Condensed Consolidated Statements of Operations and Comprehensive Income (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Revenues	$ 28,304	$ 36,138
Operating costs and expenses
Medical professional and license fees	6,734	8,682
Direct costs of services	10,059	11,911
General and administrative expenses	3,149	3,706
Marketing and advertising	6,570	6,851
Depreciation	556	1,312
Restructuring charges	219
Costs and Expenses, Total	27,287	32,462
Gain on sale of assets	6	78
Operating income	1,023	3,754
Net investment income and other	216	116
Income before taxes on income	1,239	3,870
Income tax expense	34	24
Net income	1,205	3,846
Earnings per common share
Basic	$ 0.06	$ 0.20
Diluted	$ 0.06	$ 0.20
Weighted average shares outstanding
Basic	19,093	18,895
Diluted	19,283	19,090
Other comprehensive (loss) income, net of tax:
Foreign currency translation	(97)	103
Unrealized investment loss		(13)
Total other comprehensive (loss) income, net of tax	(97)	90
Comprehensive income	$ 1,108	$ 3,936