CONSOLIDATED STATEMENTS OF OPERATIONS (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013
Professional service revenues	$ 82,875	$ 59,231
Insurance service revenues	426,037	291,839
Total revenues	508,912	351,070
Costs and operating expenses:
Insurance costs	381,157	253,912
Cost of providing services (exclusive of depreciation and amortization of intangible assets)	33,643	22,815
Sales and marketing	31,837	22,631
General and administrative	14,337	12,487
Systems development and programming costs	5,894	4,510
Amortization of intangible assets	13,549	10,306
Depreciation	3,218	2,826
Total costs and operating expenses	483,635	329,487
Operating income	25,277	21,583
Other income (expense):
Interest expense and bank fees	(21,852)	(5,152)
Other, net	103	73
Income before provision for income taxes	3,528	16,504
Provision for income taxes	1,988	5,967
Net income	$ 1,540	$ 10,537
Net income per share:
Basic	$ 0.03	$ 0.22
Diluted	$ 0.03	$ 0.20
Weighted average shares:
Basic	16,775,513	10,769,530
Diluted	19,397,777	14,445,039