Condensed Consolidated Statements of Operations and Comprehensive Income (Unaudited) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011	Jun. 30, 2012	Jun. 30, 2011
Condensed Consolidated Statements of Operations and Comprehensive Income [Abstract]
Revenues	$ 25,152	$ 24,416	$ 61,289	$ 56,698
Operating costs and expenses
Medical professional and license fees	5,809	6,072	14,491	14,055
Direct costs of services	11,500	10,451	23,410	21,470
General and administrative expenses	3,407	3,534	7,113	6,991
Marketing and advertising	6,628	5,929	13,479	12,425
Depreciation	1,209	1,434	2,521	2,888
Impairment and restructuring charges	37		37	56
Restructuring charges
Operating cost	28,590	27,420	61,051	57,885
Gain on sale of assets	110	237	188	400
Operating (loss) income	(3,328)	(2,767)	426	(787)
Net investment income and other	162	77	278	158
(Loss) income before taxes on income	(3,166)	(2,690)	704	(629)
Income tax expense	24	75	48	116
Net (loss) income	(3,190)	(2,765)	656	(745)
(Loss) earnings per common share
Basic	$ (0.17)	$ (0.15)	$ 0.03	$ (0.04)
Diluted	$ (0.17)	$ (0.15)	$ 0.03	$ (0.04)
Weighted average shares outstanding
Basic	18,991	18,813	18,943	18,778
Diluted	18,991	18,813	19,129	18,778
Comprehensive (loss) income	$ (3,272)	$ (2,837)	$ 664	$ (679)