Condensed Consolidated Statements of Operations and Comprehensive Loss (Unaudited) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013
Revenues	$ 25,531	$ 28,304
Operating costs and expenses
Medical professional and license fees	5,793	6,734
Direct costs of services	10,113	10,059
General and administrative expenses	2,929	3,149
Marketing and advertising	5,958	6,570
Depreciation	490	556
Transaction costs	598
Restructuring charges	(6)	219
	25,875	27,287
Gain on sale of assets		6
Operating (loss) income	(344)	1,023
Net investment income and other	221	216
(Loss) income before taxes on income	(123)	1,239
Income tax expense	28	34
Net (loss) income	(151)	1,205
Basic (in Dollars per share)	$ (0.01)	$ 0.06
Diluted (in Dollars per share)	$ (0.01)	$ 0.06
Basic (in Shares)	19,284	19,093
Diluted (in Shares)	19,284	19,283
Foreign currency translation	(145)	(97)
Total other comprehensive loss	(145)	(97)
Comprehensive (loss) income	$ (296)	$ 1,108