2. SUMMARY OF ACCOUNTING POLICIES (Details Narrative) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Allowance for bad debts	$ 20,800	$ 15,100
Meaningful use incentive income	3,270	2,034	$ 0
Service Fee Revenue net of contractual allowances and discounts	746,756	670,136	665,307
Deferred revenue	1,598	1,964
Capitalized software costs, gross	6,400
Software licensing revenue	443
Capitalized software costs, net	4,700
Deferred financing costs, net of accumulated amortization	4,900	6,700
Deferred financing costs written off		3,400
Goodwill	239,408	200,304	196,395
Indefinite lived intangible assets	7,508
Malpractice contingency liability	24	88
Contract loss accrual	5,700	6,100
Lease commitment loss accrual	85	218
Unfavorable contract liability	$ 581	1,200
Shares reserved for issuance	12,000,000
Carrying value of line of credit	$ 0	15,300
Management service fees	$ 9,300	9,300	9,300
Options [Member]
Shares excluded from diluted earnings per share calculation	265,000
Warrants [Member]
Shares excluded from diluted earnings per share calculation	245,000
Restricted Stock Awards [Member]
Shares excluded from diluted earnings per share calculation	4,663,750
Workers Compensation [Member]
Self-insurance accrual	$ 2,200	1,000
Health Insurance [Member]
Self-insurance accrual	1,800	2,000
eRAD [Member]
Service Fee Revenue net of contractual allowances and discounts	6,100	$ 5,500	$ 4,900
Deferred revenue	$ 1,500