Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Cash flows from operating activities:
Net Loss	$ (5,318)	$ (9,695)
Loss from discontinued operations, net of tax	767	2,065
Loss from continuing operations	(4,551)	(7,630)
Adjustments to reconcile net loss from continuing operations to net cash provided by (used in) operating activities:
Depreciation and amortization	3,810	3,500
Warrants issued for services	87	0
Stock-based compensation (expense)	739	551
Lease expense in excess of cash	115	49
Amortization of deferred financing costs	940	1,066
Amortization of debt discounts	(16)	370
Derivative gain	0	(189)
Loss on debt extinguishment	583	27
Loss on disposal of assets	0	4
Provision for bad debts	1,696	2,067
Changes in certain assets and liabilities, net of acquisitions:
Accounts receivable	(5,032)	(4,883)
Prepaid expenses and other	(3,065)	(1,249)
Other assets	18	386
Accounts payable and accrued expenses	(3,014)	5,645
Net cash used in operating activities - continuing operations	(7,690)	(286)
Net cash provided by operating activities - discontinued operations	(942)	30
Net cash (used in) provided by operating activities	(8,632)	(256)
Cash flows from investing activities:
Change in restricted cash and investments and escrow deposits for acquisitions	7,285	(2,791)
Purchase of property and equipment	(2,683)	(1,819)
Net cash used in investing activities - continuing operations	4,602	(4,610)
Net cash provided by (used in) investing activities - discontinued operations	(497)	671
Net cash used in investing activities	4,105	(3,939)
Cash flows from financing activities:
Proceeds from debt	3,255	2,372
Proceeds from note receivable	0	3,240
Proceeds from convertible debt	6,055	0
Repayment on notes payable	(6,230)	(3,952)
Repayment on bonds payable	(3,049)	0
Repayment on convertible debt	(4,014)	0
Change in lines of credit	(113)	(355)
Debt issuance costs	(648)	(338)
Exercise of warrants and options	2,342	67
Preferred stock issuance costs	(50)	0
Dividends paid on preferred stock	(1,292)	(612)
Net cash flows (used in) provided by financing activities - continuing operations	(3,744)	422
Net cash flows used in financing activities - discontinued operations	44	(1,942)
Net cash flows (used in) provided by provided by financing activities	(3,700)	(1,520)
Net Change in Cash	(8,227)	(5,715)
Cash, Beginning	19,374	15,937
Cash, Ending	11,147	10,222
Cash paid during the year for:
Interest	4,909	5,381
Income taxes	0	0
Supplemental Disclosure of Non-Cash Activities:
Conversions of debt to equity	2,930	349
Notes surrendered and cancelled in payment	445	0
Warrants issued in conjunction with debt offering	$ 87	$ 0