CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011
Cash Flows from Operating Activities:
Net income	$ 13,898	$ 9,029
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	3,009	3,234
Amortization of intangible assets	2,839	970
Provision for doubtful accounts and billing adjustments	362	484
Deferred income tax provision	(378)	0
Stock-based compensation	3,499	3,246
Amortization of deferred loan costs	504	231
Write-off of deferred loan costs	813	0
Gross excess tax benefits from stock-based compensation	(1,116)	(535)
Change in accrued earn-outs	(370)	(1,369)
Workers’ compensation and medical malpractice provision	1,580	1,491
Other	(53)	(36)
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable	(15,480)	(13,626)
Prepaid expenses and income taxes	1,580	420
Accounts payable	608	1,718
Accrued payroll and contract professional pay	(25,335)	5,119
Income taxes payable	4,480	1,497
Deferred compensation	(1,353)	(66)
Workers’ compensation and medical malpractice loss reserves	(1,082)	(718)
Tenant improvement allowances	0	1,189
Other	3,103	667
Net cash (used in) provided by operating activities	(8,892)	12,945
Cash Flows from Investing Activities:
Cash paid for property and equipment	(7,171)	(4,672)
Cash paid for acquisitions, net of cash acquired	(347,447)	(17,107)
Other	(593)	278
Net cash used in investing activities	(355,211)	(21,501)
Cash Flows from Financing Activities:
Principal payments of long-term debt	(110,163)	(15,000)
Proceeds from term debt	490,000	25,500
Proceeds from stock transactions	2,578	1,455
Payments of employment taxes related to release of restricted stock awards	(2,087)	(1,619)
Gross excess tax benefits from stock-based compensation	1,116	535
Debt issuance costs	(16,572)	0
Payments of accrued earn-outs	0	1,731
Other	(14)	(22)
Net cash provided by financing activities	364,858	9,118
Effect of exchange rate changes on cash and cash equivalents	(71)	212
Net Increase in Cash and Cash Equivalents	684	774
Cash and Cash Equivalents at Beginning of Year	17,739	18,409
Cash and Cash Equivalents at End of Period	18,423	19,183
Supplemental Disclosure of Cash Flow Information:
Income taxes	3,841	5,078
Interest	3,868	1,355
Supplemental Disclosure of Non-Cash Transactions:
Accrued earn-out	0	7,266
Acquisition of property and equipment through accounts payable	1,034	327
Liability awards reclassified to equity	(546)	(412)
Acquisition accounting	(991)	0
Equity consideration for acquisition	$ (225,558)	$ 0