CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Cash flows from operating activities:
Net Loss	$ (13,363)	$ (7,540)
Loss (Income) from discontinued operations	2,248	(5,846)
Loss from continuing operations	(11,115)	(13,386)
Adjustments to reconcile net loss from continuing operations to net cash provided by operating activities:
Depreciation and amortization	7,940	6,538
Warrants issued for services	89	107
Stock-based compensation expense	1,097	891
Lease expense in excess of cash	194	430
Amortization of deferred financing costs	2,244	1,923
Amortization of debt discounts and premiums	519	750
Derivative (gain) loss	(3,006)	1,741
Loss (Gain) on debt extinguishment	109	(500)
Loss on impairment (Note 6)	799	0
Deferred tax expense	87	104
Loss (Gain) on disposal of assets	10	(2)
Provision for bad debts	4,651	4,185
Other noncash expenses	0	40
Changes in certain assets and liabilities, net of acquisitions:
Accounts receivable	(3,937)	(12,973)
Prepaid expenses and other	(25)	90
Other assets	360	330
Accounts payable and other liabilities	5,279	11,408
Net cash provided by operating activities—continuing operations	5,295	1,676
Net cash used in operating activities—discontinued operations	(234)	(229)
Net cash provided by operating activities	5,061	1,447
Cash flow from investing activities:
Proceeds from sale of property and equipment	0	3
Change in restricted cash and investments and escrow deposits for acquisitions	(6,905)	(3,284)
Acquisitions	0	(61,901)
Proceeds from notes receivable	3,240	0
Purchase of property and equipment	(4,490)	(5,615)
Net cash used in investing activities—continuing operations	(8,155)	(70,797)
Net cash provided by investing activities—discontinued operations	5,031	11,635
Net cash used in investing activities	(3,124)	(59,162)
Cash flows from financing activities:
Proceeds from debt	7,332	92,476
Repayment on notes payable	(8,442)	(30,075)
Change in lines of credit	(701)	365
Debt issuance costs	(864)	(3,063)
Exercise of options and warrants	67	137
Proceeds from stock issuances	0	3,779
Proceeds from preferred stock issuances	11,283	9,159
Dividends paid on preferred stock	(1,564)	(156)
Net cash provided by financing activities—continuing operations	7,111	72,622
Net cash used in financing activities—discontinued operations	(5,611)	(6,154)
Net cash provided by financing activities	1,500	66,468
Net Change in Cash	3,437	8,753
Cash, Beginning	15,937	7,364
Cash decrease due to deconsolidation of variable interest entities	0	(180)
Cash, Ending	19,374	15,937
Cash paid during the year for:
Interest	10,420	9,673
Income taxes	0	0
Supplemental Disclosure of Non-Cash Activities:
Acquisitions in exchange for debt and equity instruments	0	11,056
Warrants issued for financing costs	9	756
Conversion of debt and accrued interest to equity	4,770	0
Warrants issued for settlement	$ 80	$ 0