Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
CASH FLOWS FROM OPERATING ACTIVITIES:
NET INCOME (LOSS)	$ (8,462)	$ (2,920)	$ 1,367
Discontinued operations	(2,985)	755	929
Income (loss) from continuing operations	(5,477)	(3,675)	438
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	6,972	6,276	5,607
Provision for doubtful accounts	4,191	3,064	1,780
Deferred income tax provision (benefit)	(5,068)	(1,412)	801
Provision for self-insured professional liability, net of cash payments	1,162	2,935	(742)
Stock based compensation	950	573	528
Debt retirement costs	320	0	0
Provision for leases net of cash payments	(631)	(148)	320
Asset impairment	0	0	344
Equity in net losses of unconsolidated affiliate	(67)	(420)	0
Other	516	455	415
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(14,313)	(6,404)	(4,904)
Prepaid expenses and other assets	862	(447)	1,128
Trade accounts payable and accrued expenses	6,672	155	1,389
Net cash provided (used) by continuing operations	(3,911)	952	7,104
Discontinued operations	2,685	2,266	2,937
Net cash provided (used) by operating activities	(1,226)	3,218	10,041
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(5,293)	(4,353)	(12,386)
Acquisition of property and equipment through business combination	(14,742)	0	0
Proceeds from sale of discontinued operations	0	3,632	0
Change in restricted cash	(3,480)	752	(1,029)
Deposits and other deferred balances	0	(319)	(31)
Net cash used in continuing operations	(23,515)	(288)	(13,446)
Discontinued operations	1,904	(497)	(970)
Net cash used in investing activities	(21,611)	(785)	(14,416)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(30,385)	(1,364)	(24,583)
Proceeds from issuance of debt and sale leaseback transaction	54,500	634	29,554
Financing costs	(1,341)	(118)	(797)
Issuance and redemption of employee equity awards	22	55	194
Payment of common stock dividends	(972)	(1,282)	(1,272)
Payment of preferred stock dividends	(344)	(344)	(344)
Distributions to noncontrolling interests	(208)	(206)	0
Payment for preferred stock restructuring	(581)	(563)	(546)
Net cash (used in) provided by financing activities	20,691	(3,188)	2,206
NET DECREASE IN CASH AND CASH EQUIVALENTS	(2,146)	(755)	(2,169)
CASH AND CASH EQUIVALENTS, beginning of period	5,930	6,685	8,854
CASH AND CASH EQUIVALENTS, end of period	3,784	5,930	6,685
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	2,937	1,776	1,875
Cash payments of income taxes	88	176	627
Capital lease obligations incurred	$ 0	$ 293	$ 527