Interim Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss	$ (7,891)	$ (1,789)
Discontinued operations	(2,555)	1,013
Loss from continuing operations	(5,336)	(2,802)
Adjustments to reconcile loss from continuing operations to net cash provided by (used in) operating activities:
Depreciation and amortization	5,014	4,716
Provision for doubtful accounts	2,860	2,122
Deferred income tax benefit	(4,214)	(435)
Provision for self-insured professional liability, net of cash payments	1,273	1,922
Stock-based compensation	809	435
Equity in net losses of unconsolidated affiliate, net of investment	(99)	(223)
Debt retirement costs	320	0
Other	38	288
Changes in assets and liabilities affecting operating activities:
Receivables, net	(5,662)	(2,874)
Prepaid expenses and other assets	(1,107)	(2,744)
Trade accounts payable and accrued expenses	2,117	(1,524)
Net cash provided by (used in) continuing operations	(3,987)	(1,119)
Discontinued operations	3,630	3,613
Net cash provided by (used in) operating activities	(357)	2,494
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(4,000)	(3,531)
Acquisition of property and equipment through business combination	14,742	0
Change in restricted cash	(4,072)	665
Proceeds from sale of discontinued operations	0	3,632
Deposits and other deferred balances	0	(224)
Net cash used in continuing operations	(22,814)	542
Discontinued operations	1,877	(432)
Net cash used in investing activities	(20,937)	110
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(28,907)	(1,011)
Proceeds from issuance of debt and capital leases	50,500	927
Financing costs	(1,341)	(118)
Issuance and redemption of employee equity awards	26	56
Payment of common stock dividends	(647)	(961)
Payment of preferred stock dividends	(258)	(258)
Distributions to noncontrolling interest	(156)	(154)
Payment for preferred stock restructuring	(434)	(420)
Net cash provided by (used in) financing activities	18,783	(1,939)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	(2,511)	665
CASH AND CASH EQUIVALENTS, beginning of period	5,930	6,692
CASH AND CASH EQUIVALENTS, end of period	3,419	7,357
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	2,080	1,776
Cash payments of income taxes	$ 74	$ 176