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PROPERTY AND EQUIPMENT (Tables)
12 Months Ended
Dec. 31, 2015
Property, Plant and Equipment [Abstract]  
Property and equipment
Property and equipment consists of the following (in thousands):
 
December 31,
 
2015
 
2014
Computer and office equipment
$
22,561

 
$
22,662

Software capitalized for internal use
15,600

 
14,914

Vehicles
1,938

 
2,106

Medical equipment
28,423

 
27,668

Work in progress
6,624

 
3,287

Furniture and fixtures
4,543

 
4,487

Leasehold improvements
14,285

 
13,690

Property and equipment, gross
93,974

 
88,814

Less: Accumulated depreciation
(62,035
)
 
(50,643
)
Property and equipment, net
$
31,939

 
$
38,171