Consolidated Statements Of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010
Revenues:
Managed care	$ 71,210	$ 35,185
Other		29
Total Revenues	71,210	35,214
Costs and expenses:
Costs of revenues	71,257	33,613
General and administrative	11,291	11,930
Depreciation and amortization	839	769
Total expenses	83,387	46,312
Operating loss	(12,177)	(11,098)
Other income (expense):
Interest expense, including amortization of debt discount of $753 and $574	(1,853)	(1,585)
Other non-operating income, net	19	2,442
Loss before income taxes	(14,011)	(10,241)
Income taxes	77	229
Net loss	(14,088)	(10,470)
Net loss attributable to non-controlling interest in subsidiary		44
Net loss attributable to common stockholders	$ (14,088)	$ (10,426)
Basic loss per share	$ (0.25)	$ (0.23)
Weighted average common shares outstanding:	57,031	46,156