Quarterly Financial Information (Unaudited) (Details) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended																12 Months Ended
	Dec. 31, 2013		Sep. 30, 2013		Jun. 30, 2013		Mar. 31, 2013		Dec. 31, 2012		Sep. 30, 2012		Jun. 30, 2012		Mar. 31, 2012		Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Quarterly Financial Information Disclosure [Abstract]
Net revenues	$ 81,417		$ 70,353		$ 66,869		$ 63,280		$ 63,492		$ 61,824		$ 60,510		$ 60,464		$ 281,919	$ 246,290	$ 245,877
Professional liability expense	1,654	[1]	1,382	[1]	2,315	[1]	1,985	[1]	2,499	[2]	1,348	[2]	1,122	[2]	1,133	[2]	7,336	6,102	3,618
Income (loss) from continuing operations	(141)		(2,344)		(2,002)		(990)		(874)		(498)		(807)		(1,496)		(5,477)	(3,675)	438
Income (loss) from discontinued operations, net of tax	(430)		(2,421)		(177)		43		(258)		518		374		121		(2,985)	755	929
Net income (loss)	$ (678)		$ (4,868)		$ (2,281)		$ (1,051)		$ (1,234)		$ (82)		$ (534)		$ (1,540)		$ (8,534)	$ (3,046)	$ 1,367
Per common share - basic
Continuing operations (in dollars per share)	$ (0.03)		$ (0.42)		$ (0.36)		$ (0.19)		$ (0.17)		$ (0.10)		$ (0.15)		$ (0.29)		$ (1.00)	$ (0.71)	$ 0.02
Discontinued operations (in dollars per share)	$ (0.08)		$ (0.41)		$ (0.03)		$ 0.01		$ (0.04)		$ 0.09		$ 0.06		$ 0.02		$ (0.51)	$ 0.13	$ 0.16
Net income (loss) (in dollars per share)	$ (0.11)		$ (0.83)		$ (0.39)		$ (0.18)		$ (0.21)		$ (0.01)		$ (0.09)		$ (0.27)		$ (1.51)	$ (0.58)	$ 0.18
Per common share - diluted
Continuing operations (in dollars per share)	$ (0.03)		$ (0.42)		$ (0.36)		$ (0.19)		$ (0.17)		$ (0.10)		$ (0.15)		$ (0.29)		$ (1.00)	$ (0.71)	$ 0.02
Discontinued operations (in dollars per share)	$ (0.08)		$ (0.41)		$ (0.03)		$ 0.01		$ (0.04)		$ 0.09		$ 0.06		$ 0.02		$ (0.51)	$ 0.13	$ 0.15
Net income (loss) (in dollars per share)	$ (0.11)		$ (0.83)		$ (0.39)		$ (0.18)		$ (0.21)		$ (0.01)		$ (0.09)		$ (0.27)		$ (1.51)	$ (0.58)	$ 0.17

[1] The Company's quarterly results are significantly affected by the amounts recorded for professional liability expense, as discussed further in Note 12. The amount of expense recorded for professional liability in each quarter of 2013 is set forth in the table above.

[2] The Company's quarterly results are significantly affected by the amounts recorded for professional liability expense, as discussed further in Note 12. The amount of expense recorded for professional liability in each quarter of 2012 is set forth in the table above.