Consolidated Statements Of Operations (USD $) In Thousands, except Per Share data	3 Months Ended		9 Months Ended
	Sep. 30, 2011	Sep. 30, 2010	Sep. 30, 2011	Sep. 30, 2010
Revenues:
Managed care revenues	$ 17,200	$ 7,898	$ 54,039	$ 17,315
Other		3		29
Total revenues	17,200	7,901	54,039	17,344
Costs and expenses:
Costs of revenues	17,121	7,553	52,444	15,542
General and administrative	1,979	3,386	6,122	8,537
Depreciation and amortization	207	201	641	553
Total expenses	19,307	11,140	59,207	24,632
Operating loss	(2,107)	(3,239)	(5,168)	(7,288)
Other income (expense):
Interest, including amortization of debt discount	(444)	(442)	(1,346)	(1,162)
Loss from debt extinguishment		(13)	(1)	(102)
Other non-operating income (expense), net		35	108	15
Loss before income taxes (benefit)	(2,551)	(3,659)	(6,407)	(8,537)
Income taxes (benefit)	(1)	31	72	94
Net loss	(2,550)	(3,690)	(6,479)	(8,631)
Net loss attributable to non-controlling interest in subsidiary				44
Net loss attributable to Company stockholders	$ (2,550)	$ (3,690)	$ (6,479)	$ (8,587)
Basic loss per share	$ (0.04)	$ (0.07)	$ (0.12)	$ (0.20)
Weighted average common shares outstanding	58,379	52,150	56,283	43,414