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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Cash Flows from Operating Activities:    
Net income $ 31,952 $ 12,945
Adjustments to reconcile net income to net cash provided by operating activities:    
Gain on sale of discontinued operations, net of income taxes (14,412) 0
Depreciation and amortization 14,434 7,527
Stock-based compensation 6,210 3,499
Write-off of loan costs 14,958 813
Gross excess tax benefits from stock-based compensation (2,704) (1,116)
Workers’ compensation and medical malpractice provision 3,071 1,580
Other 1,226 65
Changes in operating assets and liabilities, net of effects of acquisitions and divestiture:    
Accounts receivable (33,329) (15,480)
Prepaid expenses and income taxes (2,521) (1,580)
Accounts payable (1,249) 608
Accrued payroll and contract professional pay 12,493 (25,335)
Deferred compensation (4,850) (1,353)
Other 6 5,775
Net cash provided by (used in) operating activities 30,327 (8,892)
Cash Flows from Investing Activities:    
Cash paid for property and equipment (7,328) (7,171)
Cash received from sale of discontinued operations, net 31,922 0
Payments to Acquire Businesses, Net of Cash Acquired 0 (347,447)
Other (1,872) (593)
Net cash provided by (used in) investing activities 22,722 (355,211)
Cash Flows from Financing Activities:    
Principal payments of long-term debt (440,775) (110,163)
Proceeds from Issuance of Long-term Debt 383,500 490,000
Proceeds from stock transactions 3,912 2,578
Payments of employment taxes related to release of restricted stock awards (5,602) (2,087)
Gross excess tax benefits from stock-based compensation 2,704 1,116
Debt issuance costs (6,563) (16,572)
Payments of accrued earn-outs (3,425) 0
Other (14) (14)
Net cash provided by financing activities (66,263) 364,858
Effect of exchange rate changes on cash and cash equivalents (154) (71)
Net Increase in Cash and Cash Equivalents (13,368) 684
Cash and Cash Equivalents at Beginning of Year 27,479 17,739
Cash and Cash Equivalents at End of Period 14,111 18,423
Supplemental Disclosure of Cash Flow Information:    
Income taxes 12,580 3,841
Interest 8,535 3,868
Supplemental Disclosure of Non-Cash Transactions:    
Acquisition of property and equipment through accounts payable 993 1,034
Goodwill, Purchase Accounting Adjustments 0  
Stock Issued $ 0