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2. SUMMARY OF ACCOUNTING POLICIES (Details Narrative) (USD $)
In Thousands, unless otherwise specified
 12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Provision for bad debts $ 12,700 $ 16,700    
Service Fee Revenue net of contractual allowances and discounts 665,307 617,982 554,979  
Deferred revenue 1,344 1,273    
Software development costs capitalized 5,100      
Deferred financing costs, net of accumulated amortization 10,000 12,000    
Goodwill 196,395 193,871 159,507 143,353
Indefinite lived intangible assets 7,508      
Self-insured workers comp deposit 529      
Loss development and open claims 403 554    
Malpractice contingency liability 479 457    
Contract loss accrual 6,400 6,800    
Lease commitment loss accrual 2,400 3,300    
Carrying value of line of credit 0 33,000    
Joint venture service fee income 9,300 8,500 6,800  
eRAD
        
Service Fee Revenue net of contractual allowances and discounts 4,900 4,900 4,800  
Deferred revenue $ 1,300