Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
CASH FLOWS FROM OPERATING ACTIVITIES:
NET INCOME (LOSS)	$ 4,708us-gaap_ProfitLoss	$ (8,462)us-gaap_ProfitLoss	$ (2,920)us-gaap_ProfitLoss
Discontinued operations	3,258	(1,469)	951
Income (loss) from continuing operations	1,450	(6,993)	(3,871)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	7,078us-gaap_DepreciationAndAmortization	6,363us-gaap_DepreciationAndAmortization	5,758us-gaap_DepreciationAndAmortization
Provision for doubtful accounts	5,710us-gaap_ProvisionForDoubtfulAccounts	4,068us-gaap_ProvisionForDoubtfulAccounts	2,844us-gaap_ProvisionForDoubtfulAccounts
Deferred income tax provision (benefit)	837us-gaap_DeferredIncomeTaxExpenseBenefit	(4,148)us-gaap_DeferredIncomeTaxExpenseBenefit	(1,791)us-gaap_DeferredIncomeTaxExpenseBenefit
Provision for self-insured professional liability, net of cash payments	1,173	384	2,026
Stock based compensation	580us-gaap_ShareBasedCompensation	950us-gaap_ShareBasedCompensation	573us-gaap_ShareBasedCompensation
Debt retirement costs	0	320	0
Provision for leases net of cash payments	(1,180)	(631)	(148)
Equity in net losses of unconsolidated affiliate	0	(67)	(420)
Other	316us-gaap_OtherNoncashIncomeExpense	224us-gaap_OtherNoncashIncomeExpense	170us-gaap_OtherNoncashIncomeExpense
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(14,592)us-gaap_IncreaseDecreaseInReceivables	(13,873)us-gaap_IncreaseDecreaseInReceivables	(5,290)us-gaap_IncreaseDecreaseInReceivables
Prepaid expenses and other assets	(184)	837	(425)
Trade accounts payable and accrued expenses	4,771	6,231	578
Net cash provided by (used in) continuing operations	5,959	(6,335)	4
Net cash provided by (used in) discontinued operations	(2,978)	5,108	3,213
Net cash provided by (used in) operating activities	2,981	(1,227)	3,217
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(5,494)	(5,351)	(3,801)
Acquisition of property and equipment through business combination	0	(14,742)	0
Proceeds from sale of discontinued operations	17,124	0	3,632
Change in restricted cash	31	(3,303)	752
Deposits and other deferred balances	(64)	0	(319)
Net cash provided by (used in) continuing operations	11,597	(23,396)	264
Net cash provided by (used in) discontinued operations	(61)	1,785	(1,049)
Net cash provided by (used in) investing activities	11,536	(21,611)	(785)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(21,645)	(30,183)	(1,168)
Proceeds from issuance of debt and sale leaseback transaction	21,808	54,500	0
Financing costs	(195)us-gaap_PaymentsOfFinancingCosts	(1,341)us-gaap_PaymentsOfFinancingCosts	(34)us-gaap_PaymentsOfFinancingCosts
Issuance and redemption of employee equity awards	(47)	22	55
Redemption of preferred stock	(4,918)	0	0
Payment of common stock dividends	(1,322)us-gaap_PaymentsOfDividendsCommonStock	(972)us-gaap_PaymentsOfDividendsCommonStock	(1,282)us-gaap_PaymentsOfDividendsCommonStock
Payment of preferred stock dividends	(220)	(344)	(344)
Deconsolidation of noncontrolling interests, net of income	(1,385)us-gaap_PaymentsToMinorityShareholders	(208)us-gaap_PaymentsToMinorityShareholders	(206)us-gaap_PaymentsToMinorityShareholders
Payment for preferred stock restructuring	(600)us-gaap_PaymentsOfStockIssuanceCosts	(581)us-gaap_PaymentsOfStockIssuanceCosts	(563)us-gaap_PaymentsOfStockIssuanceCosts
Net cash provided by (used in) continuing operations	(8,524)	20,893	(3,542)
Net cash provided by (used in) discontinued operations	(5,956)	(202)	354
Net cash provided by (used in) financing activities	(14,480)	20,691	(3,188)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	37	(2,147)	(756)
CASH AND CASH EQUIVALENTS, beginning of period	3,781	5,928	6,684
CASH AND CASH EQUIVALENTS, end of period	3,818	3,781	5,928
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	3,324us-gaap_InterestPaidNet	2,637us-gaap_InterestPaidNet	2,028us-gaap_InterestPaidNet
Cash payments of income taxes	84us-gaap_IncomeTaxesPaidNet	88us-gaap_IncomeTaxesPaidNet	497us-gaap_IncomeTaxesPaidNet
Capital lease obligations incurred	$ 0us-gaap_CapitalLeaseObligationsIncurred	$ 0us-gaap_CapitalLeaseObligationsIncurred	$ 293us-gaap_CapitalLeaseObligationsIncurred

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Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities.

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Amount of cash inflow (outflow) from operating activities, excluding discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities.

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Other income (expense) included in net income that results in no cash inflows or outflows in the period. Includes noncash adjustments to reconcile net income (loss) to cash provided by (used in) operating activities that are not separately disclosed.

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The net cash outflow or inflow from other investing activities. This element is used when there is not a more specific and appropriate element in the taxonomy.

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The cash outflow for reacquisition of callable preferred stock.

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The cash outflow for loan and debt issuance costs.

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The total cash inflow associated with the amount received from holders to acquire the entity's shares under incentive and share awards, including stock option exercises. This item inherently excludes any excess tax benefit, which the entity may have realized and reported separately.

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The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

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Amount of expense related to write-down of receivables to the amount expected to be collected. Includes, but is not limited to, accounts receivable and notes receivable.

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The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method.

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