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PROPERTY AND EQUIPMENT- (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Dec. 31, 2014
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross $ 93,380   $ 93,380   $ 88,814
Less: Accumulated depreciation (59,273)   (59,273)   (50,643)
Property and equipment, net 34,107   34,107   38,171
Depreciation 4,029 $ 4,205 12,464 $ 11,999  
Capitalized Computer Software, Amortization 600 $ 600 1,900 $ 1,800  
Computer and office equipment          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross 22,576   22,576   22,662
Software capitalized for internal use          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross 15,600   15,600   14,914
Vehicles and equipment          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross 2,062   2,062   2,106
Medical equipment          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross 28,528   28,528   27,668
Construction in progress          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross 5,514   5,514   3,287
Furniture and fixtures          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross 4,610   4,610   4,487
Leasehold improvements          
Property, Plant and Equipment [Line Items]          
Property, Plant and Equipment, Gross $ 14,490   $ 14,490   $ 13,690