Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Income Statement [Abstract]
Managed care revenues	$ 1,078	$ 18,124	$ 2,295	$ 36,014
Costs and expenses:
Costs of revenues	682	13,765	1,471	30,409
General and administrative	1,488	2,226	2,879	2,741
Depreciation and amortization	24	60	64	156
Total expenses	2,194	16,051	4,414	33,306
Operating income (loss)	(1,116)	2,073	(2,119)	2,708
Other income (expense):
Interest expense, including amortization of debt discount of $41, $75, $89, and $270	(533)	(465)	(934)	(1,028)
Other non-operating income, net	4	1	4	12
(Loss) income before income taxes	(1,645)	1,609	(3,049)	1,692
Income taxes	2	2	5	5
Net income (loss)	(1,647)	1,607	(3,054)	1,687
Net income (loss) attributable to common stockholders	$ (1,647)	$ 1,607	$ (3,054)	$ 1,687
(Loss) earnings per common share:
Basic	$ (0.03)	$ 0.03	$ (0.05)	$ 0.03
Diluted		$ 0.02		$ 0.02
Weighted average common shares outstanding:
Basic	61,102	59,252	60,427	59,252
Diluted		88,434		81,787