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2. SIGNIFICANT ACCOUNTING POLICIES (Tables)
 9 Months Ended
Sep. 30, 2016
Accounting Policies [Abstract]  
Schedule of service fee revenue
   Three Months Ended   Nine Months Ended 
   September 30,   September 30, 
   2016   2015   2016   2015 
                 
Commercial insurance  $130,036   $114,827   $386,383   $331,670 
Medicare   48,740    40,840    140,089    120,039 
Medicaid   7,554    6,117    21,461    17,582 
Workers' compensation/personal injury   9,449    7,712    27,935    23,287 
Other   12,651    23,408    37,163    53,759 
Service fee revenue, net of contractual allowances and discounts   208,430    192,904    613,031    546,337 
Provision for bad debts   (11,253)   (9,433)   (33,883)   (25,295)
Net service fee revenue   197,177    183,471    579,148    521,042 
Revenue under capitation arrangements   27,466    24,895    80,448    72,880 
Total net revenue  $224,643   $208,366   $659,596   $593,922 
Impact of new accounting pronouncement
    Impact of new accounting pronouncement  
In thousands   As previously
reported		     Impact of
adoption		     As currently
reported		  
Prepaid expenses and other current assets   $ 40,139       (1,153 )     38,986  
Deferred financing costs, net of current portion     3,696       (855 )     2,841  
Others     794,600       –       794,600  
Total assets   $ 838,435     $ (2,008 )   $ 836,427  
Current portion of notes payable     23,076       (693 )     22,383  
Notes payable, net of current portion     601,229       (1,315 )     599,914  
Others     177,669       –       177,669  
Total liabilities     801,974       (2,008 )     799,966  
Total equity     36,461       –       36,461  
Total liabilities and equity   $ 838,435     $ (2,008 )   $ 836,427  
Schedule of secured term debt
   As of September 30, 2016 
   Face Value   Discount   Total
Carrying
Value		 
First Lien Term Loans  $485,000   $(15,278)  $469,722 
Second Lien Term Loans  $168,000   $(2,193)  $165,807 
Total  $653,000   $(17,471)  $635,529