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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Tables)
9 Months Ended
Sep. 30, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of service fee revenue
   Three Months Ended   Nine Months Ended 
   September 30,   September 30, 
   2015   2014   2015   2014 
Commercial insurance  $114,827   $109,472   $331,670   $314,300 
Medicare   40,840    41,203    120,039    118,627 
Medicaid   6,117    6,248    17,582    18,214 
Workers' compensation/personal injury   7,712    7,821    23,287    22,708 
Other   23,408    6,354    53,759    24,687 
Service fee revenue, net of contractual allowances and discounts   192,904    171,098    546,337    498,536 
Provision for bad debts   (9,433)   (7,532)   (25,295)   (21,945)
Net service fee revenue   183,471    163,566    521,042    476,591 
Revenue under capitation arrangements   24,895    20,493    72,880    55,426 
Total net revenue  $208,366   $184,059   $593,922   $532,017 
Schedule of loans
   As of September 30, 2015 
   Face Value   Discount   Total Carrying Value 
First Lien Term Loans  $384,176   $(7,440)  $376,736 
2015 Incremental First  $73,026   $(528)  $72,498 
Second Lien Term Loans  $180,000   $(2,344)  $177,656 
Total  $637,202   $(10,312)  $626,890