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2. SIGNIFICANT ACCOUNTING POLICIES (Details - Revenue summary) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
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

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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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