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2. SIGNIFICANT ACCOUNTING POLICIES (Details - Revenue) - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2017	Mar. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Commercial Insurance		$ 140,995	$ 131,491
Medicare		47,678	45,820
Medicaid		6,733	7,023
Workers Compensation/Personal Injury		9,057	9,514
Other	[1]	8,287	6,994
Service fee revenue, net of contractual allowances and discounts		212,750	200,842
Provision for bad debts		(11,646)	(10,304)
Net service fee revenue		201,104	190,538
Revenue under capitation arrangements		27,909	25,850
Total net revenue		$ 229,013	$ 216,388
[1] Other consists of revenue from teleradiology services, consulting fees and software revenue.

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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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