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PROPERTY AND EQUIPMENT (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Property and Equipment      
Property and equipment, gross $ 93,974 $ 88,814  
Less: Accumulated depreciation (62,035) (50,643)  
Property and equipment, net 31,939 38,171  
Depreciation expense 22,743 22,943 $ 20,226
Depreciation related to software capitalized for internal use 2,500 2,400 1,700
Computer and office equipment      
Property and Equipment      
Property and equipment, gross 22,561 22,662  
Software capitalized for internal use      
Property and Equipment      
Property and equipment, gross 15,600 14,914  
Work in progress 1,800 600  
Vehicles      
Property and Equipment      
Property and equipment, gross 1,938 2,106  
Medical equipment      
Property and Equipment      
Property and equipment, gross 28,423 27,668  
Work in progress      
Property and Equipment      
Property and equipment, gross 6,624 3,287  
Furniture and fixtures      
Property and Equipment      
Property and equipment, gross 4,543 4,487  
Leasehold improvements      
Property and Equipment      
Property and equipment, gross 14,285 13,690  
Assets held under capital leases      
Property and Equipment      
Depreciation expense $ 17,600 $ 16,400 $ 13,400