UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Cash flows from operating activities:
Net (loss)	$ (45,132)	$ (17,008)
Less: income (loss) from discontinued operations, net of income taxes	(1,265)	651
(Loss) from continuing operations, net of income taxes	(43,867)	(17,659)
Adjustments to reconcile (loss) from continuing operations, net of income taxes to net cash provided by (used in) operating activities:
Depreciation	7,794	4,945
Amortization of intangibles	3,323	3,792
Amortization of deferred financing costs and debt discount	2,745	722
Change in fair value of contingent consideration	(6,855)	0
Change in deferred income taxes	6,358	1,018
Compensation under stock-based compensation plans	4,884	5,833
Loss on disposal of fixed assets	0	(16)
Equity in net loss of unconsolidated affiliate	0	661
Changes in assets and liabilities, net of amounts acquired in acquisitions:
Receivables, net of bad debt expense	(19,019)	(15,890)
Inventory	(58)	10,097
Prepaid expenses and other assets	3,745	1,281
Accounts payable	6,105	6,320
Claims payable	1,475	(3,564)
Amounts due to plan sponsors	(816)	7,836
Accrued interest	4,764	(38)
Accrued expenses and other liabilities	1,116	(12,468)
Net cash (used in) operating activities from continuing operations	(26,674)	(22,802)
Net cash provided by (used in) by operating activities from discontinued operations	(4,304)	745
Net cash (used in) operating activities	(30,978)	(22,057)
Cash flows from investing activities:
Purchases of property and equipment, net	(6,925)	(10,977)
Proceeds from sales of property and equipment	0	234
Cash consideration paid for acquisitions, net of cash acquired	(454)	(72,921)
Net cash proceeds from sale of unconsolidated affiliate	0	8,509
Cash advances to unconsolidated affiliate	0	(2,348)
Net cash (used in) investing activities from continuing operations	(7,379)	(77,503)
Net cash provided by (used in) investing activities from discontinued operations	57,688	(37)
Net cash provided by (used in) investing activities	50,309	(77,540)
Cash flows from financing activities:
Proceeds from public stock offering	0	118,570
Proceeds from new senior notes due 2021, net of lender fees and other expenses	193,868	0
Deferred and other financing costs	(1,161)	0
Borrowings on line of credit	85,400	351,859
Repayments on line of credit	(125,403)	(351,859)
Principal payments on long-term debt	(172,243)	0
Repayments of capital leases	(151)	(884)
Net proceeds from exercise of common stock purchase warrants	0	399
Net proceeds from exercise of employee stock compensation plans	905	1,052
Net cash provided by (used in) financing activities	(18,785)	119,137
Net change in cash and cash equivalents	546	19,540
Cash and cash equivalents - beginning of period	1,001	62,101
Cash and cash equivalents - end of period	1,547	81,641
DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid during the period for interest	12,232	12,327
Cash paid during the period for income taxes	$ 349	$ 235