CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010
Cash flows from operating activities:
Net Loss	$ (7,551,930)	$ (2,199,779)
Net Loss (Income) from discontinued operations	1,963,382	(174,369)
Net loss from continuing operations	(5,588,548)	(2,374,148)
Adjustments to reconcile net loss from continuing operations to net cash provided by (used in) operating activities:
Depreciation and amortization	3,937,943	1,261,485
Warrants issued for services	212,371	21,648
Stock based compensation expense	806,302	818,765
Provision for leases in excess of cash	699,867	201,816
Amortization of deferred financing costs	926,784	158,076
Amortization of debt discounts	900,614	330,535
Derivative (gain) loss	(957,517)	343,144
Loss on debt extinguishment	140,994	228,203
Deferred tax expense	69,708	20,533
Loss on disposal of assets	126,015	1,303
Gain on acquisitions	(1,104,486)	(2,739,949)
Provision for bad debts	1,715,421	235,887
Non cash acquisition costs	206,394
Other noncash expenses	80,436	196,988
Changes in certain assets and liabilities, net of acquisitions:
Accounts receivable	(9,453,938)	(6,398,647)
Prepaid expenses and other	429,026	(772,473)
Other assets	(179,050)	6,797
Accounts payable and other liabilities	9,175,596	7,052,381
Net cash provided by (used in) operating activities-continuing operations	2,143,932	(1,407,656)
Net cash (used in) provided by operating activities-discontinued operations	(150,837)	191,465
Net cash provided by (used in) operating activities	1,993,095	(1,216,191)
Cash flow from investing activities:
Change in restricted cash and investments	1,070,495	(134,378)
Escrow deposits for acquisitions	(3,426,229)	(1,725,086)
Lease deposits	(14,758)	(1,670,282)
Acquisitions	(10,320,321)	(9,693,418)
Purchase of property, plant and equipment	(4,462,769)	(1,131,241)
Net cash used in investing activities-continuing operations	(17,153,582)	(14,354,405)
Net cash used in investing activities-discontinued operations		(9,507)
Net cash used in investing activities	(17,153,582)	(14,363,912)
Cash flows from financing activities:
Proceeds from debt	8,026,057	8,827,000
Debt issuance costs	(617,809)	(1,134,938)
Change in lines of credit	6,727,556	1,828,084
Exercise of warrants	6,795,428	331,100
Proceeds from stock issuances		6,109,725
Repayment on notes payable	(2,135,694)	(737,990)
Net cash provided by financing activities-continuing operations	18,795,538	15,222,981
Net cash used in financing activities-discontinued operations	(182,238)	(212,838)
Net cash provided by financing activities	18,613,300	15,010,143
Net Change in Cash	3,452,813	(569,960)
Cash, Beginning	3,911,140	4,481,100
Cash, Ending	7,363,953	3,911,140
Cash paid during the year for:
Interest	6,090,935	1,953,926
Income taxes	197,000
Supplemental Disclosure of Non-Cash Activities:
Acquisitions in exchange for debt and equity instruments	46,064,270	28,914,021
Warrants issued for financing costs	329,901
Conversion of debt to equity	150,000
Other assets acquired in exchange for debt	6,441,041
Noncash change in fair value of property and equipment from acquisition		750,287
Discounts on debt for bifurcated derivative and detachable warrants		$ 2,963,193