Contingencies (Details) (USD $)	3 Months Ended	6 Months Ended
	Jun. 30, 2012 Bonds	Jun. 30, 2012 D Person Bonds	Mar. 05, 2012	Dec. 31, 2011
Contingencies (Textual) [Abstract]
Working capital deficiency		$ 26,900,000
Stockholders Equity Deficiency		14,500,000
Debt past due				2,800,000
Members of health plan		212,000
Percent of revenue accounted for by contract		76.50%
Revenue accounted for by contract		27,600,000
Additional renewal term		1 year
Prior written notice to cancel contract		90
Amendments in health plan extension of the contract term date			Dec. 31, 2012
Pharmacy management services, rate effective January 1, 2012		11.00%
Contract Interpretation Dispute from Health Plan		2,200,000
Contract resolution reduced cost	2,200,000
Written Notice to Terminate in Event of Material Breach of Contract		60
Notice period for breach involving financial obligations		30
Period for cure breach to prevent termination of contact		30 days
Pending judgment of damages	1,900,000	1,900,000
Monetary damages		600,000
Unpaid claims		1,700,000
Adjustment to provision for possible litigation settlements and legal defense costs net	1,600,000
Letter of credit	4,000,000	4,000,000
Line of credit facility to collateralize surety bonds	$ 1,900,000	$ 1,900,000
Number of surety bonds	2	2