CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands	9 Months Ended
	Sep. 30, 2011	Sep. 30, 2010
Cash Flows from Operating Activities:
Net income	$ 16,796	$ 3,801
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	4,911	4,403
Amortization of intangible assets	1,633	1,595
Provision for doubtful accounts and billing adjustments	882	492
Stock-based compensation	5,084	5,318
Amortization of deferred loan costs	346	765
Loss (gain) on officers' life insurance policies	264	(83)
Gross excess tax benefits from stock-based compensation	(591)	(88)
Loss (gain) on disposal of property and equipment	22	(22)
Settlement of earn-out	(1,369)	0
Workers' compensation and medical malpractice provision	2,218	3,768
Changes in operating assets and liabilities, net of effect of acquisitions:
Accounts receivable	(26,815)	(8,258)
Prepaid expenses	352	1,544
Prepaid income taxes	181	4,717
Accounts payable	2,957	865
Accrued payroll and contract professional pay	5,550	4,410
Income taxes payable	1,597	689
Deferred compensation	(399)	96
Workers' compensation and medical malpractice loss reserves	(1,145)	(3,575)
Tenant improvement allowances	1,301	0
Other	1,279	(35)
Net cash provided by operating activities	15,054	20,402
Cash Flows from Investing Activities:
Purchase of property and equipment	(6,046)	(4,194)
Net cash paid for acquisitions	(32,818)	(10,458)
Other	404	377
Net cash used in investing activities	(38,460)	(14,275)
Cash Flows from Financing Activities:
Principal payments of long-term debt	(19,250)	0
Proceeds from borrowings on revolving credit facility	40,500	0
Proceeds from stock transactions	2,180	174
Payments of employment taxes related to release of restricted stock awards	(1,749)	(851)
Gross excess tax benefits from stock-based compensation	591	88
Repurchase of Common Stock	(2,025)	0
Payments of accrued earn-outs	(1,731)	0
Other	(83)	(85)
Net cash provided by (used in) financing activities	18,433	(674)
Effect of exchange rate changes on cash and cash equivalents	(191)	(1,149)
Net Increase in Cash and Cash Equivalents	(5,164)	4,304
Cash and Cash Equivalents at End of Period	18,409	25,974
Cash and Cash Equivalents at End of Period	13,245	30,278
Supplemental Disclosure of Cash Flow Information:
Income taxes, net of refunds	9,076	(2,340)
Interest	2,018	4,294
Supplemental Disclosure of Non-Cash Transactions:
Accrued earn-outs	10,177	3,700
Acquisition of property and equipment through accounts payable	$ 487	$ 767