0.71 0.21 0.21 0.16 0.16 0.08 0.08 -0.37 0.09 0.09 0.03 0.03 -0.01 -0.01 0.03 0.04 0.04 0.02 0.02 0.05 0.05 0.1 0.19 0.17 0.07                           
      shares and share equivalents used to calculate earnings per share:
                                                                                                                  
      basic
    41.3 -0.3 43.5 43.8 43.7 -0.2 44.5 45.7 46.5 -0.5 48.1 49 49.3 -0.3 50.1 51 51.6 -0.3 52.7 53.2                                                                                           
      diluted
    41.4 -0.3 43.7 44 44 -0.2 45 46.1 46.9 -0.5 48.4 49.2 49.8 -0.3 50.7 51.6 52.3 -0.2 53.4 53.9                                                                                           
      reconciliation of net income to comprehensive income:
                                                                                                                  
      foreign currency translation adjustment
    -0.7 0.4 -0.4 2.6 0.8 -2.9 0.2 2.1 -0.2 1.6 -1.3 1.4 1.5 -2.2 -1.7   2.6 1.3 -3.2 0.525 1.6 -2.5 -0.625 -2.4 -1.1 -357 -268 -2,635 1,475 1,407 1,783 3,143 702 170 420 -1,083 1,343         162 1,504 403 -1,259 26.5 776 -1,767 1,097 1,097  -117.5 -1,908 -1,908                      588                           
      comprehensive income
    4.8 25.6 37.7 31.9 21.7 39.5 47.7 49.3 37.9 51.9 58.1 61.5 50.5 57.1 71 70.8 66.8 85 214.6 65.5 45.5 36.75 55.3 50.4 41.3 33.225 55 44.1 33.8 27,599.25 48,904 30,926 30,567 23,993 36,639 36,240 23,093 18,463.25 30,188 24,921 18,744 18,957 25,215 15,155 35,458 13,423.25 19,140 20,636 13,917 13,230.5 21,683 7,818 23,421 7,845.75 18,116 6,787 6,480 6,480  3,971.5 5,746 5,746                   3,611.25 5,472 5,982 2,991                           
      selling, general and administrative expenses
             160,150,000 206,000,000 210,500,000 224,100,000 229,900,000 232,600,000 220,400,000 212,100,000 202,400,000 192,700,000 176,400,000 194,000,000 179,900,000 177,200,000 172,200,000 197,900,000 195,500,000 188,600,000 198,800,000 187,400,000 183,602,000 177,335,000 179,616,000 164,444,000 151,447,000 149,197,000 145,177,000 146,072,000 142,630,000 141,968,000 141,350,000 139,881,000 138,754,000 128,614,000 118,867,000 105,935,000 106,479,000 108,705,000 107,923,000 104,134,000 83,543,000 88,529,000 86,454,000 84,161,000 76,584,000 82,543,000 69,300,000 45,101,000 45,101,000  15,284,000 40,792,000 40,792,000 37,999,000 37,999 36,755,000 36,755,000 35,374,000 33,661,000 33,661,000 31,964,000 31,964,000 29,831,000 29,831,000 29,576,000 28,451,000 28,451,000 29,985,000 29,985,000 33,129,000 33,129,000 38,229,000 39,190,000 38,826,000 39,697,000 27,894,750 38,326,000 38,992,000 34,261,000 17,204,000 17,266,000 16,644,000 16,786,000 16,240,000 16,365,000 15,556,000 15,974,000    14,349,000 11,192,250 13,647,000 14,779,000 16,343,000   13,960,000 9,335,000 9,864,000 9,371,000 
      income from continuing operations
             50,300,000 59,400,000 60,100,000 49,500,000 55,600,000 71,100,000 72,600,000    57,300,000  55,400,000 52,300,000   39,300,000 57,500,000 43,100,000 34,900,000 45,926,000 49,217,000 33,601,000 29,240,000 67,377,000 34,879,000 33,236,000 22,382,000 24,060,000 29,775,000 26,013,000 17,348,000 19,173,000 24,891,000 14,335,000 13,023,000 22,253,000 22,013,000 20,699,000 14,048,000 15,714,000 20,209,000 7,822,000 10,610,000                                                          
      income from discontinued operations, net of income taxes
                  2,100,000 -100,000 -800,000 19,600,000 145,700,000 6,900,000             -148,000 -46,000 -23,000 -139,000 9,000 -32,000 -7,000 -9,000 53,000   -83,000 409,000 -1,780,000 -8,000 90,000  268,000 -59,000 -483,000 -409,000                                                          
      earnings per share:
                                                                                                                  
      basic —
                                                                                                                  
      continuing operations
             1.08 1.23 1.23 1.12 1.42 1.42 1.31 1.26 1.26 1.08                630 430 460 560 490 330 370 470 280 250 430 410 380                                                               
      discontinued operations
                 0.01 0.04  -0.01 0.39 2.76 0.13                        -10 510                                                                  
      diluted —
                                                                                                                  
      loss from discontinued operations, net of income taxes
                              -100,000   -58,250 -45,000 -40,000                 -131,000                                                              
      income from continuing operations, net of income taxes
                    67,600,000 41,600,000 66,300,000                                                                                            
      earnings per share:
                                                                                                                  
      basic
    0.13 0.6 0.88 0.67 0.48 0.733 1.07 1.03 0.82            0.92 1.05 0.93 0.83 0.74 1.09 0.82 0.66 0.88 0.94 0.64 0.56                     0.21 0.33 0.19 0.14 0.14  -0.73 0.21 0.21 0.16 0.16 0.09 0.09 -0.37 0.09 0.09 0.03 0.03 -0.01 -0.01 0.03 0.04 0.04 0.02 0.02 0.05 0.05 0.09 0.2 0.17 0.07                           
      discontinued operations
                 0.01 0.04  -0.01 0.39 2.76 0.13                        -10 510                                                                  
      diluted
                                                                                                                  
      number of shares and share equivalents used to calculate earnings per share:
                                                                                                                  
      basic
                        53 0.1 52.5 52.5 52.8 0.1 52.8 52.8 52.6 51 52,362 52,305 52,178 -157 52,500 52,823 52,658 -89 53,275 53,422 53,147 206 52,654 51,978 51,519 -518 53,374 54,372 54,104 131 53,620 53,378 53,046 1,962 52,131 44,852 37,269 37,269  -437 37,001 37,001 36,971 36,971 36,623 36,623 -3 36,506 36,506 36,427 36,427 36,361 36,361 33 36,068 36,068 36,181 36,181 35,840 35,840 8,853.25 35,546 35,426 35,266                           
      diluted
                        53.7 0.2 53 53 53.3  53.4 53.4 53.2 71 53,034 53,010 52,831 -114 53,173 53,473 53,249 -40 53,768 53,911 53,644 246 53,304 52,633 52,209 -510 54,129 55,173 54,975 161 54,624 54,327 54,036 2,019 53,162 45,879 38,154 38,154  -1,327 37,769 37,769 37,718 37,718 37,429 37,429 -591 36,974 36,974 37,150 37,150 36,361 36,361 -81 36,578 36,578 36,385 36,385 35,982 35,982 8,948.75 36,071 35,838 35,375                           
      per share income from continuing operations and net income:
                                                                                                                  
      basic
                                     0.43 0.66                                                                            
      diluted
                                     0.425 0.66                                                                            
      basic earnings per common share:
                                                                                                                  
      diluted earnings per common share:
                                                                                                                  
      write-off of loan costs
                                               -3,751,000        -14,958,000                                                           
      gain on sale of discontinued operations, net of income taxes
                                                25,703,000     16,428,000   14,412,000                                                          
      changes in fair value of derivative, net of tax
                                                                                                                  
      cost of services
                                             250,419,500 380,719,000 326,789,000 294,170,000 322,215,000 322,218,000 315,891,000 301,686,000 272,761,000 301,555,000 293,356,000 275,919,000 280,377,000 269,244,000 194,232,000 112,030,000 112,030,000  -406,000 107,842,000 107,842,000 94,889,000 94,889 86,284,000 86,284,000 78,918,000 75,038,000 75,038,000 69,163,000 69,163,000 65,490,000 65,490,000 66,710,000 65,280,000 65,280,000 68,437,000 68,437,000 79,818,000 79,818,000 99,061,000 109,138,000 105,418,000 104,985,000 70,978,000 101,130,000 97,613,000 85,169,000 55,720,000 54,898,000 49,368,000 49,739,000 47,717,000 48,010,000 42,073,000 36,827,000 38,471,000 36,291,000 34,288,000 34,613,000 29,455,250 36,508,000 38,968,000 42,345,000   47,443,000 28,566,000 31,476,000 31,803,000 
      gain on sale of discontinued operations, net of tax
                                             6,425,750                                                                     
      income from discontinued operations, net of tax
                                             90,000 34,000                                                                    
      changes in fair value of derivatives, net of tax
                                             30.5  75 47 17.5 19                                                               
      foreign currency translation adjustment, net of tax
                                             -651.5 290 828 -3,724 -772 -2,884 -160 -44                                                              
      income from discontinued operations
                                                     300  -10 260                                                          
      changes in fair value of derivatives, net of tax of 9 and 28, respectively.
                                                    44                                                              
      changes in fair value of derivatives, net of tax of 19 and 56 for the three months ended september 30, 2013 and 2012, respectively and 94 and 32 for the nine months ended september 30, 2013 and 2012, respectively
                                                     43 29                                                            
      changes in fair value of derivatives, net of tax of 75 and 204 for the three months ended june 30, 2013 and 2012, respectively and 47 and 204 for the six months ended june 30, 2013 and 2012, respectively
                                                       76                                                           
      changes in fair value of derivatives, net of tax of 28 and 83 for the three months ended march 31, 2013 and 2012, respectively
                                                        67                                                          
      interest income
                                                         9,750 33,000 5,000 1,000 1,000  102,000 18,000 18,000 4,000 17,000 17,000 70,000 7,000 7,000 32,000 32,000 32,000 32,000 33,000 34,000 34,000 47,000 47,000 56,000 56,000 126,000 158,000 158,000 273,000 245,500 344,000 220,000 418,000 829,000 325,000 256,000 234,000 227,000 113,000 127,000 214,000 108,000 111,000 84,000 92,000 72,500 82,000 86,000 121,000   86,000 444,000 428,000 648,000 
      changes in fair value of derivative, net of tax of 56 and 67 for the three months ended september 30, 2012 and 2011, respectively and 32 and 261 for the nine months ended september 30, 2012 and 2011, respectively
                                                         -13.5 -93                                                        
      changes in fair value of derivative, net of tax of 204 and 111 for the three months ended june 30, 2012 and 2011, respectively and 204 and 194 for the six months ended june 30, 2012 and 2011, respectively
                                                           39                                                       
      changes in fair value of derivative, net of income tax of - and 83
                                                                                                                  
      benefit from income taxes
                                                             3,863,000    5,237,000  4,150     2,685,000  817,000     1,125,000  830,000  1,176,000                               
      changes in fair value of derivative, net of tax of 67 and 261 for the three and nine months ended september 30, 2011, respectively
                                                               -110 -113 -113                                                 
      benefit for income taxes
                                                                     2,522,000       -234,000                    69,750 119,000 240,000                
      number of shares used to calculate earnings per share:
                                                                                                                  
      basic
                        53 0.1 52.5 52.5 52.8 0.1 52.8 52.8 52.6 51 52,362 52,305 52,178 -157 52,500 52,823 52,658 -89 53,275 53,422 53,147 206 52,654 51,978 51,519 -518 53,374 54,372 54,104 131 53,620 53,378 53,046 1,962 52,131 44,852 37,269 37,269  -437 37,001 37,001 36,971 36,971 36,623 36,623 -3 36,506 36,506 36,427 36,427 36,361 36,361 33 36,068 36,068 36,181 36,181 35,840 35,840 8,853.25 35,546 35,426 35,266                           
      diluted
                        53.7 0.2 53 53 53.3  53.4 53.4 53.2 71 53,034 53,010 52,831 -114 53,173 53,473 53,249 -40 53,768 53,911 53,644 246 53,304 52,633 52,209 -510 54,129 55,173 54,975 161 54,624 54,327 54,036 2,019 53,162 45,879 38,154 38,154  -1,327 37,769 37,769 37,718 37,718 37,429 37,429 -591 36,974 36,974 37,150 37,150 36,361 36,361 -81 36,578 36,578 36,385 36,385 35,982 35,982 8,948.75 36,071 35,838 35,375                           
      change in fair value of interest rate swap
                                                                                    88,000 503,000 1,071,000                            
      basic earnings per share
                                                                                        0.05 0.09 0.08 0.03  0.1 0.08 0.01               0.15 0.13 0.16 0.18 
      weighted-average number of shares outstanding
                                                                                         35,313,000 35,176,000 34,667,000 27,155,000 26,257,000 26,149,000 25,986,000                   
      diluted earnings per share
                                                                                        0.05 0.09 0.08 0.03  0.1 0.07 0.01               0.15 0.12 0.16 0.18 
      weighted-average number of dilutive shares outstanding
                                                                                         35,886,000                         
      other income
                                                                                          431,000                        
      weighted-average number of shares and dilutive shares outstanding
                                                                                          35,813,000 35,629,000 28,052,000 26,869,000 26,974,000 26,827,000                   
      provision (benefit) for income taxes
                                                                                              966,000     80,000               
      impairment of identifiable intangible assets
                                                                                                    976,750 3,907,000             
      impairment of goodwill
                                                                                                     26,421,000   19,974,250  79,897,000        
      income (loss) before income taxes
                                                                                                 1,689,000                 
      basic net income per share
                                                                                                 0.07                 
      weighted average number of common shares outstanding
                                                                                                 25,480,000        25,164,000         
      diluted net income per share
                                                                                                 0.07                 
      weighted average number of common and common equivalent shares outstanding
                                                                                                 26,085,000        25,186,000         
      net income (loss) per share:
                                                                                                                  
      basic
                                                                                                  0.01                
      diluted
                                                                                                  0.01                
      weighted-average number of shares outstanding:
                                                                                                                  
      basic
                                                                                                  25,325,000                
      diluted
                                                                                                  25,356,000                
      basic loss per share
                                                                                                   -0.11    -0.06           
      weighted-average number of common shares outstanding
                                                                                                   25,297,000 25,231,000 25,247,000  25,208,000   25,268,000 26,078,000   25,929,000 22,728,000  22,683,000 
      diluted loss per share
                                                                                                   -0.11    -0.06           
      weighted-average number of common and common equivalent shares outstanding
                                                                                                   25,297,000 25,231,000 25,247,000 25,233,000 25,208,000   25,268,000 26,078,000   26,152,000 22,997,000  22,960,000 
      basic net income per common share
                                                                                                     -1.28   -0.783 0.01         
      diluted income per common share
                                                                                                     -1.28             
      basic and diluted loss per share
                                                                                                    -0.365  -0.12            
      diluted net income per common share
                                                                                                        -0.783 0.01 -3.15        
      basic net income (loss) per common share
                                                                                                          -3.15        
      basic earnings (loss) per share
                                                                                            0.048               -0.02       
      diluted earnings per (loss) share
                                                                                                           -0.02       
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-05-09 2012-03-31 2012-03-14 2011-12-31 2011-11-08 2011-09-30 2011-08-09 2011-06-30 2011-05-10 2011-03-31 2011-03-16 2010-12-31 2010-11-08 2010-09-30 2010-08-09 2010-06-30 2010-05-10 2010-03-31 2010-03-16 2009-12-31 2009-11-09 2009-09-30 2009-08-10 2009-06-30 2009-05-11 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-09-30 2003-06-30 2003-03-31 2002-12-31 2002-06-30 2001-12-31 2001-09-30 
                                                                                                                  
        assets
                                                                                                                  
        current assets:
                                                                                                                  
        cash and cash equivalents
      143,600,000 161,200,000 126,500,000 138,900,000 107,000,000 205,200,000 166,600,000 132,200,000 158,400,000 175,900,000 145,600,000 93,800,000 65,000,000 70,300,000 211,200,000 490,600,000 502,400,000 529,600,000 679,400,000 375,400,000 386,500,000 274,400,000 229,700,000 207,900,000 64,000,000 95,200,000 67,500,000 40,100,000 35,600,000 41,826,000 40,888,000 44,657,000 77,900,000  27,977,000 18,963,000 24,005,000 27,044,000 16,972,000 34,782,000 28,369,000 23,869,000 28,916,000 41,863,000 76,363,000 31,714,000 29,881,000 30,753,000 23,394,000 37,350,000 45,077,000 14,111,000 11,774,000 27,479,000 13,873,000 18,423,000 17,685,000 17,685,000 17,739,000 17,739,000 13,245,000 13,245,000 19,183,000 19,183,000 15,821,000 15,821,000 18,409,000 18,409,000 30,278,000 30,278,000 30,483,000 30,483,000 30,250,000 30,250,000 25,974,000 25,974,000 35,068 35,068 44,505 44,505,000 46,466,000 46,466,000 46,271,000 48,737,000 40,051,000 42,945,000 37,042,000 29,383,000 22,577,000 105,483,000 30,394,000 28,611,000 22,770,000 20,487,000 20,425,000 18,795,000 14,811,000 20,787,000 26,155,000 31,072,000 34,608,000 35,355,000 31,649,000 29,488,000  34,511,000 65,694,000 62,427,000 
        accounts receivable
      744,400,000 674,400,000 710,400,000 691,300,000 705,300,000 650,800,000 686,400,000 721,400,000 725,300,000 741,500,000 804,600,000 828,900,000 822,800,000 853,600,000 877,900,000 843,200,000 775,800,000 708,200,000 697,700,000 624,700,000 646,900,000 678,700,000 676,500,000 612,100,000 683,000,000 648,700,000 650,500,000 621,500,000 618,700,000 613,825,000 572,864,000 558,040,000 443,338,000 428,536,000 432,718,000 417,267,000 394,394,000 386,858,000 393,843,000 383,722,000 378,087,000 354,808,000 358,649,000 330,958,000 287,759,000 298,761,000 296,506,000 295,935,000 277,553,000  267,231,000 266,567,000 257,196,000  247,731,000 238,535,000 102,026,000 102,026,000 93,925,000 93,925,000 96,485,000 96,485,000 80,831,000 80,831,000 74,924,000 74,924,000 62,518,000 62,518,000 60,546,000 60,546,000 52,237,000 52,237,000 50,375,000 50,375,000 50,173,000 50,173,000 49,386 49,386 51,226 51,226,000 61,868,000 61,868,000 78,370,000 87,567,000  86,632,000 81,783,000 78,023,000 76,753,000 39,107,000 41,291,000 35,084,000 37,225,000 35,325,000 35,016,000 29,196,000 25,495,000 27,051,000 25,475,000 22,697,000 24,391,000 26,672,000 28,986,000 35,009,000  35,449,000 22,782,000 23,718,000 
        other current assets
      82,300,000 80,600,000 81,500,000 86,100,000 67,300,000 17,100,000 18,300,000 17,500,000 19,100,000 19,100,000 18,300,000 16,400,000 15,500,000 17,300,000 15,600,000 15,300,000 16,400,000 30,400,000 34,200,000 16,900,000 20,600,000 18,000,000 18,200,000 18,700,000 21,100,000 4,400,000 4,200,000 5,600,000 5,000,000 4,264,000 4,351,000 4,200,000 5,049,000 3,026,000 3,103,000 3,117,000 3,048,000 3,290,000   3,585,000 9,607,000 8,978,000 8,764,000 11,160,000                                       773,000 748,000 731,000 921,000 989,000 1,182,000 41,000 330,000 262,000 45,000 26,000 59,000 135,000 296,000 119,000 190,000 199,000 338,000     11,000   
        total current assets
      970,300,000 916,200,000 918,400,000 916,300,000 879,600,000 917,700,000 907,300,000 913,900,000 933,400,000 973,300,000 993,900,000 972,300,000 926,800,000 981,100,000 1,120,000,000 1,366,300,000 1,312,400,000 1,309,400,000 1,422,200,000 1,371,600,000 1,074,200,000 994,400,000 934,700,000 854,600,000 789,700,000 791,500,000 747,100,000 697,100,000 691,400,000 686,372,000 646,599,000 637,305,000 552,271,000 499,523,000 485,754,000 462,680,000 441,984,000 437,524,000 434,482,000 442,226,000 432,168,000 414,208,000 432,104,000 417,698,000 409,771,000 385,904,000 371,608,000 373,673,000 347,631,000 349,874,000 332,321,000 301,921,000 295,360,000 293,757,000 284,894,000 279,142,000 138,305,000 138,305,000 131,114,000 131,114,000 123,984,000 123,984,000 114,729,000 114,729,000 106,575,000 106,575,000 95,646,000 95,646,000 102,372,000 102,372,000 96,810,000 96,810,000 98,433,000 98,433,000 94,192,000 94,192,000 98,550 98,550 111,777 111,777,000 127,699,000 127,699,000 144,723,000 150,455,000 138,181,000 142,733,000 129,919,000 117,662,000 110,699,000 155,925,000 79,227,000 71,770,000 68,242,000 64,627,000 63,911,000 58,795,000 57,683,000 58,646,000 65,784,000 64,594,000 67,456,000 68,225,000 67,516,000 70,593,000     
        property and equipment
      81,200,000 84,500,000 83,100,000 83,300,000 79,700,000 82,600,000 79,200,000 79,100,000 82,900,000 81,400,000 78,600,000 76,100,000 71,800,000 66,300,000 62,300,000 59,500,000 58,600,000 55,000,000 52,100,000 54,200,000 68,300,000 69,400,000 74,200,000 79,200,000 80,000,000 73,700,000 72,600,000 75,200,000 77,000,000 79,123,000 81,672,000 83,986,000 57,067,000 57,996,000 58,231,000 59,800,000 59,568,000 56,942,000 57,778,000 56,020,000 54,481,000 53,196,000 51,767,000 51,728,000 44,954,000 46,819,000 43,495,000 42,200,000 40,193,000 38,591,000 33,481,000 30,552,000 27,742,000 26,862,000 25,320,000 23,948,000 19,060,000 19,060,000 18,057,000 18,057,000 17,466,000 17,466,000 17,515,000 17,515,000 17,742,000 17,742,000 15,818,000 15,818,000 15,608,000 15,608,000 15,371,000 15,371,000 15,473,000 15,473,000 15,618,000 15,618,000 16,075 16,075 16,387 16,387,000 16,859,000 16,859,000 17,495,000 16,242,000 16,352,000 14,922,000 14,859,000 14,424,000 14,601,000 9,116,000 9,209,000 9,356,000 9,727,000 9,639,000 10,390,000 10,909,000 11,464,000 11,697,000 11,214,000 11,026,000 9,743,000 8,669,000 8,584,000 8,337,000     
        identifiable intangible assets
      612,900,000 453,800,000 470,600,000 487,500,000 504,400,000 439,800,000 453,700,000 467,700,000 482,800,000 497,900,000 515,700,000 533,500,000 551,500,000 569,600,000 545,400,000 460,500,000 474,000,000 487,900,000 509,900,000 475,500,000 475,600,000 487,900,000 496,800,000 474,600,000 487,100,000 476,500,000 464,900,000 476,900,000 493,400,000 488,691,000 502,557,000 521,198,000 345,370,000 352,766,000 361,140,000 361,540,000 369,339,000 377,730,000 388,061,000 397,787,000 408,099,000 417,925,000 429,621,000 440,885,000 245,410,000 262,569,000 269,821,000 276,104,000 282,282,000 288,455,000 248,069,000 253,106,000 258,324,000 263,840,000 275,585,000 301,156,000 29,731,000 29,731,000 30,206,000 30,206,000 31,125,000 31,125,000 30,365,000 30,365,000 31,144,000 31,144,000 25,170,000 25,170,000 25,689,000 25,689,000 25,196,000 25,196,000 24,898,000 24,898,000 25,523,000 25,523,000 26,857 26,857 28,352 28,352,000 29,890,000 29,890,000 31,428,000  36,164,000 38,536,000 44,919,000 48,664,000 52,442,000 667,000 909,000 1,151,000 1,321,000 1,556,000 1,837,000 2,118,000 2,400,000 2,681,000 3,136,000 7,734,000 8,451,000 10,136,000 11,002,000 12,327,000  23,581,000   
        goodwill
      2,281,300,000 2,143,200,000 2,142,400,000 2,141,000,000 2,139,500,000 1,893,100,000 1,894,300,000 1,893,700,000 1,894,100,000 1,894,100,000 1,893,500,000 1,894,000,000 1,893,500,000 1,892,000,000 1,805,900,000 1,560,100,000 1,569,600,000 1,569,500,000 1,562,600,000 1,475,500,000 1,617,500,000 1,618,400,000 1,590,900,000 1,547,300,000 1,547,000,000 1,486,900,000 1,444,700,000 1,445,600,000 1,445,500,000 1,421,076,000 1,420,636,000 1,420,012,000 894,888,000 894,095,000 893,776,000 875,431,000 873,872,000 873,513,000 875,015,000 874,919,000 875,657,000 874,906,000 875,714,000 878,862,000 510,164,000 570,697,000 574,023,000 574,951,000 575,225,000 574,948,000 496,553,000 495,638,000 497,580,000 498,356,000 497,013,000 474,639,000 230,895,000 230,895,000 229,234,000 229,234,000 229,928,000 229,928,000 216,401,000 216,401,000 215,841,000 215,841,000 199,720,000 199,720,000 214,367,000 214,367,000 209,209,000 209,209,000 202,814,000 202,814,000 202,814,000 202,814,000 202,797 202,797 202,797 202,797,000 202,777,000 202,777,000 202,777,000 194,011,000 194,011,000 194,011,000 186,749,000 187,004,000 187,238,000 17,109,000 17,109,000 17,109,000 16,596,000 16,596,000 16,596,000 16,596,000 16,596,000 17,117,000 17,112,000 43,534,000 43,538,000 43,997,000 43,997,000 123,835,000  119,710,000 1,542,000 1,579,000 
        other non-current assets
      82,200,000 79,600,000 85,800,000 86,900,000 95,200,000 33,900,000 35,400,000 35,700,000 32,300,000 33,700,000 37,100,000 32,400,000 29,200,000 25,600,000 22,200,000 22,900,000 22,900,000 23,900,000 22,500,000 21,400,000      18,200,000  16,500,000 15,900,000 12,589,000 13,126,000 12,533,000 8,563,000 5,749,000 5,967,000 7,193,000 7,324,000 6,958,000 6,824,000 6,763,000 6,650,000 7,072,000 7,594,000 7,961,000 7,339,000                                                                
        total assets
      4,027,900,000 3,677,300,000 3,700,300,000 3,715,000,000 3,698,400,000 3,429,000,000 3,431,700,000 3,450,800,000 3,488,800,000 3,544,600,000 3,578,900,000 3,561,300,000 3,525,300,000 3,585,700,000 3,611,200,000 3,524,500,000 3,491,200,000 3,502,800,000 3,626,500,000 3,458,800,000 3,334,500,000 3,278,000,000 3,211,600,000 3,065,500,000 3,017,500,000 2,941,400,000 2,831,600,000 2,799,000,000 2,814,600,000 2,687,851,000 2,664,590,000 2,675,034,000 1,858,159,000 1,810,129,000 1,804,868,000 1,766,644,000 1,752,087,000 1,752,667,000 1,762,160,000 1,777,715,000 1,777,055,000 1,767,307,000 1,796,800,000 1,797,134,000 1,217,638,000 1,274,174,000 1,267,055,000 1,275,579,000 1,254,404,000 1,261,194,000 1,118,482,000 1,089,033,000 1,093,436,000 1,098,021,000 1,098,935,000 1,094,748,000 419,989,000 419,989,000 410,665,000 410,665,000 406,729,000 406,729,000 383,673,000 383,673,000 376,179,000 376,179,000 341,116,000 341,116,000 362,537,000 362,537,000 351,194,000 351,194,000 346,711,000 346,711,000 343,462,000 343,462,000 350,128 350,128 365,176 365,176,000 383,345,000 383,345,000 401,850,000 402,423,000 390,946,000 396,527,000 383,203,000 374,745,000 371,575,000 186,995,000 107,974,000 100,819,000 97,239,000 93,705,000 93,981,000 89,644,000 90,366,000 92,382,000 99,359,000 129,010,000 131,187,000 133,016,000 133,050,000 216,959,000    117,607,000 
        liabilities and stockholders’ equity
                                                                                                                  
        current liabilities:
                                                                                                                  
        accounts payable
      63,000,000 47,200,000    27,200,000 25,800,000 22,700,000 25,900,000 34,000,000 32,100,000 24,300,000 34,000,000 35,200,000 33,500,000 32,800,000 21,400,000 20,100,000 32,000,000 33,100,000 29,900,000 39,800,000 50,100,000 37,500,000 33,700,000 39,200,000 27,100,000 24,100,000 27,800,000 43,125,000 28,921,000 26,983,000 14,467,000 6,870,000 6,164,000 6,314,000 7,342,000 6,266,000 6,021,000 5,554,000 6,164,000 9,132,000 6,686,000 7,960,000 6,157,000 8,876,000 7,166,000 5,545,000 5,687,000 8,370,000 6,388,000 5,599,000 5,453,000 6,810,000 5,378,000 6,052,000 5,781,000 5,781,000 4,112,000 4,112,000 9,090,000 9,090,000 7,850,000 7,850,000 7,733,000 7,733,000 5,392,000 5,392,000 5,654,000 5,654,000 4,785,000 4,785,000 4,571,000 4,571,000 4,164,000 4,164,000 4,686 4,686 4,507 4,507,000 5,297,000 5,297,000 5,204,000 5,566,000 6,249,000 6,818,000 5,505,000 5,389,000 6,655,000 2,867,000 3,043,000 2,173,000 3,154,000 2,604,000 2,951,000 2,821,000 3,678,000 3,623,000 2,954,000 3,663,000 2,539,000 1,690,000 4,348,000 2,936,000  1,427,000 557,000 689,000 
        accrued payroll
      251,000,000 231,400,000 249,400,000 245,800,000 211,300,000 218,000,000 236,600,000 233,400,000 232,700,000 236,500,000 250,800,000 266,500,000 251,600,000 285,100,000 329,200,000 337,300,000                                                                       21,089,000 18,981,000 20,362,000 8,426,000 10,086,000 8,757,000 8,564,000 8,046,000 8,903,000 7,456,000 7,197,000 5,958,000 6,785,000 5,252,000 6,000,000 4,778,000 2,600,000 7,913,000  8,665,000 4,740,000 5,278,000 
        other current liabilities
      147,900,000 145,700,000 212,900,000 188,800,000 160,200,000 102,400,000 120,900,000 114,200,000 92,600,000 104,100,000 139,800,000 106,100,000 79,200,000 98,700,000 106,100,000 99,800,000 82,500,000 102,000,000 93,300,000 102,100,000 86,300,000 80,900,000 71,800,000 85,700,000 84,900,000 55,300,000 44,800,000 49,800,000 38,400,000 49,524,000 41,481,000 50,050,000 29,669,000 29,009,000 24,373,000 23,934,000 20,202,000 27,593,000   40,637,000 47,425,000 39,218,000 43,416,000 17,740,000                                       5,526,000 5,899,000 245,000 654,000 624,000 290,000                    
        total current liabilities
      461,900,000 424,300,000 462,300,000 434,600,000 371,500,000 367,100,000 403,600,000 390,100,000 371,700,000 394,100,000 443,200,000 416,600,000 385,900,000 441,900,000 492,300,000 492,400,000 439,100,000 450,900,000 591,000,000 498,400,000 428,900,000 416,200,000 389,400,000 357,300,000 361,200,000 340,900,000 353,400,000 326,500,000 313,700,000 308,249,000 291,417,000 279,120,000 182,748,000 166,717,000 189,196,000 178,377,000 167,659,000 162,499,000 174,098,000 177,607,000 175,754,000 160,350,000 182,149,000 171,147,000 154,691,000 165,566,000 172,188,000 170,558,000 157,168,000 169,021,000 139,065,000 127,077,000 128,899,000 118,727,000 129,480,000 125,823,000 62,541,000 62,541,000 56,409,000 56,409,000 64,985,000 64,985,000 60,246,000 60,246,000 54,899,000 54,899,000 45,050,000 45,050,000 40,755,000 40,755,000 35,827,000 35,827,000 35,371,000 35,371,000 31,954,000 31,954,000 38,769 38,769 38,831 38,831,000 47,534,000 47,534,000 53,531,000 48,156,000 46,275,000 57,107,000 43,389,000 40,981,000 43,445,000 20,424,000 21,439,000 18,140,000 18,126,000 16,998,000 19,142,000 18,294,000 18,590,000 17,689,000 17,946,000 16,040,000 15,105,000 14,041,000 14,370,000 17,859,000     
        long-term debt
      1,462,200,000 1,169,400,000 1,165,700,000 1,211,700,000 1,282,600,000 1,033,500,000 1,034,400,000 1,035,400,000 1,036,300,000 1,036,600,000 1,037,500,000 1,035,700,000 1,035,400,000 1,066,600,000 1,080,800,000 1,034,500,000 1,034,200,000 1,033,900,000 1,033,500,000 1,033,700,000 1,033,700,000 1,033,400,000 1,033,200,000 1,032,900,000 1,065,500,000 1,032,300,000 985,200,000 1,026,000,000 1,107,700,000 1,100,424,000 1,154,154,000 1,240,886,000 565,929,000 575,213,000 609,997,000 579,782,000 617,068,000 640,355,000 658,642,000 691,930,000 723,219,000 755,508,000 784,797,000 830,085,000 316,313,000 396,875,000 385,438,000 358,500,000 375,563,000 389,813,000 347,813,000 359,063,000 373,588,000 416,588,000 429,088,000 452,938,000 75,500,000 75,500,000 81,750,000 81,750,000 83,000,000 83,000,000 72,250,000 72,250,000 73,500,000 73,500,000 61,750,000 61,750,000 77,913,000 77,913,000 77,913,000 77,913,000 77,913,000 77,913,000 77,913,000 77,913,000 82,913 82,913 100,913 100,913,000 110,913,000 110,913,000 125,913,000                       1,225,000   
        deferred income tax liabilities
      275,100,000 237,300,000 192,300,000 191,900,000 191,000,000 187,500,000 156,100,000 156,100,000 156,000,000 156,000,000 130,600,000 129,200,000 129,200,000 129,200,000 98,200,000 89,000,000 89,000,000 89,000,000 66,000,000 108,500,000 108,600,000 108,700,000 107,200,000 98,600,000 98,600,000 98,700,000 78,700,000 78,900,000 79,700,000 79,833,000 71,712,000 68,755,000 69,439,000 69,436,000 74,860,000 74,366,000 74,267,000 74,282,000 61,730,000 61,553,000 61,612,000 61,539,000 66,142,000 65,712,000 63,734,000 67,909,000 54,799,000 49,525,000 49,559,000 49,584,000 22,963,000 22,913,000 22,966,000 23,009,000 15,674,000 15,733,000 15,863,000 15,863,000 14,856,000 14,856,000 9,896,000 9,896,000 9,962,000 9,962,000 10,074,000 10,074,000 10,156,000 10,156,000                                         
        other long-term liabilities
      39,500,000 42,300,000 46,900,000 50,000,000 60,000,000 17,300,000 17,200,000 16,400,000 16,600,000 16,700,000 15,400,000 15,800,000 15,100,000 14,400,000 13,600,000 14,100,000 23,000,000 23,400,000 62,000,000 54,400,000      17,600,000  16,200,000 15,600,000 17,283,000 17,483,000 17,531,000 9,827,000 7,372,000 5,837,000 6,757,000 6,783,000 6,592,000 6,450,000 5,694,000 5,033,000 5,116,000 5,124,000 5,094,000 8,072,000 9,416,000 11,615,000 11,736,000 11,600,000 12,643,000 5,635,000 5,781,000 6,200,000 5,960,000 5,724,000 5,122,000 3,362,000 3,362,000 4,539,000 4,539,000 4,372,000 4,372,000 3,727,000 3,727,000 3,085,000 3,085,000 1,773,000 1,773,000 1,509,000 1,509,000 3,601,000 3,601,000 1,231,000 1,231,000 1,237,000 1,237,000 942 942 1,126 1,126,000 1,749,000 1,749,000 1,895,000 1,939,000 2,042,000 3,783,000 2,122,000 1,580,000 1,101,000                    
        total liabilities
      2,238,700,000 1,873,300,000 1,867,200,000 1,888,200,000 1,905,100,000 1,652,300,000 1,657,300,000 1,642,900,000 1,627,400,000 1,652,500,000 1,670,200,000 1,634,700,000 1,601,800,000 1,684,400,000 1,722,100,000 1,668,400,000 1,622,000,000 1,637,400,000 1,792,100,000 1,739,000,000 1,688,700,000 1,690,900,000 1,687,400,000 1,608,400,000 1,618,000,000 1,565,200,000 1,500,100,000 1,515,300,000 1,587,300,000 1,505,789,000 1,534,766,000 1,606,292,000 827,943,000 818,738,000 879,890,000 839,282,000 865,777,000 883,728,000 900,920,000 936,784,000 965,618,000 982,513,000 1,038,212,000 1,072,038,000 542,810,000 639,766,000 624,040,000 590,319,000 593,890,000 621,061,000 515,476,000 514,834,000 531,653,000 565,298,000 582,480,000 604,162,000 163,973,000 163,973,000 163,922,000 163,922,000 168,061,000 168,061,000 150,745,000 150,745,000 151,558,000 151,558,000 121,629,000 121,629,000 129,027,000 129,027,000 123,292,000 123,292,000 120,212,000 120,212,000 116,801,000 116,801,000 124,554 124,554 142,800 142,800,000 162,193,000 162,193,000 183,336,000 188,737,000 185,201,000 198,120,000 191,743,000 189,155,000 192,059,000 21,051,000 22,061,000 18,616,000 18,544,000 17,068,000 19,252,000 18,446,000 18,806,000 17,911,000 19,845,000 17,506,000 16,666,000 15,620,000 15,913,000 19,867,000     
        commitments and contingencies
                                                                                                                  
        stockholders’ equity:
                                                                                                                  
        preferred stock, 0.01 par value...
                                                                                                                  
        common stock, 0.01 par value...
      400,000 400,000 400,000 400,000 400,000 400,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 500,000 525,000 524,000 523,000 523,000 521,000 520,000 528,000 528,000 527,000 531,000 535,000 533,000 530,000 528,000 526,000 517,000 514,000 523,000 544,000 543,000 539,000 538,000 535,000 532,000 530,000 525,000 519,000 376,000 376,000 370,000 370,000 369,000 369,000 370,000 370,000 369,000 369,000 365,000 365,000 365,000 365,000 364,000 364,000 364,000 364,000 363,000 363,000 393 393 393 393,000 391,000 391,000 388,000 388,000      367,000    286,000    280,000           
        paid-in capital
      718,200,000 713,500,000 727,500,000 727,100,000 719,000,000 684,200,000 684,600,000 687,200,000 695,700,000 696,000,000 701,900,000 702,800,000 714,400,000 703,500,000 702,700,000 692,100,000 696,000,000 690,800,000 688,700,000 683,000,000 674,500,000 661,300,000 657,700,000 645,900,000 638,700,000 638,000,000 634,400,000 625,500,000 613,200,000 601,754,000 594,123,000 581,946,000 574,346,000 566,090,000 567,731,000 569,646,000 564,834,000 562,862,000 561,684,000 557,970,000 550,755,000 542,859,000 533,480,000 525,205,000 490,101,000 483,902,000 489,254,000 503,848,000 499,739,000 493,279,000 489,064,000 481,943,000 477,348,000 471,711,000 467,551,000 459,804,000 232,164,000 232,164,000 229,377,000 229,377,000 227,648,000 227,648,000 227,439,000 227,439,000 225,624,000 225,624,000 224,139,000 224,139,000 224,096,000 224,096,000 222,429,000 222,429,000 220,970,000 220,970,000 220,082,000 220,082,000 230,724 230,724 229,172 229,172,000 229,192,000 229,192,000 227,522,000 225,745,000 223,128,000 221,665,000 217,884,000 215,487,000 212,294,000 199,355,000 125,246,000 124,236,000 122,898,000 121,232,000 119,886,000 118,107,000 118,095,000 117,894,000 117,860,000 117,703,000 117,694,000 117,499,000 117,347,000 117,346,000   40,402,000 36,352,000 
        retained earnings
      1,072,900,000 1,091,700,000 1,107,200,000 1,100,900,000 1,078,100,000 1,097,100,000 1,091,400,000 1,122,500,000 1,165,400,000 1,195,600,000 1,207,900,000 1,223,600,000 1,210,300,000 1,200,000,000 1,190,100,000 1,165,500,000 1,173,000,000 1,174,400,000 1,145,500,000 1,039,200,000 975,000,000 926,300,000 870,900,000 818,600,000 769,800,000 744,700,000 705,400,000 664,100,000 621,000,000 586,125,000 540,244,000 491,072,000 457,511,000 428,419,000 361,122,000 363,366,000 330,269,000 315,573,000 306,507,000 290,328,000 266,968,000 249,567,000 231,634,000 206,709,000 192,457,000 154,562,000 156,140,000 180,905,000 160,116,000 146,199,000 113,789,000 93,639,000 86,300,000 61,687,000 50,365,000 32,932,000 24,417,000 24,417,000 19,034,000 19,034,000 11,557,000 11,557,000 4,008,000 4,008,000   -5,021,000 -5,021,000 8,891,000 8,891,000 5,728,000 5,728,000 4,789,000 4,789,000 5,090,000 5,090,000 19,887 19,887 18,433 18,433,000 17,863,000 17,863,000 16,215,000 12,677,000 5,740,000               15,092,000 18,082,000 21,604,000 21,368,000 100,933,000   89,137,000 85,485,000 
        accumulated other comprehensive loss
      -2,300,000 -1,600,000 -2,000,000 -1,600,000 -4,200,000 -5,000,000 -2,100,000 -2,300,000 -200,000  -1,600,000 -300,000 -1,700,000 -2,700,000 -4,200,000 -2,000,000 -300,000 -300,000 -300,000 -2,900,000 -4,200,000 -1,000,000 -4,900,000 -7,900,000 -9,500,000 -7,000,000 -8,800,000 -6,400,000 -7,400,000 -6,342,000 -5,067,000 -4,799,000 -2,164,000 -3,639,000 -4,395,000 -6,178,000 -9,321,000 -10,023,000 -7,482,000 -7,902,000 -6,819,000  -7,054,000 -7,344,000 -8,247,000      -385,000 -1,918,000 -2,397,000 -1,205,000 -1,986,000 -2,669,000 -941,000 -941,000                                                   
        total stockholders’ equity
      1,789,200,000 1,804,000,000 1,833,100,000 1,826,800,000 1,793,300,000 1,776,700,000 1,774,400,000 1,807,900,000 1,861,400,000 1,892,100,000 1,908,700,000 1,926,600,000 1,923,500,000 1,901,300,000 1,889,100,000 1,856,100,000 1,869,200,000 1,865,400,000 1,834,400,000 1,719,800,000 1,645,800,000 1,587,100,000 1,524,200,000 1,457,100,000 1,399,500,000 1,376,200,000 1,331,500,000 1,283,700,000 1,227,300,000 1,182,062,000 1,129,824,000 1,068,742,000 1,030,216,000 991,391,000 924,978,000 927,362,000 886,310,000 868,939,000 861,240,000 840,931,000 811,437,000 784,794,000 758,588,000 725,096,000 674,828,000 634,408,000 643,015,000 685,260,000 660,514,000 640,133,000 603,006,000 574,199,000 561,783,000 532,723,000 516,455,000 490,586,000 256,016,000 256,016,000 246,743,000 246,743,000 238,668,000 238,668,000 232,928,000 232,928,000 224,621,000 224,621,000 219,487,000 219,487,000 233,510,000 233,510,000 227,902,000 227,902,000 226,499,000 226,499,000 226,661,000 226,661,000 225,574 225,574 222,376 222,376,000 221,152,000 221,152,000 218,514,000 213,686,000 205,745,000 198,407,000 191,460,000 185,590,000 179,516,000 165,944,000 85,913,000 82,203,000 78,695,000 76,637,000 74,729,000 71,198,000 71,560,000 74,471,000 79,514,000 111,504,000 114,521,000 117,396,000 117,137,000 197,092,000     
        total liabilities and stockholders’ equity
      4,027,900,000 3,677,300,000 3,700,300,000 3,715,000,000 3,698,400,000 3,429,000,000 3,431,700,000 3,450,800,000 3,488,800,000 3,544,600,000 3,578,900,000 3,561,300,000 3,525,300,000 3,585,700,000 3,611,200,000 3,524,500,000 3,491,200,000 3,502,800,000 3,626,500,000 3,458,800,000 3,334,500,000 3,278,000,000 3,211,600,000 3,065,500,000 3,017,500,000 2,941,400,000 2,831,600,000 2,799,000,000 2,814,600,000 2,687,851,000 2,664,590,000 2,675,034,000 1,858,159,000 1,810,129,000 1,804,868,000 1,766,644,000 1,752,087,000 1,752,667,000 1,762,160,000 1,777,715,000 1,777,055,000 1,767,307,000 1,796,800,000 1,797,134,000 1,217,638,000 1,274,174,000 1,267,055,000 1,275,579,000 1,254,404,000 1,261,194,000 1,118,482,000 1,089,033,000 1,093,436,000 1,098,021,000 1,098,935,000 1,094,748,000 419,989,000 419,989,000 410,665,000 410,665,000 406,729,000 406,729,000 383,673,000 383,673,000 376,179,000 376,179,000 341,116,000 341,116,000 362,537,000 362,537,000 351,194,000 351,194,000 346,711,000 346,711,000 343,462,000 343,462,000 350,128 350,128 365,176 365,176,000 383,345,000 383,345,000 401,850,000 402,423,000 390,946,000 396,527,000 383,203,000 374,745,000 371,575,000 186,995,000 107,974,000 100,819,000 97,239,000 93,705,000 93,981,000 89,644,000 90,366,000 92,382,000 99,359,000 129,010,000 131,187,000 133,016,000 133,050,000 216,959,000    117,607,000 
        prepaid expenses and income taxes
           44,600,000 36,000,000 42,800,000 30,600,000 36,800,000 25,400,000 33,200,000 23,500,000 39,900,000 15,300,000 17,200,000 17,800,000 41,200,000 10,900,000 12,700,000 20,200,000 23,300,000 10,300,000 15,900,000 21,600,000 29,400,000 10,200,000 15,200,000 16,900,000 11,446,000 13,606,000 15,291,000 10,646,000 18,592,000 7,644,000 8,761,000 6,817,000 6,331,000 5,896,000 7,822,000 8,849,000 12,686,000 6,526,000 6,550,000 4,712,000 14,513,000                                                               
        operating lease right-of-use assets
           61,900,000 61,800,000 60,700,000 63,300,000 64,200,000 60,100,000 53,000,000 52,500,000 51,100,000 55,400,000 55,200,000 53,700,000 57,100,000 57,200,000 60,600,000 76,200,000 84,900,000                                                                                       
        operating lease liabilities
           19,500,000 20,300,000 19,800,000 20,500,000 19,500,000 20,500,000 19,700,000 21,100,000 22,900,000 23,500,000 22,500,000 23,000,000 23,300,000 23,400,000 22,600,000 28,000,000 29,400,000 31,000,000 27,600,000 27,100,000 25,800,000 25,000,000 25,800,000 26,300,000                                                                                
        accrued payroll and contract professional pay
                      312,200,000 305,500,000 312,100,000 278,500,000 284,700,000 266,100,000 236,500,000 206,500,000 215,500,000 203,200,000 220,700,000 196,500,000 188,200,000 194,807,000 195,698,000 179,830,000 120,356,000 114,832,000 127,005,000 118,115,000 111,659,000 111,596,000 113,513,000 118,113,000 110,886,000 88,100,000 113,219,000 102,432,000 84,340,000 87,189,000 90,976,000 84,685,000 77,377,000 76,556,000 75,094,000 67,405,000 62,045,000 59,962,000 63,219,000 59,122,000 27,349,000 27,349,000 24,948,000 24,948,000 24,282,000 24,282,000 23,165,000 23,165,000 21,447,000 21,447,000 15,727,000 15,727,000 16,936,000 16,936,000 15,309,000 15,309,000 14,483,000 14,483,000 11,625,000 11,625,000 13,151 13,151 13,520 13,520,000 15,519,000 15,519,000 19,836,000 24,180,000 21,907,000 23,566,000                       
        current assets of discontinued operations
                                                                                                                  
        non-current assets of discontinued operations
                                                                                                                  
        current liabilities of discontinued operations
                                                                                                                  
        long-term liabilities of discontinued operations
                                                                                                                  
        income taxes payable
                        130,200,000       1,200,000 18,800,000 13,500,000 15,700,000 3,411,000 8,180,000 5,180,000 777,000 1,229,000 15,127,000 13,328,000 12,801,000 1,260,000 13,538,000 9,583,000 3,157,000 673,000 7,423,000 2,026,000 12,489,000 340,000 2,448,000 5,783,000 978,000 13,418,000 12,415,000 8,057,000 11,696,000  8,569,000 4,445,000 1,354,000 1,354,000   3,786,000 3,786,000 3,775,000 3,775,000 2,671,000 2,671,000 1,496,000 1,496,000 1,019,000 1,019,000              223,000 338,000 858,000 182,000 119,000 134,000 876,000 1,638,000 569,000 215,000 78,000 96,000 119,000 85,000 90,000          6,000 
        current assets held for sale
                         341,900,000                                                                                         
        non-current assets held for sale
                                                                                                                  
        current liabilities held for sale
                         62,100,000                                                                                         
        long-term liabilities held for sale
                                                                                                                  
        other
                          22,700,000 23,000,000 21,800,000 19,500,000 18,300,000  16,600,000            3,580,000 3,248,000      3,121,000 3,210,000 3,090,000 3,055,000 3,200,000 2,476,000 3,703,000 9,528,000 4,289,000 4,812,000 4,293,000 3,494,000 3,494,000 3,316,000 3,316,000 1,695,000 1,695,000 1,495,000 1,495,000 1,891,000 1,891,000 1,406,000 1,406,000 1,930,000 1,930,000 2,406,000 2,406,000 2,209,000 2,209,000 2,213,000 2,213,000 2,313 2,313 2,300 2,300,000 2,449,000 2,449,000 2,162,000                          
        operating lease right of use assets
                            93,200,000 90,300,000 95,400,000 94,600,000 85,700,000 87,700,000 91,400,000                                                                                
        payroll tax deferral and other
                            87,400,000 50,100,000                                                                                     
        workers’ compensation receivable
                               13,800,000    15,011,000    12,702,000    14,001,000    13,238,000                                                                   
        workers’ compensation loss reserves
                               16,200,000 17,000,000 16,800,000 17,300,000 17,382,000 17,137,000 17,077,000 17,479,000 14,777,000 16,527,000 16,686,000 15,655,000 15,784,000 15,999,000 14,110,000 14,910,000 15,020,000 15,603,000 15,313,000 15,715,000                                                                
        workers' compensation receivable
                                14,700,000 14,700,000 15,200,000  14,890,000 15,117,000 15,338,000  14,312,000 14,572,000 13,720,000  14,191,000 12,652,000 13,278,000  13,737,000 13,664,000 13,807,000                                                                
        cash, cash equivalents and restricted cash
                                       36,667,000                                                                           
        current portion of long-term debt
                                                  18,250,000 18,250,000 18,250,000 18,250,000 18,250,000 10,000,000 10,000,000 10,250,000 10,000,000 10,000,000 10,000,000 13,650,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000                1,040,000 693,000 347,000 1,450,000                   4,406,000   
        accumulated other comprehensive income
                                               -8,162,000    -4,570,000 -2,902,000 -37,000 116,000 116,000         -2,038,000 -2,038,000 -906,000 -906,000 1,111,000 1,111,000 485,000 485,000 4,000 4,000 158,000 158,000 -619,000 -619,000 376,000 376,000 1,126,000 1,126,000 1,290 1,290 999 999,000 284,000 284,000 800,000 1,203,000 2,668,000 2,778,000 2,098,000 1,748,000 1,653,000 1,562,000 1,336,000 1,336,000 1,081,000 993,000 1,254,000 1,314,000 1,834,000 2,075,000 1,497,000 1,400,000 1,436,000 984,000 1,112,000 698,000   18,000 76,000 
        deferred income tax assets
                                                15,298,000 15,899,000 15,970,000 19,067,000 17,190,000 17,200,000 17,205,000 17,214,000 10,083,000 10,071,000 10,118,000 10,147,000 11,938,000 10,643,000 10,470,000 10,470,000 9,271,000 9,271,000 9,230,000 9,230,000 9,227,000 9,227,000 9,187,000 9,187,000 8,784,000 8,784,000 7,267,000 7,267,000 7,370,000 7,370,000 7,452,000 7,452,000 7,507,000 7,507,000 8,114 8,114 8,113 8,113,000 9,201,000 9,201,000 9,347,000 7,781,000 7,805,000 8,006,000                       
        workers’ compensation and medical malpractice receivable
                                                   18,728,000    21,200,000                                                           
        workers’ compensation and medical malpractice loss reserves
                                                   29,135,000 30,904,000 32,678,000 31,808,000 32,751,000 11,748,000 11,131,000 10,509,000 10,327,000 10,646,000 10,531,000 10,151,000 10,151,000 10,401,000 10,401,000 10,196,000 10,196,000 10,391,000 10,391,000 10,574,000 10,574,000 10,244,000 10,244,000 10,544,000 10,544,000 10,500,000 10,500,000 10,461,000 10,461,000 10,349,000 10,349,000 10,476 10,476 10,572 10,572,000 10,385,000 10,385,000 9,754,000 9,737,000 9,035,000 9,616,000                       
        prepaid expenses
                                                    5,664,000 6,091,000 6,383,000 8,686,000 7,454,000 7,469,000 6,744,000 8,839,000 3,760,000 4,478,000 3,212,000 3,212,000 3,718,000 3,718,000 2,184,000 2,184,000 3,683,000 3,683,000 4,023,000 4,023,000 3,555,000 3,555,000 1,979,000 1,979,000 2,643,000 2,643,000 2,838,000 2,838,000 3,445,000 3,445,000 1,947 1,947 3,006 3,006,000 3,925,000 3,925,000 4,503,000 2,672,000 3,972,000 4,001,000 2,624,000 3,451,000 3,994,000 2,630,000 1,653,000 2,267,000 2,653,000 3,017,000 1,969,000 2,527,000 2,512,000 2,720,000 2,234,000 2,941,000 2,398,000 2,149,000 2,999,000 2,276,000  2,517,000 2,030,000 1,751,000 
        workers' compensation and medical malpractice receivable
                                                    19,157,000 20,604,000 20,041,000                                                            
        accounts receivable, net of 3,067 and 3,970, respectively
                                                       262,224,000                                                           
        deferred compensation
                                                       20,000 5,150,000 5,150,000 5,150,000 10,000,000 9,259,000 8,424,000 1,265,000 1,265,000 1,896,000 1,896,000 1,800,000 1,800,000 2,133,000 2,133,000 2,277,000 2,277,000 2,198,000 2,198,000 2,166,000 2,166,000 1,963,000 1,963,000 2,118,000 2,118,000 2,070,000 2,070,000 1,962 1,962 1,787 1,787,000 1,527,000 1,527,000 1,610,000 1,884,000 2,154,000 2,089,000 1,919,000 1,810,000 1,547,000 1,360,000 1,091,000 921,000 809,000 683,000 640,000 581,000 588,000 646,000 571,000 645,000 628,000 1,015,000 1,144,000 1,143,000  1,464,000 1,736,000 1,413,000 
        current portion of accrued earn-outs
                                                        2,259,000 3,171,000 6,099,000 6,563,000 5,894,000 4,771,000 3,384,000 3,384,000 3,488,000 3,488,000 4,950,000 4,950,000 3,306,000 3,306,000                                             
        other long-term assets
                                                         7,816,000 14,430,000  16,123,000 15,863,000 1,998,000 1,998,000 2,054,000 2,054,000 4,226,000 4,226,000 4,663,000 4,663,000 4,877,000 4,877,000 4,762,000 4,762,000                                         
        accounts receivable, net of 3,970 and 2,777, respectively
                                                           243,003,000                                                       
        accrued earn-outs
                                                           1,014,000 2,514,000 4,546,000 6,707,000 6,707,000 6,368,000 6,368,000 5,808,000 5,808,000 4,560,000 4,560,000 10,000,000 10,000,000                                           
        advances and deposits
                                                            523,000 1,410,000   218,000 218,000 216,000 216,000 219,000 219,000 441,000 441,000 480,000 480,000 372,000 372,000   166,000 166,000 163,000 163,000 230 230 236 236,000 375,000 375,000 311,000 320,000 334,000 418,000 376,000 438,000 328,000 343,000 381,000 316,000 320,000 327,000 312,000 294,000 310,000 267,000 334,000 371,000 241,000 148,000 170,000 218,000  190,000 149,000 173,000 
        prepaid income taxes
                                                            2,257,000 1,360,000 1,418,000 1,418,000 2,927,000 2,927,000 929,000 929,000 91,000 91,000 288,000 288,000 494,000 494,000   1,671,000 1,671,000 5,143,000 5,143,000 4,717,000 4,717,000 1,492 1,492 2,391 2,391,000 3,415,000 3,415,000 3,759,000 2,605,000 617,000  1,808,000                      
        accumulated deficit
                                                                      -1,857,000 -1,857,000                                           
        accrued earn-out
                                                                        2,900,000 2,900,000 2,900,000 2,900,000                                       
        other assets
                                                                          4,501,000 4,501,000 4,608,000 4,608,000 5,093,000 5,093,000 5,315,000 5,315,000 5,849 5,849 5,863 5,863,000 6,120,000 6,120,000 5,427,000 7,919,000 6,238,000 6,325,000 6,263,000 6,497,000 6,101,000 3,313,000 1,520,000 1,433,000 1,353,000 1,287,000 1,247,000 1,226,000 2,223,000 2,241,000 2,113,000 2,122,000 1,999,000 1,989,000 1,951,000 1,779,000  1,992,000 2,051,000 1,591,000 
        deferred income taxes
                                                                          5,950,000 5,950,000 5,951,000 5,951,000 5,697,000 5,697,000 5,697,000 5,697,000 1,930 1,930 1,930 1,930,000 1,997,000 1,997,000 1,997,000    5,365,000 5,365,000 5,364,000 3,624,000         3,284,000 3,308,000 3,304,000 2,443,000 1,757,000 1,570,000  2,498,000 2,659,000 1,974,000 
        accrued earn-out payments
                                                                                  4,827 4,827 4,868 4,868,000 10,168,000 10,168,000 10,168,000   9,013,000                       
        stockholders’ equity: - sum
                                                                                226,661,000  252,294    247,730,000  244,925,000 240,013,000 231,921,000               134,474,000 137,491,000 140,366,000 140,107,000 219,255,000    122,442,000 
        less: treasury stock at cost, 3,097,364 shares in 2008
                                                                                                                  
        less: treasury stock at cost, 3,170,452 and 3,097,364 shares, respectively
                                                                                  26,720 26,720                               
        less: treasury stock, at cost, 3,146,771 and 3,097,364 shares
                                                                                    26,621 26,621,000                             
        less: treasury stock at cost, 3,133,755 and 3,097,364 shares, respectively
                                                                                      26,578,000 26,578,000                           
        less: treasury stock at cost, 3,097,364 and 3,038,938 shares, respectively
                                                                                        26,411,000                          
        identifiable intangible assets, net of amortization of 34,604 and 27,536
                                                                                         33,796,000                         
        long-term debt – less current portion
                                                                                         134,872,000 135,219,000                        
        deferred income tax liabilities – long term
                                                                                         3,770,000 1,665,000                        
        less: treasury stock, at cost, 3,082,815 and 3,038,938 shares
                                                                                         26,327,000                         
        accounts receivable, net of 2,321 and 2,254
                                                                                          84,654,000                        
        common stock
                                                                                          385,000 384,000 381,000 379,000 377,000  290,000 289,000 288,000  284,000 280,000 280,000  279,000 279,000 279,000 279,000 280,000 278,000    235,000 
        less: treasury stock, at cost
                                                                                          26,176,000 26,068,000                       
        other accrued expenses
                                                                                           4,555,000 4,269,000 4,426,000 4,151,000 3,250,000 1,622,000 1,778,000 1,615,000 1,930,000 2,308,000 2,699,000 2,614,000 3,152,000 3,204,000 2,168,000 1,839,000 3,237,000 2,942,000 2,806,000  1,685,000 777,000 1,048,000 
        long-term debt — less current portion
                                                                                           135,566,000 142,463,000                      
        deferred income tax liabilities — long term
                                                                                           1,664,000                       
        restricted cash
                                                                                               4,678,000 5,178,000 5,178,000 4,678,000 4,878,000 4,878,000 4,878,000             
        deferred income taxes, long-term
                                                                                            494,000 494,000 494,000 865,000                   
        accrued workers’ compensation and medical malpractice insurance
                                                                                            8,321,000 8,182,000 8,230,000                    
        deferred income taxes — long term
                                                                                            3,769,000  3,769,000                    
        less: treasury shares, at cost
                                                                                            23,930,000 23,796,000 23,642,000  22,970,000 22,970,000 22,970,000  22,970,000 22,970,000 22,970,000  22,970,000 22,970,000 22,970,000 22,970,000 22,970,000 22,163,000    15,310,000 
        income taxes receivable
                                                                                             13,000 501,000 19,000  52,000 551,000 567,000 1,252,000 970,000 6,259,000 5,702,000 8,112,000 4,006,000 2,176,000 1,458,000 1,955,000 2,032,000  1,399,000 123,000  
        notes payable – current portion
                                                                                             1,450,000                     
        deferred income taxes – long term
                                                                                             3,769,000                     
        notes payable – less current portion
                                                                                             142,825,000                     
        preferred stock
                                                                                                                  
        notes payable — current portion
                                                                                              2,076,000                    
        notes payable — less current portion
                                                                                              143,744,000                    
        deferred rent expense
                                                                                               94,000 103,000 108,000 99,000 169,000 177,000 181,000 159,000 167,000 150,000 107,000 117,000        
        accrued workers’ compensation
                                                                                               3,551,000 3,856,000 3,834,000 3,670,000 3,488,000 4,067,000 4,437,000 4,269,000 4,053,000 4,282,000 4,205,000 3,982,000 3,321,000 3,336,000 3,061,000  2,622,000 2,662,000 2,041,000 
        less: treasury stock at cost, 2,662,500 and 2,711,566 shares in 2005 and 2006, respectively
                                                                                               23,480,000                   
        marketable securities
                                                                                                     2,000,000 8,000,000 2,000,000         2,000,000  
        less: treasury stock at cost, 2,662,500 shares in 2004 and 2005
                                                                                                   22,970,000               
        less: treasury stock at cost, 2,662,500 shares in 2003 and 2004
                                                                                                       22,970,000           
        (accumulated deficit) retained earnings
                                                                                                                  
        workers’ compensation restricted deposits
                                                                                                             88,000  118,000 77,000 78,000 
        deferred compensation liability
                                                                                                                294,000 294,000 
        less: treasury stock at cost, 1,524,000 shares in 2002 and 2,662,500 shares in 2003
                                                                                                                  
        office furniture, equipment and leasehold improvements
                                                                                                               4,574,000  2,867,000 
        restricted cash — hpo earn-out provision
                                                                                                               2,500,000   
        line of credit
                                                                                                               2,731,000   
        office furniture, equipment and leasehold improvements
                                                                                                                2,804,000  
        liabilities and stockholders’ equity
                                                                                                                  
        stockholders’ equity
                                                                                                                  
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-05-09 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-05-10 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-05-10 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-05-11 2009-03-31 2008-12-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-09-30 2003-06-30 2003-03-31 2002-06-30 2002-03-31 2001-12-31 
                                                                                                          
          cash flows from operating activities
                                                                                                          
          net income
        5,500,000 25,200,000 38,100,000 29,300,000 20,900,000 42,400,000 47,500,000 47,200,000 38,100,000 50,300,000 59,400,000 60,100,000 49,500,000 55,600,000 73,200,000 72,500,000 66,800,000 85,000,000 212,000,000 64,200,000 48,700,000 55,400,000 52,300,000 48,800,000 43,800,000 39,300,000 57,400,000 43,100,000 34,900,000 45,881,000 49,172,000 33,561,000 29,092,000 67,331,000 34,856,000 33,097,000 22,391,000 24,028,000 29,768,000 26,004,000 17,401,000 19,338,000 24,925,000 14,252,000 39,135,000 20,473,000 22,005,000 20,789,000 13,917,000 32,410,000 20,150,000 7,339,000 24,613,000 11,322,000 17,433,000 8,515,000 5,383,000 5,383,000 7,501,000 7,767,000 5,865,000 3,164,000 3,164,000 -13,698,000 3,163,000 940,000 -302,000 -302,000 1,035,000 1,454,000 570,000 1,648,000 1,648,000 3,538,000 6,937,000 6,092,000 2,403,000 3,255,000 2,938,000 911,000 6,129,000 2,699,000 1,914,000 302,000         236,000 -79,565,000 -452,000 3,875,000 2,869,000 3,652,000 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                                          
          amortization and depreciation
        28,000,000 29,900,000 29,300,000 28,700,000 25,600,000 23,900,000 23,400,000 24,500,000 24,500,000                                                                                          
          stock-based compensation
        15,100,000 11,100,000 11,100,000 11,900,000 13,800,000 9,700,000 9,900,000 11,000,000 11,700,000 10,300,000 10,300,000 11,300,000 12,100,000 13,400,000 11,900,000 11,200,000 12,800,000 11,000,000 20,600,000 10,800,000 10,300,000 8,400,000 7,000,000 8,200,000 8,700,000 8,200,000 7,800,000 13,800,000 9,500,000 9,108,000 8,619,000 8,870,000 4,891,000 6,101,000 6,382,000 5,991,000 5,570,000 7,221,000 6,345,000 6,534,000 6,924,000 6,774,000 6,054,000 5,236,000 3,954,000 4,308,000 4,606,000 4,095,000 3,190,000 4,001,000 4,200,000 3,486,000 2,724,000 3,132,000 3,075,000 2,308,000 1,191,000 1,191,000 1,843,000 1,838,000 1,621,000 1,625,000 1,625,000 2,431,000 2,099,000 1,885,000 1,334,000 1,334,000 1,286,000 1,514,000 1,062,000 1,145,000 1,145,000 1,607,000 1,596,000 1,561,000 1,585,000 1,472,000 2,231,000 1,106,000 1,078,000 861,000 555,000 459,000 68,000              
          other
        1,600,000 2,900,000 1,900,000 1,200,000 6,100,000 1,700,000 1,600,000 2,500,000 3,100,000 1,000,000 5,900,000 1,900,000 1,500,000 1,700,000 1,400,000 2,300,000 2,800,000 2,600,000 900,000 1,800,000 1,000,000 500,000 1,900,000 1,800,000 1,700,000 2,200,000 1,300,000 4,000,000 1,500,000 -1,395,000 4,575,000 7,235,000 1,236,000 643,000 2,176,000 801,000 2,990,000 1,577,000 2,052,000 -2,295,000 4,308,000 4,419,000 1,782,000 -995,000 1,930,000 -4,558,000 2,023,000 1,914,000 2,029,000 -1,135,000 -157,000 724,000 502,000 -382,000 73,000 10,000 -63,000 -63,000 1,521,000 612,000 446,000 221,000 221,000 534,000 345,000 -349,000 -31,000 -31,000 41,000 -119,000 -677,000 -1,611,000 -1,611,000                          
          changes in operating assets and liabilities:
                                                                                                          
          accounts receivable
        -46,600,000 34,700,000 -20,500,000 13,700,000 -31,700,000 34,400,000 34,600,000 2,800,000 15,200,000 62,900,000 23,400,000 -6,300,000 31,000,000 37,900,000 -17,500,000 -69,000,000 -67,700,000 -11,600,000 -63,500,000 -66,300,000 30,300,000 5,500,000 -58,900,000 71,000,000 -30,500,000 6,000,000 -31,300,000 -3,600,000 4,600,000 -42,849,000 -15,810,000 -18,483,000 -13,526,000 1,475,000 -16,714,000 -25,068,000 -10,154,000 4,096,000 -12,826,000 -9,197,000 -25,362,000 938,000 -30,312,000 -9,817,000 -14,584,000 -5,028,000 -3,266,000 -20,591,000 -16,476,000 13,837,000 -663,000 -7,216,000 -26,113,000 5,628,000 -8,752,000 -7,751,000 -7,729,000 -7,729,000 1,736,000 -13,189,000 -6,116,000 -7,510,000 -7,510,000 -2,274,000 -6,834,000 -957,000 -467,000 -467,000 -1,003,000 1,972,000 10,909,000 16,146,000 16,146,000                          
          prepaid expenses and income taxes
        -1,200,000 -100,000 3,800,000 -1,600,000 -3,000,000 -8,600,000 6,800,000 -12,200,000 6,000,000 -11,200,000 7,700,000 -9,700,000 16,500,000 -24,400,000 2,700,000 600,000 23,100,000 -30,800,000 5,800,000 3,800,000 3,000,000 -12,700,000 5,700,000 5,600,000 7,900,000 -18,900,000 3,400,000 1,600,000 -6,900,000 2,294,000 480,000 3,784,000 8,218,000 -10,903,000 1,385,000 -1,886,000 -457,000 -407,000 1,978,000 1,015,000 3,847,000 -6,483,000 -582,000 -789,000 7,954,000    3,950,000 2,973,000 1,134,000 370,000 2,151,000  -754,000                                            
          accounts payable
        15,200,000 4,500,000 7,000,000 6,900,000 -2,300,000 600,000 2,600,000 -3,000,000 -6,800,000 100,000 7,900,000 -9,200,000 -1,200,000 -2,400,000 -2,100,000 12,600,000 -500,000 -11,600,000 -6,200,000 4,200,000 -10,000,000 -12,500,000 13,500,000 3,700,000 -3,900,000 10,600,000 3,100,000 -3,700,000 -17,300,000 13,428,000 13,134,000 -9,067,000 5,825,000 450,000 -177,000 -670,000 712,000 1,289,000 -345,000 -890,000 -2,290,000 2,740,000 -898,000 -363,000 205,000 133,000 1,046,000 134,000 -3,006,000 -1,195,000 864,000 -160,000 -1,089,000 1,186,000 193,000 -698,000 1,306,000 1,306,000 -4,769,000 1,239,000 624,000 1,094,000 1,094,000 167,000 245,000 141,000 479,000 479,000 -512,000 134,000 -1,161,000 844,000 844,000 -1,105,000 -385,000 -554,000 1,235,000 -207,000 84,000 447,000    603,000               
          accrued payroll
        14,200,000 -18,200,000 3,500,000 32,800,000 -9,100,000 -18,000,000 3,600,000 1,300,000 -4,000,000 -14,600,000 -15,500,000 14,500,000 -33,800,000 -8,700,000                                                                2,082,000 -1,396,000 2,366,000 -1,795,000 1,325,000 144,000 504,000 -844,000 1,465,000             
          net cash from operating activities
        18,500,000 102,300,000 83,900,000 124,900,000 16,800,000 100,200,000 135,800,000 90,700,000 73,300,000 116,400,000 147,500,000 112,500,000 80,500,000 75,300,000 88,100,000 88,400,000 56,000,000 -82,200,000 71,200,000 84,900,000 119,800,000 87,000,000 87,600,000 186,100,000 64,100,000 81,400,000 91,300,000 96,500,000 44,000,000 63,890,000 92,082,000 76,746,000 54,733,000 58,259,000 54,594,000 39,793,000 43,800,000 55,902,000 42,702,000 60,332,000 37,314,000 30,196,000 34,877,000 32,477,000 19,943,000 28,064,000 42,949,000 29,330,000 -4,321,000 36,576,000 43,621,000 26,752,000 3,575,000 26,058,000 23,531,000 -15,865,000 6,973,000 6,973,000 8,365,000 2,109,000 7,167,000 5,778,000 5,778,000 6,459,000 5,929,000 8,061,000 6,412,000 6,412,000 1,444,000 9,167,000 13,244,000 18,158,000 18,158,000            -106,000 -1,149,000      853,000       
          capital expenditures
        1,011,000 662,000 -231,000 870,000 -12,000 174,000 819,000 -289,000 416,000 618,000 618,000 -1,374,000 -2,022,000 -2,650,000 -2,650,000 -2,108,000 -1,358,000 -1,516,000 -1,320,000 -1,320,000 -943,000 -1,145,000 -947,000 -1,638,000 -1,638,000            -121,000 12,000            
          free cash flows
        18,500,000 102,300,000 83,900,000 124,900,000 16,800,000 100,200,000 135,800,000 90,700,000 73,300,000 116,400,000 147,500,000 112,500,000 80,500,000 75,300,000 88,100,000 88,400,000 56,000,000 -82,200,000 71,200,000 84,900,000 119,800,000 87,000,000 87,600,000 186,100,000 64,100,000 81,400,000 91,300,000 96,500,000 44,000,000 63,890,000 92,082,000 76,746,000 54,733,000 58,259,000 54,594,000 39,793,000 43,800,000 55,902,000 42,702,000 60,332,000 37,314,000 30,196,000 34,877,000 32,477,000 20,954,000 28,064,000 43,611,000 29,099,000 -3,451,000 36,576,000 43,609,000 26,926,000 4,394,000 26,058,000 23,242,000 -15,449,000 7,591,000 7,591,000 8,365,000 735,000 5,145,000 3,128,000 3,128,000 4,351,000 4,571,000 6,545,000 5,092,000 5,092,000 501,000 8,022,000 12,297,000 16,520,000 16,520,000            -227,000 -1,137,000      853,000       
          cash flows from investing activities
                                                                                                          
          cash paid for property and equipment
        -9,400,000 -8,600,000 -11,900,000 -9,100,000 -10,200,000 -11,300,000 -7,900,000 -5,300,000 -10,800,000 -7,200,000 -9,800,000 -11,200,000 -11,700,000 -10,500,000 -8,600,000 -8,800,000 -9,600,000 -9,100,000 -8,000,000 -8,300,000 -9,300,000 -4,300,000 -5,700,000 -7,300,000 -15,300,000 -9,900,000 -6,900,000 -8,400,000 -7,500,000 -6,608,000 -7,500,000 -8,395,000 -6,198,000 -6,227,000 -4,830,000 -6,416,000 -6,792,000 -6,587,000 -6,642,000 -6,627,000 -7,282,000 -6,512,000 -4,846,000 -5,331,000 -8,000,000 -5,469,000 -4,622,000 -5,618,000 -4,020,000 -4,238,000 -4,965,000 -4,543,000 -2,785,000 -3,471,000 -3,712,000 -5,052,000 -2,119,000 -2,119,000                                         
          cash paid for acquisitions, net of cash acquired
        -283,600,000 2,000,000 -306,100,000         -132,800,000    1,600,000 -138,600,000   -34,700,000 -66,000,000 -85,500,000 -67,900,000 300,000 -48,800,000 37,000 264,000           17,000      -222,000     -296,000                                            
          net cash from investing activities
        -293,000,000 -6,600,000 -11,900,000 -9,100,000 -316,300,000 -11,300,000 -8,000,000 -5,200,000 -10,800,000 -7,200,000 -9,800,000 -11,200,000 -12,300,000 -143,400,000 -360,500,000 -6,300,000 200,000 -2,700,000 352,600,000 -94,000,000 -9,400,000 -38,900,000 -71,700,000 -7,400,000 -101,000,000 -77,700,000 -6,100,000 -8,300,000 -57,000,000 -6,207,000 -7,296,000 -769,012,000 -6,218,000 -6,251,000 -30,510,000 -6,581,000 -6,775,000 -6,646,000 -7,079,000 -7,153,000 -1,106,000 -6,015,000 -4,246,000 -558,165,000 106,896,000 -5,825,000 -4,503,000 -5,342,000 -3,890,000 -86,383,000 -4,694,000 -1,697,000 24,419,000 -2,455,000 -5,300,000 -353,140,000 -2,071,000 -2,071,000 -2,660,000 -16,959,000 -2,316,000 -19,185,000 -19,185,000 -2,306,000 -6,227,000 -6,837,000 -1,211,000 -1,211,000 -5,451,000 -759,000 -5,870,000 -1,748,000 -1,748,000                    -1,241,000      
          cash flows from financing activities
                                                                                                          
          proceeds from long-term debt
        350,000,000 56,000,000 100,000,000 265,000,000                 65,500,000 594,000,000 9,000,000 6,000,000 44,000,000   35,000,000 2,000,000 4,000,000     21,000,000 43,500,000                                                    
          principal payments of long-term debt
        -56,900,000 -51,900,000 -142,900,000 -71,200,000 -16,300,000 -1,200,000 -1,300,000 -1,200,000 -1,300,000             -33,000,000 -32,500,000 -558,200,000 -51,000,000 -89,000,000 -38,000,000 -55,000,000 -88,000,000 -133,000,000 -10,000,000 -35,500,000 -5,500,000 -38,000,000 -26,000,000 -23,000,000 -34,000,000 -39,000,000 -33,000,000 -30,000,000 -46,000,000 -359,562,000 -80,563,000 -9,563,000 -16,562,000 -17,063,000 -105,500,000 -4,000,000 -11,500,000 -397,775,000 -43,000,000 -12,500,000 -50,500,000 -103,913,000 -6,250,000 -6,250,000 -1,250,000 -4,250,000 -1,250,000 -13,750,000 -13,750,000      -5,000,000 -18,000,000 -10,000,000 -15,000,000 -15,000,000                          
          proceeds from employee stock purchase plan
        6,900,000 5,500,000 8,700,000 7,700,000 9,500,000 7,800,000 11,100,000                                                                                     
          repurchase of common stock
        -39,000,000 -64,200,000 -46,000,000 -9,500,000 -50,400,000 -43,900,000 -95,600,000 -108,000,000 -79,700,000         -62,900,000    -27,900,000        -1,116,000 -46,813,000 -12,136,000 -19,626,000 -18,683,000   1,000 -1,000 -1,645,000 -31,814,000             -205,000                                        
          payment of employment taxes related to release of restricted stock awards
        -3,400,000 -800,000 -800,000 -1,200,000 -5,800,000 -2,100,000 -3,700,000 -1,500,000 -8,500,000 -2,600,000 -1,500,000 -10,000,000 -4,200,000 -3,700,000 -1,600,000 -2,500,000 -8,800,000 -2,100,000 -6,800,000 -2,300,000 -4,800,000 -5,000,000 -1,100,000 -1,000,000 -4,900,000 -4,500,000 -900,000 -1,300,000 -5,500,000 -1,247,000 -1,203,000 -1,144,000 -2,055,000 -7,101,000 -922,000 -1,081,000 -5,782,000 -1,056,000 -702,000 -1,676,000 -3,590,000 -2,223,000 -1,063,000 -1,546,000 -3,991,000                   -1,104,000 -167,000 -214,000 -470,000 -470,000                               
          net cash from financing activities
        257,600,000 -61,200,000    -49,600,000 -92,900,000 -110,700,000 -80,000,000 -79,300,000 -85,600,000 -72,600,000 -73,400,000 -72,800,000 -6,600,000 -93,700,000 -83,400,000 -65,000,000 -119,500,000 -2,800,000 2,900,000 -4,600,000 4,800,000 -35,300,000 6,100,000 23,500,000 -57,100,000 -84,300,000 7,400,000 -56,218,000 -88,466,000 660,150,000 -7,667,000 -43,652,000 -15,525,000 -39,077,000 -40,215,000 -38,860,000 -53,656,000 -46,815,000 -31,653,000 -28,808,000 -43,775,000 491,729,000 -81,487,000 -20,115,000 -38,718,000 -16,900,000 -5,359,000 42,142,000 -8,269,000 -22,843,000 -43,420,000 -10,164,000 -22,816,000 370,042,000 -5,184,000 -5,184,000 -924,000 9,315,000 -2,395,000 11,513,000 11,513,000 -15,940,000 -162,000 -211,000 -301,000 -301,000 -4,966,000 -18,104,000 -10,073,000 -15,814,000 -15,814,000        73,111,000         157,000 9,000 175,000       
          effect of exchange rate changes on cash and cash equivalents
        -700,000 200,000 100,000 1,000,000 100,000 -700,000 -500,000   400,000   -100,000 -400,000   100,000 -300,000 800,000 -1,200,000 1,200,000 1,100,000 500,000 -400,000 500,000   -600,000 -527,000 -89,000 -1,127,000 385,000 334,000 455,000 823,000 151,000 -324,000   -55,000 -420,000 197,000 -541,000 -703,000 -291,000 -600,000 271,000 -386,000 -62,000 308,000 125,000 -279,000 167,000 35,000 -299,000 228,000 228,000 -287,000 -403,000 906,000 -694,000 -694,000 -82,000 255,000 -780,000 -624,000 -624,000 -121,000 259,000 738,000 -401,000 -401,000   -29,000 519,000 280,000 58,000 78,000 137,000 2,000 186,000 66,000     499,000    -140,000 384,000 123,000  -53,000  
          net decrease in cash and cash equivalents
        -17,600,000  -12,400,000 31,900,000 -98,200,000    -17,500,000    -5,300,000                                   7,359,000 -13,956,000    -15,705,000    -54,000 -54,000                                         
          cash and cash equivalents at beginning of year
        161,200,000 205,200,000 175,900,000 70,300,000 529,600,000 274,400,000 95,200,000 41,800,000 36,667,000  27,044,000 23,869,000 31,714,000 37,350,000 27,479,000 17,739,000 17,739,000 18,409,000 18,409,000                                    
          cash and cash equivalents at end of period
        143,600,000  -12,400,000 31,900,000 107,000,000  34,400,000 -26,200,000 158,400,000  51,800,000 28,800,000 65,000,000  -279,400,000 -11,800,000 502,400,000  304,000,000 -11,100,000 386,500,000  21,800,000 143,900,000 64,000,000  27,400,000 4,500,000 35,600,000  -3,769,000 -33,243,000 77,900,000  9,014,000 -5,042,000 24,005,000  -17,810,000 6,413,000 28,369,000  -12,947,000 -34,500,000 76,363,000  -872,000 7,359,000 23,394,000  30,966,000 2,337,000 11,774,000  -4,550,000 738,000 17,685,000 17,685,000  -5,938,000 3,362,000 15,821,000 15,821,000  -205,000 233,000 30,250,000 30,250,000  -9,437,000 -1,961,000 46,466,000 46,466,000  8,686,000 -2,894,000 42,945,000 7,659,000 6,806,000 22,577,000 75,089,000 1,783,000 5,841,000 22,770,000 62,000 1,630,000 3,984,000 14,811,000 -5,368,000 -4,917,000 -3,536,000 34,608,000 3,706,000 2,161,000 29,488,000 -60,745,000 95,256,000  
          deferred income taxes
                     31,200,000                                                                                     
          changes in operating assets and liabilities, net of effects of acquisitions:
                                                                                                          
          payroll tax deferral and other
                             34,000,000 30,200,000                                                                            
          debt issuance or amendment costs
                                         -832,000 -38,000 -2,403,000    3,000 -23,407,000 -486,000                                                      
          net increase in cash and cash equivalents
             38,600,000 34,400,000   30,300,000 51,800,000   -140,900,000 -279,400,000 -11,800,000 -27,200,000 -149,800,000 304,000,000 -11,100,000 112,100,000 44,700,000 21,800,000 143,900,000 -31,200,000 27,700,000 27,400,000 4,500,000 -6,200,000 938,000 -3,769,000 -33,243,000 41,233,000  9,014,000 -5,042,000 -3,039,000   6,413,000 4,500,000   -34,500,000 44,649,000 1,833,000    -7,727,000 30,966,000         -5,938,000 3,362,000 -2,588,000 -2,588,000 -11,869,000 -205,000 233,000 4,276,000 4,276,000 -9,094,000 -9,437,000 -1,961,000 195,000 195,000 -2,466,000 8,686,000 -2,894,000 5,181,000    75,089,000 1,783,000 5,841,000 2,283,000            -60,745,000 29,562,000  
          cash and cash equivalents at end of year
                                                                                                          
          supplemental disclosure of cash flow information
                                                                                                          
          cash paid for —
                                                                                                          
          income taxes
                                                    1,142,000  13,495,000 8,141,000 21,034,000  7,229,000 8,719,000 3,861,000  21,463,000 2,823,000 1,018,000 1,018,000                                         
          interest
                                                    2,695,000  2,791,000 2,812,000 3,087,000  3,409,000 3,862,000 4,673,000  5,719,000 3,238,000 630,000 630,000                                         
          income taxes payable
          15,500,000    6,000,000    15,500,000    7,100,000 9,000,000 -1,000,000 -128,900,000 113,300,000 7,400,000 9,900,000 -1,100,000 -15,900,000 11,000,000 5,700,000 -17,700,000 5,500,000 -2,300,000 12,300,000 -4,714,000 1,936,000 5,361,000 -448,000 -12,813,000 1,747,000 453,000 11,226,000 -11,724,000 4,016,000 7,987,000 3,067,000 -3,595,000 6,081,000 -9,626,000 -539,000 -6,116,000 2,507,000 8,031,000 -12,445,000      4,502,000 3,146,000 1,334,000 1,334,000 -2,828,000 100,000 1,087,000 410,000 410,000 167,000             12,000    -153,000 1,126,000 780,000 220,000               
          net cash from (used) in financing activities
           -84,900,000 201,200,000                                                                                              
          cash received from sale of business
                                                                                                          
          debt issuance and amendment costs
                          -900,000    100,000        1,000                                                                    
          payment of contingent consideration
                   -8,100,000                                                                                  
          gain on sale of discontinued operations
                         1,700,000                                                                                 
          cash received from sale of the oxford business
                     9,800,000                                                                                  
          depreciation and amortization
                  24,800,000 24,900,000 24,900,000 26,600,000 25,000,000 19,700,000 20,100,000 22,100,000 24,100,000 21,400,000 22,000,000 24,100,000 22,600,000 21,600,000 21,400,000 22,400,000 22,200,000 23,100,000 23,500,000 23,677,000 28,299,000 28,586,000 14,413,000 15,111,000 14,651,000 14,367,000 14,475,000 16,078,000 15,340,000 15,404,000 15,427,000 16,074,000 15,682,000 11,148,000 8,665,000 10,207,000 9,626,000 9,504,000 8,959,000 8,224,000 7,224,000 7,190,000 7,244,000                            1,322,000 1,349,000 1,270,000 1,688,000 1,670,000 1,759,000 1,311,000 1,523,000 1,616,000 1,714,000 1,604,000 1,664,000 1,638,000 2,060,000 1,799,000    
          changes in operating assets and liabilities, net of effects of acquisitions and divestiture:
                                                                                                          
          cash received from the sale of a business
                                                                                                          
          proceeds from long term debt
                  498,800,000 37,000,000 36,000,000                                                                                      
          principal payments of long term debt
                  -490,800,000 -37,000,000 -67,500,000                                                                                      
          repurchases of common stock
                  -91,300,000 -57,600,000 -48,800,000  -59,500,000 -91,200,000 -76,900,000                                                                                  
          accrued payroll and contract professional pay
                       25,300,000 6,600,000 -7,900,000 24,800,000 31,200,000 19,300,000 -15,300,000 28,000,000 -9,200,000 9,100,000 -20,100,000 24,600,000 8,300,000 -7,800,000 -1,515,000 4,720,000 15,749,000 6,473,000 -13,251,000 7,989,000 6,158,000 144,000 -1,796,000 -4,609,000 7,321,000 22,640,000 -25,209,000 12,158,000 10,133,000 3,160,000 -3,537,000 6,687,000 7,526,000 599,000 -2,373,000 7,434,000 5,290,000 7,203,000 -7,069,000 4,351,000 -27,629,000 2,294,000 2,294,000 850,000 431,000 1,670,000 3,449,000 3,449,000 -530,000 1,175,000 328,000 2,907,000 2,907,000 -2,271,000 -379,000 -2,084,000 -4,283,000 -4,283,000 -4,260,000 2,370,000 -1,658,000 4,425,000                      
          proceeds from option exercises and employee stock purchase plan
                       10,400,000 6,600,000 7,700,000 400,000 5,800,000 5,900,000 5,800,000 6,900,000 30,000 4,923,000 31,000 4,388,000 65,000 3,542,000 42,000 4,106,000 300,000 3,537,000 1,898,000 4,023,000 193,000 2,596,000 247,000 3,555,000                                                      
          provision for deferred income taxes
                                                                                                          
          write-off of loan costs
                                                                                                      
          cash received from sale of discontinued operations
                         4,700,000                    6,000,000 556,000 114,884,000     27,977,000                                                
          operating lease right-of-use assets
                            8,900,000                                                                              
          operating lease liabilities
                            -9,500,000 -10,200,000 -6,200,000 -7,200,000 -7,400,000 -5,400,000 -7,600,000 -6,900,000 -6,800,000                                                                      
          operating lease right of use assets
                              7,400,000 7,200,000 7,200,000 7,100,000 7,000,000 7,100,000 6,800,000                                                                      
          cash flows from operating activities:
                                                                                                          
          cash flows from investing activities:
                                                                                                          
          cash flows from financing activities:
                                                                                                          
          allowance for doubtful accounts
                                 700,000 1,300,000 1,100,000 600,000                                                                      
          workers’ compensation provision
                                 1,000,000 1,000,000 700,000 600,000 1,118,000 1,058,000 588,000 813,000 525,000 701,000 1,037,000 645,000  877,000 513,000 549,000                                                          
          workers' compensation loss reserve
                                                                                                          
          workers’ compensation loss reserves
                                  -800,000 -700,000 -900,000  -771,000 -769,000 -747,000  -601,000 -858,000 -493,000  -541,000 -673,000 -699,000                                                          
          provision for accounts receivable allowances
                                     1,159,000 818,000 832,000 483,000                                                                  
          payments of earn-outs
                                                                                                          
          provision for doubtful accounts and billing adjustments
                                         2,834,000 3,472,000 2,937,000 2,807,000 2,110,000 2,753,000   2,995,000 2,715,000           -421,000 -107,000       74,000     29,000     172,000  364,000 82,000 -121,000 316,000 217,000 124,000 217,000    125,000               
          gain on sale of discontinued operations, net of income taxes
                                                 -25,703,000     -16,428,000 -14,412,000                                              
          net increase in cash, cash equivalents and restricted cash
                                                                                                          
          cash, cash equivalents and restricted cash at beginning of year
                                                                                                          
          cash, cash equivalents and restricted cash at end of year
                                                                                                          
          fair value adjustment for contingent consideration
                                                 896,000                                                        
          payments of accrued earn-outs
                                             -2,843,000                                                        
          cash paid for acquisitions
                                                                                                          
          gross excess tax benefits from stock-based compensation
                                             -522,000 -81,000 -1,564,000 -914,000 -3,221,000 -690,000 -997,000 -1,643,000 -1,044,000 -682,000 -1,129,000 -2,088,000 -1,217,000 -1,387,000 -1,936,000 -768,000 -1,925,000 -1,597,000 -203,000 -913,000 -913,000 -522,000 -56,000 -49,000 -486,000 -486,000 -117,000 -16,000 -13,000 -59,000 -59,000      -396,000 25,000 29,000 15,000                      
          workers’ compensation and medical malpractice provision
                                                 494,000 630,000 407,000 586,000 79,000 737,000 913,000 1,592,000 837,000 2,048,000 1,783,000 1,288,000 767,000 1,247,000 650,000 930,000 930,000 978,000 727,000 686,000 805,000 805,000 542,000 1,779,000 905,000 1,084,000 1,084,000 720,000 902,000 1,117,000 1,544,000 1,544,000                          
          workers' compensation and medical malpractice loss reserve
                                                                                                          
          changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
                                                                                                          
          deferred compensation
                                                        -20,000 -5,130,000 -4,850,000  836,000 -722,000 -631,000 -631,000 96,000 -333,000 -144,000 78,000 78,000 32,000 203,000 -155,000 48,000 48,000 108,000 175,000 260,000 -83,000 -83,000   65,000 52,000 109,000 263,000 187,000 269,000 171,000 111,000 126,000               
          workers’ compensation and medical malpractice loss reserves
                                                  133,000 -525,000 -309,000         -431,000 -536,000 -266,000 -816,000 -816,000 -322,000 -427,000 -514,000 -204,000 -204,000 -373,000 -1,735,000 -868,000 -972,000 -972,000 -847,000 -998,000 -930,000 -913,000 -913,000 -5,367,000 702,000 -581,000 695,000                      
          changes in operating assets and liabilities, net of effects of divestiture:
                                                                                                          
          supplemental disclosure of cash flow information:
                                                                                                          
          cash paid for:
                                                                                                          
          supplemental disclosure of non-cash transactions:
                                                                                                          
          acquisition of property and equipment through accounts payable
                                                    1,011,000  662,000 -231,000 870,000  -12,000 174,000 819,000  -289,000 416,000 618,000 618,000                       -188,000 202,000 -4,000 94,000 -121,000 12,000             
          prepaid expenses
                                                      521,000          157,000 157,000 -1,985,000 -160,000 7,000 505,000 505,000 -2,045,000 723,000 226,000 595,000 595,000 -1,501,000 1,061,000 945,000 571,000 571,000 -1,849,000 1,262,000 29,000 147,000 812,000 550,000 89,000 -956,000 614,000 385,000 359,000  558,000             
          proceeds from stock transactions
                                                      2,875,000 301,000 2,967,000 331,000 2,811,000 1,469,000 2,443,000 1,945,000 3,861,000 395,000 2,183,000 2,183,000 521,000 725,000 643,000 812,000 812,000 159,000 18,000 29,000 127,000 127,000                               
          payments of employment taxes related to release of restricted stock awards
                                                      -977,000 -1,267,000 -3,277,000  -971,000 -1,991,000 -3,611,000  -225,000 -146,000 -1,941,000 -1,941,000  -130,000 -95,000 -1,524,000 -1,524,000                                    
          debt issuance costs
                                                      -1,000    4,000    -531,000                                            
          proceeds from term debt
                                                        99,500,000 46,000,000   23,000,000                                            
          payments of other long-term liabilities
                                                                       -18,000 -17,000 -17,000 -17,000 -34,000 -41,000 -41,000 -40,000 -40,000                          
          acquisition accounting
                                                              9,000 -991,000 -991,000                                         
          equity consideration for acquisition
                                                                                                         
          cash received for sale of discontinued operations
                                                            28,893,000                                              
          depreciation
                                                             1,860,000 1,817,000 1,580,000 1,429,000 1,429,000 1,594,000 1,677,000 1,686,000 1,548,000 1,548,000 1,478,000 1,501,000 1,477,000 1,425,000 1,425,000 1,382,000 1,377,000 1,460,000 1,512,000 1,512,000 1,331,000 1,202,000 1,217,000 1,356,000 1,624,000 1,551,000 1,341,000                   
          amortization of intangible assets
                                                             11,857,000 3,320,000 2,205,000 634,000 634,000 713,000 663,000 554,000 416,000 416,000 520,000 522,000 448,000 625,000 625,000 1,504,000 1,495,000 1,538,000 1,538,000 1,538,000 2,368,000                         
          deferred income tax provision
                                                             5,487,000 -139,000                                            
          amortization of deferred loan costs
                                                             722,000 734,000 401,000 103,000 103,000 114,000 115,000 118,000 113,000 113,000 196,000 255,000 255,000 255,000 255,000 254,000 255,000 237,000 148,000 148,000 147,000 148,000 148,000 148,000 148,000 146,000 99,000                   
          impairment of goodwill
                                                                                                        
          prepaid income taxes
                                                                1,403,000 1,403,000 -1,473,000 273,000 196,000 -288,000 -288,000 -494,000 1,671,000 3,472,000 -426,000 -426,000 -3,225,000 899,000 1,025,000 343,000 343,000    13,000                      
          write-off of deferred loan costs
                                                                                                         
          change in accrued earn-outs
                                                              -1,038,000                                            
          tenant improvement allowances
                                                                  7,000 112,000 353,000 836,000 836,000                                    
          accrued earn-out
                                                                                                          
          liability awards reclassified to equity
                                                              -546,000 -546,000                                         
          gain on officers’ life insurance policies
                                                                -167,000 -167,000  319,000 14,000 -69,000 -69,000                                    
          accrued equity issuance costs
                                                                302,000 302,000                                         
          write-down of deferred loan costs
                                                                                                          
          change in fair value of interest rate swap
                                                                            -685,000 -660,000 -660,000   -1,071,000 1,222,000                      
          loss on officers’ life insurance policies
                                                                          -72,000     56,000 56,000  356,000 -8,000 170,000                      
          loss on disposal of property and equipment
                                                                          -40,000    3,000 28,000 28,000 11,000 84,000 4,000 13,000   3,000 66,000 23,000   -36,000 4,000 411,000 17,000 22,000 316,000 3,000 280,000 3,000 9,000    
          changes in operating assets and liabilities, net of effect of acquisitions:
                                                                                                          
          proceeds from insurance settlements
                                                                          42,000 42,000                               
          benefit from doubtful accounts and billing adjustments
                                                                      74,000     29,000     172,000                          
          (gain) loss on officers’ life insurance policies
                                                                           -72,000 -64,000                              
          (gain) loss on disposal of property and equipment
                                                                           -40,000 8,000                              
          settlement of earn-out
                                                                                                         
          purchase of property and equipment
                                                                   -1,374,000 -2,022,000 -2,650,000 -2,650,000 -2,108,000 -1,358,000 -1,516,000 -1,320,000 -1,320,000 -943,000 -1,145,000 -947,000 -1,638,000 -1,638,000                          
          net cash paid for acquisitions
                                                                   -15,711,000 -17,107,000 -17,107,000 -5,097,000 -5,350,000 -11,000 -11,000 -4,898,000 -41,000                             
          proceeds from borrowings on revolving credit facility
                                                                   15,000,000                                       
          gain on disposal of property and equipment
                                                                     -3,000 -3,000                                    
          payments for previous acquisitions
                                                                    -11,000 -11,000 -11,000  -11,000                                  
          changes in operating assets and liabilities, net of effect of acquisition:
                                                                                                          
          proceeds from borrowings on line of credit
                                                                     25,500,000 25,500,000                                    
          proceeds from term loan and credit facility
                                                                                                          
          cash and cash equivalents at beginning of period
                                                                        25,974,000 25,974,000  46,271,000 46,271,000  37,764,000 105,483,000 20,487,000 20,787,000 -14,800,000 35,134,000 31,990,000 65,694,000  
          decrease in restricted cash
                                                                                      4,678,000    200,000               
          shelf offering costs
                                                                                                          
          proceeds from issuance of long-term debt
                                                                                     145,000,000                   
          deferred income tax expense
                                                                              -67,000 13,000 13,000                          
          proceeds from insurance claim
                                                                                                          
          net proceeds from stock transactions
                                                                             -63,000 -32,000 291,000 291,000 -82,000 845,000 64,000 826,000 936,000 526,000 1,161,000                   
          deferred loan costs
                                                                             -1,065,000 -1,065,000                          
          deferred income tax (benefit) expense
                                                                                                          
          loss (gain) on officers’ life insurance policies
                                                                                                          
          increase in other assets
                                                                               -110,000 -110,000                         -463,000 
          proceeds from shelf offering
                                                                                                          
          payments of long-term liabilities
                                                                                                          
          deferred income tax benefit
                                                                                  13,000                      
          advances and deposits
                                                                                  11,000                        
          other current liabilities
                                                                                                          
          net cash provided by operating activities
                                                                                  10,281,000 8,604,000 6,841,000   4,633,000   6,885,000 2,470,000    1,105,000           
          proceeds from sale of property and equipment
                                                                                       1,000 1,000 2,000 1,000           
          capital lease payments
                                                                                                          
          net cash provided by financing activities
                                                                                  832,000 55,000 573,000   141,401,000   630,000 1,209,000  1,737,000 12,000 201,000           
          amortization
                                                                                   2,372,000 2,328,000                      
          other accrued expenses
                                                                                                          
          net cash used for investing activities
                                                                                                          
          amortization of intangibles
                                                                                     3,745,000 3,778,000 4,165,000                   
          excess tax benefits from stock-based compensation
                                                                                     139,000 232,000 524,000                   
          accrued workers’ compensation and medical malpractice insurance
                                                                                     139,000 -48,000 83,000                   
          acquisition of property and equipment
                                                                                                          
          decrease (increase) in restricted cash
                                                                                                          
          increase in advances and deposits
                                                                                                          
          accrued shelf offering costs
                                                                                                          
          deferred shelf offering costs
                                                                                                          
          adjustments to reconcile net income to net cash provided by operating activities:
                                                                                                          
          income related to market value of swap agreement
                                                                                                          
          income taxes receivable
                                                                                      119,000 238,000     683,000 -282,000             
          decrease in advances and deposits
                                                                                       33,000                   
          income taxes, net of refunds
                                                                                           117,000  309,000    30,000     1,460,000    
          acquisitions:
                                                                                                          
          goodwill
                                                                                                          
          intangible assets acquired
                                                                                                          
          net tangible assets acquired
                                                                                                          
          fair value of assets acquired
                                                                                                          
          issuance of common stock for acquisition
                                                                                                         
          impairment of identifiable intangible assets
                                                                                                          
          provision for doubtful accounts
                                                                                            356,000 -7,000 -95,000 147,000 168,000 23,000 -162,000 369,000       
          decrease in deferred income taxes
                                                                                                3,628,000          
          income tax benefit of disqualifying dispositions
                                                                                                20,000 8,000 4,000 3,000 2,000    
          increases/decreases in operating assets and liabilities:
                                                                                                          
          deferred rent expense
                                                                                        -5,000 141,000 66,000 279,000               
          accrued workers’ compensation
                                                                                                          
          net cash (used for) provided by operating activities
                                                                                                          
          purchase of marketable securities
                                                                                                          
          proceeds from the maturity of marketable securities
                                                                                            2,000,000       2,000,000    
          decrease in other assets
                                                                                                          
          net cash from (used for) investing activities
                                                                                                          
          shelf offering proceeds
                                                                                                          
          cash paid (refunds) for:
                                                                                                          
          net income taxes (refunded) paid
                                                                                                          
          acquisition:
                                                                                                          
          property and equipment acquired
                                                                                                          
          fair value of assets acquired, net of cash received
                                                                                                          
          supplemental disclosure of non-cash transactions
                                                                                                          
          shelf offering costs in accounts payable and other accrued expenses
                                                                                                          
          deferred acquisition costs in accounts payable and other accrued expenses
                                                                                                          
          provisions for doubtful accounts and billing adjustments
                                                                                         131,000                 
          accrued worker’s compensation
                                                                                         22,000 164,000 182,000  -371,000             
          increase in restricted cash
                                                                                                          
          deferred offering costs
                                                                                                          
          net proceeds from common stock transactions
                                                                                                          
          net cash received for income tax refunds
                                                                                                          
          decrease (increase) in advances and deposits
                                                                                                          
          (increase) decrease in other assets
                                                                                                          
          proceeds from exercise of common stock options
                                                                                          630,000 951,000 1,159,000 1,597,000 12,000 85,000 15,000 14,000 9,000 13,000    1,739,000 3,038,000 3,097,000 
          proceeds from issuance of common stock - employee stock purchase plan
                                                                                          258,000  140,000 116,000  143,000 162,000 139,000 141,000  126,000  
          cash paid (refunds received) for income taxes
                                                                                                          
          (increase) decrease in advances and deposits
                                                                                           7,000               
          net loss
                                                                                            821,000 1,808,000 146,000 -2,871,000  -32,244,000 -2,990,000 -1,503,000       
          adjustments to reconcile net loss to net cash from operating activities:
                                                                                                          
          gain on deferred compensation liability stock distribution
                                                                                                          
          adjustment to hpo purchase price
                                                                                                          
          proceeds from recovery of hpo escrow
                                                                                                    2,500,000    
          proceeds from issuance of common stock—employee stock purchase plan
                                                                                                          
          net income taxes paid
                                                                                                          
          cash from acquisition, net of cash received
                                                                                                          
          supplemental disclosure of non-cash
                                                                                                          
          deferred compensation liability stock disbursement
                                                                                                      241,000    
          decrease (increase) in other assets
                                                                                                      70,000    
          proceeds from cash surrender value of life insurance policies
                                                                                                          
          cash (received) paid for:
                                                                                                          
          cash flows from operating activities :
                                                                                                          
          decrease in accounts receivable
                                                                                               1,357,000   1,835,000 665,000       
          increase in income taxes receivable
                                                                                                          
          decrease in prepaid expenses
                                                                                               203,000 -474,000   466,000       
          decrease in income taxes payable
                                                                                                          
          increase in accounts payable and all other liabilities
                                                                                               937,000           
          cash flows from financing activities :
                                                                                                          
          adjustments to reconcile net income to net cash from operating activities
                                                                                                          
          impairment of intangibles
                                                                                                          
          decrease in income taxes receivable
                                                                                                          
          increase in income taxes payable
                                                                                                          
          decrease in all other liabilities
                                                                                                          
          net cash from (used for) operating activities
                                                                                                          
          restricted cash—hpo earn-out provision
                                                                                                          
          net cash (used for) provided by investing activities
                                                                                                          
          payments on notes payable
                                                                                                          
          payments on capital leases
                                                                                                          
          net cash (used for) provided by financing activities
                                                                                                          
          long-term debt assumed
                                                                                                          
          stock issued
                                                                                                          
          supplemental disclosure of noncash transactions:
                                                                                                          
          decrease in workers’ compensation deposits
                                                                                                          
          increase in accounts payable and accrued expenses
                                                                                                 1,869,000 857,000 553,000   3,802,000    
          acquisition of property, equipment and software, including software development
                                                                                                          
          proceeds from the sale of property and equipment
                                                                                                          
          cash paid during the period for:
                                                                                                          
          increase in prepaid expenses
                                                                                                          
          acquisition and development of software, property, and equipment
                                                                                                          
          (increase) in income taxes receivable
                                                                                                          
          (decrease) in income taxes payable
                                                                                                          
          decrease (increase) in accounts receivable
                                                                                                    2,196,000      
          (increase) decrease in income taxes receivable
                                                                                                          
          (increase) decrease in prepaid expenses
                                                                                                          
          decrease in accounts payable and accrued expenses
                                                                                                          
          proceeds from the return of advances or deposits
                                                                                                          
          cash used in acquisition, net of cash received
                                                                                                          
          restricted cash – hpo earn-out provision
                                                                                                          
          increase in allowance for doubtful accounts
                                                                                                     255,000 290,000    
          decrease (increase) in workers’ compensation deposits
                                                                                                          
          increase (decrease) in accounts payable and accrued expenses
                                                                                                          
          increase (decrease) in advances and deposits
                                                                                                     51,000 136,000    
          borrowings on line of credit
                                                                                                          
          payments on capital lease
                                                                                                          
          increase in deferred income taxes
                                                                                                      603,000    
          (increase) decrease in accounts receivable
                                                                                                          
          (decrease) increase in income taxes payable
                                                                                                          
          net cash provided by investing activities
                                                                                                      3,017,000    
          acquisition of office furniture, equipment and leasehold improvements
                                                                                                       -314,000 -469,000  
          restricted cash — hpo earn-out provision
                                                                                                          
          proceeds from issuance of common stock -
                                                                                                          
          cash flows from operating activities:
                                                                                                          
          adjustments to reconcile net income to net cash provided by operating activities
                                                                                                          
          cash flows from investing activities:
                                                                                                          
          acquisition of furniture, equipment and leasehold improvements
                                                                                                          
          proceeds from sale of furniture and equipment
                                                                                                          
          (disbursements for) repayments of officer loan receivable
                                                                                                          
          acquisition
                                                                                                          
          cash flows from financing activities:
                                                                                                          
          proceeds from issuance of common stock —
                                                                                                          
          common stock registration fee
                                                                                                         -1,000 
          effect of exchange rate changes on cash and cash equivalents
                                                                                                          
          net increase in cash and cash equivalents
                                                                                                          
          goodwill paid
                                                                                                          
          repayments of officer loan receivable
                                                                                                          
          cash and cash equivalents, beginning of period
                                                                                                          
          cash and cash equivalents, end of period