NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details Narrative) (USD $) In Thousands, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Note 2 - Summary Of Significant Accounting Policies Details Narrative
Gross up of the provision for bad debts and revenues		$ 12,300	$ 11,200
Revenue related to eRAD business	4,900	4,800	998
Costs associated with development of RIS system	3,400	2,600
Allowance for bad debts	16,700	15,700
Goodwill	193,871	159,507
Restricted cash	529	529
Administrators estimate of loss development	188	225
Reserve of estimated costs	200
Annual medical malpractice insurance policy	457	304
Unpaid portion of medical and dental claims incurred	2,800	2,600
Management service agreements accrual balance	6,800	7,200
Loss contract accrual for leases	3,300	2,100
Reserved for issuance shares of common stock	11,000,000
Received management service fees	8,500	6,800	6,800
Fair value of credit line	$ 33,000	$ 58,000