Interim Consolidated Statements of Cash Flows - USD ($)	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
CASH FLOWS FROM OPERATING ACTIVITIES:
NET INCOME (LOSS)	$ 1,106,000	$ (3,236,000)
Discontinued operations	(42,000)	(54,000)
Income (loss) from continuing operations	1,148,000	(3,182,000)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	8,095,000	6,055,000
Provision for doubtful accounts	6,407,000	5,785,000
Deferred income tax provision (benefit)	52,000	(2,329,000)
Provision for self-insured professional liability, net of cash payments	(168,000)	1,853,000
Stock-based compensation	766,000	721,000
Equity in net income of unconsolidated affiliate	0	(191,000)
Gain on sale of unconsolidated affiliate	(733,000)	0
Debt retirement costs	0	351,000
Provision for leases in excess of cash payments	(517,000)	(1,640,000)
Lease termination costs, net of cash payments	0	1,958,000
Deferred bonus	700,000	0
Other	388,000	463,000
Changes in assets and liabilities affecting operating activities:
Receivables, net	(8,387,000)	(2,071,000)
Prepaid expenses and other assets	459,000	(1,620,000)
Trade accounts payable and accrued expenses	1,977,000	(226,000)
Net cash provided by continuing operations	10,187,000	5,927,000
Discontinued operations	(241,000)	(3,572,000)
Net cash provided by operating activities	9,946,000	2,355,000
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(8,638,000)	(4,046,000)
Property acquisitions	(8,750,000)	(7,550,000)
Proceeds from sale of unconsolidated affiliate	1,100,000	0
Change in restricted cash	0	1,658,000
Net cash used in continuing operations	(16,288,000)	(9,938,000)
Discontinued operations	0	0
Net cash used in investing activities	(16,288,000)	(9,938,000)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(24,381,000)	(70,883,000)
Proceeds from issuance of debt	31,574,000	80,855,000
Financing costs	(195,000)	(1,884,000)
Issuance and redemption of employee equity awards	(94,000)	(105,000)
Payment of common stock dividends	(1,038,000)	(1,025,000)
Payment for preferred stock restructuring	(492,000)	(477,000)
Net cash provided by financing activities	5,374,000	6,481,000
Discontinued operations	0	0
Net cash provided by financing activities	5,374,000	6,481,000
NET DECREASE IN CASH AND CASH EQUIVALENTS	(968,000)	(1,102,000)
CASH AND CASH EQUIVALENTS, beginning of period	4,263,000	4,585,000
CASH AND CASH EQUIVALENTS, end of period	3,295,000	3,483,000
SUPPLEMENTAL INFORMATION:
Cash payments of interest	3,989,000	2,906,000
Cash payments of income taxes	667,000	521,000
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:
Acquisition of equipment through capital lease	$ 507,000	$ 0