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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details Narrative) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Dec. 31, 2013
Organization, Consolidation and Presentation of Financial Statements [Abstract]      
BRMG and B&C revenues $ 20,600 $ 17,400  
BRMG and B&C operating expenses 20,600 17,400  
Management services provided to BRMG and B&C 89,000 80,600  
BRMG and B&C accounts receivable 62,600   65,200
BRMG and B& C accounts payable 11,200   11,900
VIE revenue, net management fees 68,500 63,200  
Working capital 61,400   58,000
Meaningful Use Incentive 1,800    
Senior notes 6,500    
Senior secured term loan debt 581,200    
Unamortized discounts 14,100    
Line of credit 18,100    
Capital lease investment $ 12,600 $ 0