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PROPERTY AND EQUIPMENT (Tables)
9 Months Ended
Sep. 30, 2012
Property, Plant and Equipment [Abstract]  
Property, Plant and Equipment [Table Text Block]
Property and equipment consisted of the following (in thousands):
 
September 30,
2012
 
December 31,
2011
Computer and office equipment, including equipment acquired under capital leases
$
14,201

 
$
15,684

Software capitalized for internal use
9,877

 
15,520

Vehicles, including equipment acquired under capital leases
1,743

 
1,701

Medical equipment
15,768

 
14,698

Work in progress
1,583

 
2,813

Furniture and fixtures
3,272

 
3,626

Leasehold improvements
7,207

 
6,507

 
53,651

 
60,549

Less: Accumulated depreciation
(32,529
)
 
(33,598
)
Property and equipment, net
$
21,122

 
$
26,951