Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011
Revenues:
Managed care revenues	$ 68,866	$ 71,210
Costs and expenses:
Costs of revenues	54,840	71,257
General and administrative	6,770	11,291
Goodwill impairment	12,150
Depreciation and amortization	249	839
Total expenses	74,009	83,387
Operating loss	(5,143)	(12,177)
Other income (expense):
Interest expense, including $632 and $519 to related parties and amortization of debt discount of $371 and $753	(1,886)	(1,853)
Other , net	43	19
Loss before income taxes	(6,986)	(14,011)
Income taxes	4	77
Net loss attributable to common stockholders	$ (6,990)	$ (14,088)
Basic loss per share	$ (0.12)	$ (0.25)
Weighted average common shares outstanding:	59,270	57,031