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Interim Consolidated Statements of Cash Flows (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income (loss) $ 4,203 $ (7,891)
Discontinued operations (3,444) 1,875
Income (loss) from continuing operations 759 (6,016)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 5,252 4,572
Provision for doubtful accounts 4,235 2,785
Deferred income tax benefit (467) (4,214)
Provision for self-insured professional liability, net of cash payments 815 660
Stock-based compensation 441 809
Equity in net losses of unconsolidated affiliate, net of investment 88 (99)
Debt retirement costs 0 320
Other (468) (182)
Changes in assets and liabilities affecting operating activities:    
Receivables, net (13,775) (5,551)
Prepaid expenses and other assets (323) (1,124)
Trade accounts payable and accrued expenses 4,131 2,565
Net cash provided by (used in) continuing operations 688 (5,475)
Discontinued operations (600) 5,117
Net cash provided by (used in) operating activities 88 (358)
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (4,228) (4,109)
Acquisition of property and equipment through business combination 0 (14,742)
Change in restricted cash 33 (3,894)
Proceeds from sale of discontinued operations 16,500 0
Deposits and other deferred balances (64) 0
Net cash provided by (used in) continuing operations 12,241 (22,745)
Discontinued operations (61) 1,808
Net cash provided by (used in) investing activities 12,180 (20,937)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (14,850) (28,757)
Proceeds from issuance of debt 16,808 50,500
Financing costs (180) (1,341)
Issuance and redemption of employee equity awards (30) 28
Redemption of preferred stock (4,918) 0
Payment of common stock dividends (993) (647)
Payment of preferred stock dividends (220) (258)
Distributions to noncontrolling interest (1,411) (158)
Payment for preferred stock restructuring (448) (434)
Net cash provided by (used in) continuing operations (6,242) 18,933
Discontinued operations (5,952) (150)
Net cash provided by (used in) investing activities (12,194) 18,783
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 74 (2,512)
CASH AND CASH EQUIVALENTS, beginning of period 3,781 5,928
CASH AND CASH EQUIVALENTS, end of period 3,855 3,416
SUPPLEMENTAL INFORMATION:    
Cash payments of interest, net of amounts capitalized 2,496 1,854
Cash payments of income taxes $ 66 $ 74