Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss)	$ (4,827)	$ (1,811)	$ 1,624
Loss from discontinued operations	(28)	(67)	(1,128)
Income (loss) from continuing operations	(4,799)	(1,744)	2,752
Adjustments to reconcile income (loss) from continuing operations to net cash provided by (used in) operating activities:
Depreciation and amortization	10,902	8,292	7,524
Provision for doubtful accounts	8,958	7,163	7,507
Deferred income tax provision (benefit)	5,997	(1,569)	(1,222)
Provision for self-insured professional liability, net of cash payments	1,342	1,968	3,200
Stock based compensation	1,027	1,012	1,152
Debt retirement costs	0	351	0
Provision for leases, net of cash payments	(936)	(1,773)	(1,749)
Lease termination costs, net of cash payments	0	1,863	0
Equity in net income of investment in unconsolidated affiliate	0	(271)	(335)
Gain on sale of investment in unconsolidated affiliate	(733)	(1,366)	0
Gain on bargain purchase	(925)	0	0
Deferred bonus	761	350	0
Other	523	576	396
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(10,721)	(25,551)	(9,883)
Prepaid expenses and other assets	385	(1,620)	(60)
Trade accounts payable and accrued expenses	1,589	10,224	1,009
Net cash provided by (used in) continuing operations	13,370	(2,095)	10,291
Net cash used in discontinued operations	(1,310)	(3,523)	(7,014)
Net cash provided by (used in) operating activities	12,060	(5,618)	3,277
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(9,730)	(6,022)	(4,646)
Nursing center acquisitions	0	(7,550)	0
Acquisition of property and equipment through business combination	(8,750)	0	(10,900)
Proceeds from sale of unconsolidated affiliate	1,100	2,068	0
Change in restricted cash	0	1,658	2,489
Deposits and other deferred balances	0	0	(9)
Net cash used in continuing operations	(17,380)	(9,846)	(13,066)
Net cash used in discontinued operations	0	0	0
Net cash used in investing activities	(17,380)	(9,846)	(13,066)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(30,154)	(73,374)	(15,342)
Proceeds from issuance of debt	37,067	92,789	27,945
Financing costs	(195)	(2,162)	(160)
Issuance and redemption of employee equity awards	(94)	(105)	79
Payment of common stock dividends	(1,384)	(1,366)	(1,347)
Payment for preferred stock restructuring	(659)	(640)	(619)
Net cash provided by continuing operations	4,581	15,142	10,556
Net cash used in discontinued operations	0	0	0
Net cash provided by financing activities	4,581	15,142	10,556
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	(739)	(322)	767
CASH AND CASH EQUIVALENTS, beginning of period	4,263	4,585	3,818
CASH AND CASH EQUIVALENTS, end of period	3,524	4,263	4,585
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash payments of interest, net of amounts capitalized	5,404	3,965	3,629
Cash payments of income taxes	847	549	205
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:
Acquisition of equipment through capital lease	$ 507	$ 1,851	$ 0