Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Revenues	$ 22,609	$ 25,152	$ 50,913	$ 61,289
Operating costs and expenses
Medical professional and license fees	4,229	5,809	10,963	14,491
Direct costs of services	9,431	11,500	19,492	23,410
General and administrative expenses	2,906	3,407	6,055	7,113
Marketing and advertising	5,367	6,628	11,937	13,479
Depreciation	484	1,209	1,039	2,521
Restructuring and impairment charges		37	219	37
Costs and Expenses, Total	22,417	28,590	49,705	61,051
Gain on sale of assets	108	110	115	188
Operating income (loss)	300	(3,328)	1,323	426
Net investment income and other	235	162	451	278
Income (loss) before taxes on income	535	(3,166)	1,774	704
Income tax expense	72	24	107	48
Net income (loss)	463	(3,190)	1,667	656
Earnings (loss) per common share
Basic	$ 0.02	$ (0.17)	$ 0.09	$ 0.03
Diluted	$ 0.02	$ (0.17)	$ 0.09	$ 0.03
Weighted average shares outstanding
Basic	19,117	18,991	19,152	18,943
Diluted	19,195	18,991	19,301	19,129
Other comprehensive (loss) income, net of tax:
Foreign currency translation adjustment	(146)	(125)	(243)	(22)
Unrealized investment gain		43		30
Total other comprehensive (loss) income, net of tax	(146)	(82)	(243)	8
Comprehensive income (loss)	$ 317	$ (3,272)	$ 1,424	$ 664