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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details - Revenue breakdown) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Commercial Insurance/Managed Care Capitation	$ 104,901	$ 104,256	$ 204,977	$ 206,208
Medicare	39,412	38,313	77,317	75,638
Medicaid	6,230	6,540	12,049	12,490
Workers Compensation/Personal Injury	7,853	9,160	15,034	19,103
Other	10,280	9,040	18,062	17,612
Service fee revenue, net of contractual allowances and discounts	168,675	167,310	327,438	331,051
Provision for bad debts	(7,520)	(6,955)	(14,413)	(13,777)
Net service fee revenue	161,155	160,355	313,025	317,274
Revenue under capitation arrangements	17,927	16,165	34,933	32,186
Total net revenue	$ 179,082	$ 176,520	$ 347,958	$ 349,460

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Amount of revenue recognized for providing services to patients, net of provisions for contractual allowances and discounts.

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Income from agency and brokerage operations (includes sales of annuities and supplemental contracts); service charges, commissions, and fees from the sale of insurance and related services; and management fees from separate accounts, deferred annuities, and universal life products.

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Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts.

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