Condensed Consolidated Statements Of Operations (USD $) In Thousands, except Per Share data	3 Months Ended		6 Months Ended
	Jun. 30, 2011	Jun. 30, 2010	Jun. 30, 2011	Jun. 30, 2010
Condensed Consolidated Statements Of Operations
Revenues	$ 24,416	$ 26,290	$ 56,698	$ 60,303
Operating costs and expenses
Medical professional and license fees	6,072	6,102	14,055	14,440
Direct costs of services	10,451	12,777	21,470	25,891
General and administrative expenses	3,534	3,643	6,991	7,432
Marketing and advertising	5,929	6,330	12,425	14,197
Depreciation	1,434	2,454	2,888	4,996
Impairment charges		87		87
Restructuring charges		311	56	648
Total operating cost	27,420	31,704	57,885	67,691
Gain on sale of assets	237	18	400	1,311
Operating loss	(2,767)	(5,396)	(787)	(6,077)
Net investment income and other	77	1,145	158	1,321
Loss before taxes on income	(2,690)	(4,251)	(629)	(4,756)
Income tax expense	75	36	116	96
Net loss	$ (2,765)	$ (4,287)	$ (745)	$ (4,852)
Loss per common share
Basic	$ (0.15)	$ (0.23)	$ (0.04)	$ (0.26)
Diluted	$ (0.15)	$ (0.23)	$ (0.04)	$ (0.26)
Weighted average shares outstanding
Basic	18,813	18,678	18,778	18,656
Diluted	18,813	18,678	18,778	18,656