CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2012	Sep. 30, 2011
Cash Flows from Operating Activities:
Net income	$ 31,331	$ 16,796
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	4,826	4,911
Amortization of intangible assets	6,159	1,633
Provision for doubtful accounts and billing adjustments	255	882
Deferred income tax provision	(517)	0
Stock-based compensation	6,574	5,084
Amortization of deferred loan costs	1,238	346
Write-off of deferred loan costs	813	0
Gross excess tax benefits from stock-based compensation	(2,713)	(591)
Change in accrued earn-outs	(1,408)	(1,369)
Workers’ compensation and medical malpractice provision	2,827	2,218
Other	20	286
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable	(24,232)	(26,815)
Prepaid expenses and income taxes	826	533
Accounts payable	801	2,957
Accrued payroll and contract professional pay	(20,984)	5,550
Income taxes payable	8,982	1,597
Deferred compensation	(517)	(399)
Workers’ compensation and medical malpractice loss reserves	(1,618)	(1,145)
Tenant improvement allowances	0	1,301
Other	1,976	1,279
Net cash provided by operating activities	14,639	15,054
Cash Flows from Investing Activities:
Cash paid for property and equipment	(10,883)	(6,046)
Cash paid for acquisitions, net of cash acquired	(347,743)	(32,818)
Other	(1,885)	404
Net cash used in investing activities	(360,511)	(38,460)
Cash Flows from Financing Activities:
Principal payments of long-term debt	(160,663)	(19,250)
Proceeds from term debt	513,000	40,500
Proceeds from stock transactions	6,439	2,180
Payments of employment taxes related to release of restricted stock awards	(2,312)	(1,749)
Gross excess tax benefits from stock-based compensation	2,713	591
Repurchase of Common Stock	0	(2,025)
Debt issuance costs	(17,103)	0
Payments of accrued earn-outs	0	(1,731)
Other	(32)	(83)
Net cash provided by financing activities	342,042	18,433
Effect of exchange rate changes on cash and cash equivalents	(36)	(191)
Net Increase in Cash and Cash Equivalents	(3,866)	(5,164)
Cash and Cash Equivalents at Beginning of Year	17,739	18,409
Cash and Cash Equivalents at End of Period	13,873	13,245
Supplemental Disclosure of Cash Flow Information:
Income taxes	25,304	9,076
Interest	9,587	2,018
Supplemental Disclosure of Non-Cash Transactions:
Accrued earn-out	0	10,177
Acquisition of property and equipment through accounts payable	745	487
Liability awards reclassified to equity	(546)	(412)
Acquisition accounting	(982)	0
Equity consideration for acquisition	$ (225,558)	$ 0