PROPERTY AND EQUIPMENT

12 Months Ended

Dec. 31, 2011

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment Disclosure [Text Block]

PROPERTY AND EQUIPMENT

Property and equipment consisted of the following (in thousands):



	December 31,
	2011			2010
Computer and office equipment, including equipment acquired under capital leases	$	17,070		$	10,543
Software capitalized for internal use	17,209			16,368
Vehicles, including equipment acquired under capital leases	1,701			1,357
Medical equipment	14,698			12,663
Work in progress	2,847			2,984
Furniture and fixtures	3,839			3,829
Leasehold improvements	13,336			11,998
	70,700			59,742
Less: Accumulated depreciation	(41,256		)	(35,823		)
Property and equipment, net	$	29,444		$	23,919

Work in progress for 2011 and 2010 includes $2.0 million and $2.5 million, respectively, of costs related to software capitalized for internal use.

As of December 31, 2011, the Company had telecommunications equipment under capital lease of $7.9 million with accumulated depreciation of $1.1 million. In addition, the Company had an insignificant amount of vehicles under capital lease as of December 31, 2011 and 2010.

Depreciation expense, including expense related to assets under capital lease, for the years ended December 31, 2011, 2010 and 2009 was $10.7 million, $8.6 million and $5.0 million, respectively. Depreciation expense for the years ended December 31, 2011, 2010 and 2009 includes $2.8 million, $2.6 million and $0.9 million, respectively, related to costs related to software capitalized for internal use.

- Definition

The entire disclosure for long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale. Examples include land, buildings, machinery and equipment, and other types of furniture and equipment including, but not limited to, office equipment, furniture and fixtures, and computer equipment and software. This disclosure may include property plant and equipment accounting policies and methodology, a schedule of property, plant and equipment gross, additions, deletions, transfers and other changes, depreciation, depletion and amortization expense, net, accumulated depreciation, depletion and amortization expense and useful lives, income statement disclosures, assets held for sale and public utility disclosures.

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