Contingencies (Details) (USD $)	1 Months Ended		3 Months Ended		9 Months Ended
	Oct. 31, 2012	Apr. 30, 2012	Sep. 30, 2012 Bonds	Jun. 30, 2012	Sep. 30, 2012 Person Bonds	Sep. 30, 2011	Dec. 31, 2012
Contingencies (Additional Textual) [Abstract]
Working capital deficiency					$ 25,700,000
Stockholders equity deficiency					13,400,000
Debt past due			2,900,000		2,900,000
Members of health plan					212,000
Percent of revenue accounted for by contract					79.10%	66.10%
Revenue accounted for by contract					41,800,000	35,700,000
Amendments in health plan extension of the contract term date							Dec. 31, 2012
Contract interpretation dispute with major customer to remove responsibility charge of pharmacy		2,200,000
Contract resolution reduced cost				2,200,000
Pending judgment of damages			1,900,000		1,900,000
Monetary damages					600,000
Unpaid claims					1,700,000
Complainant settle and discharge	25,000
Adjustment to provision for possible litigation settlements and legal defense costs net					1,600,000
Approximate increase in legal provision			200,000
Number of surety bonds			2		2
Collateralize Surety Bonds [Member]
Contingencies (Textual) [Abstract]
Letter of credit			1,900,000		1,900,000
Customer Agreement [Member]
Contingencies (Textual) [Abstract]
Letter of credit			$ 4,000,000		$ 4,000,000