CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Cash Flows from Operating Activities:
Net income	$ 5,383	$ 3,164
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	1,429	1,548
Amortization of intangible assets	634	416
Stock-based compensation	1,191	1,625
Amortization of deferred loan costs	103	113
Gain on officers' life insurance policies	(167)	(69)
Gross excess tax benefits from stock-based compensation	(913)	(486)
Workers' compensation and medical malpractice provision	930	805
Other	(63)	71
Changes in operating assets and liabilities, net of effect of acquisitions:
Accounts receivable	(7,729)	(7,510)
Prepaid expenses	157	505
Prepaid income taxes	1,403	(288)
Accounts payable	1,306	1,094
Accrued payroll and contract professional pay	2,294	3,449
Income taxes payable	1,334	410
Deferred compensation	(631)	78
Workers' compensation and medical malpractice loss reserves	(816)	(204)
Tenant improvement allowances	0	836
Other	1,128	221
Net cash provided by operating activities	6,973	5,778
Cash Flows from Investing Activities:
Cash paid for property and equipment	(2,119)	(2,650)
Cash paid for acquisitions, net of cash acquired	0	(17,107)
Other	48	572
Net cash used in investing activities	(2,071)	(19,185)
Cash Flows from Financing Activities:
Principal payments of long-term debt	(6,250)	(13,750)
Proceeds from term debt	0	25,500
Proceeds from stock transactions	2,183	812
Payments of employment taxes related to release of restricted stock awards	(1,941)	(1,524)
Gross excess tax benefits from stock-based compensation	913	486
Other	(89)	(11)
Net cash (used in) provided by financing activities	(5,184)	11,513
Effect of exchange rate changes on cash and cash equivalents	228	(694)
Net Decrease in Cash and Cash Equivalents	(54)	(2,588)
Cash and Cash Equivalents at End of Period	17,739	18,409
Cash and Cash Equivalents at End of Period	17,685	15,821
Supplemental Disclosure of Cash Flow Information:
Income taxes, net	1,018	2,153
Interest	630	660
Supplemental Disclosure of Non-Cash Transactions:
Accrued earn-out	0	7,101
Acquisition of property and equipment through accounts payable	618	491
Accrued equity issuance costs	302	0
Liability awards reclassified to equity	(546)	(412)
Acquisition accounting	$ (991)	$ 0