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Interim Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net loss $ (258)us-gaap_ProfitLoss $ (1,045)us-gaap_ProfitLoss
Discontinued operations (263)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity (612)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToReportingEntity
Income (Loss) from continuing operations 5us-gaap_IncomeLossFromContinuingOperations (433)us-gaap_IncomeLossFromContinuingOperations
Adjustments to reconcile income (loss) from continuing operations to net cash provided by (used in) operating activities:    
Depreciation and amortization 1,879us-gaap_DepreciationAndAmortization 1,735us-gaap_DepreciationAndAmortization
Provision for doubtful accounts 1,503us-gaap_ProvisionForDoubtfulAccounts 1,361us-gaap_ProvisionForDoubtfulAccounts
Deferred income tax benefit (116)us-gaap_DeferredIncomeTaxExpenseBenefit (660)us-gaap_DeferredIncomeTaxExpenseBenefit
Provision for self-insured professional liability, net of cash payments 930us-gaap_IncreaseDecreaseInSelfInsuranceReserve 711us-gaap_IncreaseDecreaseInSelfInsuranceReserve
Stock-based compensation 155us-gaap_ShareBasedCompensation 141us-gaap_ShareBasedCompensation
Equity in net (income) losses of unconsolidated affiliate, net of investment (108)avca_IncomeLossfromEquityMethodInvestmentsNetofContributionsPaid 3avca_IncomeLossfromEquityMethodInvestmentsNetofContributionsPaid
Non-cash interest accretion 0us-gaap_AccretionExpense 26us-gaap_AccretionExpense
Other (311)us-gaap_OtherNoncashIncomeExpense (160)us-gaap_OtherNoncashIncomeExpense
Changes in assets and liabilities affecting operating activities:    
Receivables, net (3,436)us-gaap_IncreaseDecreaseInReceivables (7,445)us-gaap_IncreaseDecreaseInReceivables
Prepaid expenses and other assets (875)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (254)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Trade accounts payable and accrued expenses 716us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities 100us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Net cash provided by (used in) continuing operations 342us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations (4,927)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Discontinued operations (1,579)us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations 360us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
Net cash used in operating activities (1,237)us-gaap_NetCashProvidedByUsedInOperatingActivities (4,567)us-gaap_NetCashProvidedByUsedInOperatingActivities
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (1,411)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (702)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisition of property and equipment through business combination (7,000)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired 0us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Change in restricted cash 2,490us-gaap_IncreaseDecreaseInRestrictedCash 36us-gaap_IncreaseDecreaseInRestrictedCash
Deposits and other deferred balances (9)us-gaap_PaymentsForProceedsFromOtherInvestingActivities 0us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash used in continuing operations (5,930)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (666)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Discontinued operations 0us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations 54us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
Net cash used in investing activities (5,930)us-gaap_NetCashProvidedByUsedInInvestingActivities (612)us-gaap_NetCashProvidedByUsedInInvestingActivities
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (1,301)us-gaap_RepaymentsOfLongTermDebtAndCapitalSecurities (422)us-gaap_RepaymentsOfLongTermDebtAndCapitalSecurities
Proceeds from issuance of debt 8,767us-gaap_ProceedsFromIssuanceOfLongTermDebtAndCapitalSecuritiesNet 5,050us-gaap_ProceedsFromIssuanceOfLongTermDebtAndCapitalSecuritiesNet
Financing costs (104)us-gaap_PaymentsOfFinancingCosts (83)us-gaap_PaymentsOfFinancingCosts
Issuance and redemption of employee equity awards 79us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions 82us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
Payment of common stock dividends (335)us-gaap_PaymentsOfDividendsCommonStock (331)us-gaap_PaymentsOfDividendsCommonStock
Payment of preferred stock dividends 0us-gaap_PaymentsOfDividendsPreferredStockAndPreferenceStock (86)us-gaap_PaymentsOfDividendsPreferredStockAndPreferenceStock
Distributions to noncontrolling interest 0us-gaap_PaymentsToMinorityShareholders (1,410)us-gaap_PaymentsToMinorityShareholders
Payment for preferred stock restructuring (153)us-gaap_PaymentsOfStockIssuanceCosts (148)us-gaap_PaymentsOfStockIssuanceCosts
Net cash provided by financing activities 6,953us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations 2,652us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Discontinued operations 0us-gaap_CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations 2,498us-gaap_CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
Net cash provided by financing activities 6,953us-gaap_NetCashProvidedByUsedInFinancingActivities 5,150us-gaap_NetCashProvidedByUsedInFinancingActivities
NET DECREASE IN CASH AND CASH EQUIVALENTS (214)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (29)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
CASH AND CASH EQUIVALENTS, beginning of period 3,818us-gaap_CashAndCashEquivalentsAtCarryingValue 3,781us-gaap_CashAndCashEquivalentsAtCarryingValue
CASH AND CASH EQUIVALENTS, end of period 3,604us-gaap_CashAndCashEquivalentsAtCarryingValue 3,752us-gaap_CashAndCashEquivalentsAtCarryingValue
SUPPLEMENTAL INFORMATION:    
Cash payments of interest, net of amounts capitalized 857us-gaap_InterestPaidNet 739us-gaap_InterestPaidNet
Cash payments of income taxes $ 84us-gaap_IncomeTaxesPaidNet $ 2us-gaap_IncomeTaxesPaidNet