Consolidated Statements Of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Revenues:
Managed care revenues	$ 17,890	$ 18,282
Costs and expenses:
Costs of revenues	16,644	16,529
General and administrative	515	1,161
Depreciation and amortization	96	216
Total expenses	17,255	17,906
Operating income	635	376
Other income (expense):
Interest expense, including amortization of debt discount of $195 and $189	(563)	(434)
Other non-operating income, net	11	136
Income before income taxes	83	78
Income taxes	3	37
Net income	80	41
Net income attributable to common stockholders	$ 80	$ 41
Earnings per common share:
Basic	$ 0.00	$ 0.00
Diluted	$ 0.00	$ 0.00
Weighted average common shares outstanding:
Basic	59,252	54,644
Diluted	62,552	67,959