Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Statement [Abstract]
PATIENT REVENUES, net	$ 563,462	$ 574,794	$ 426,063
EXPENSES:
Operating	450,686	458,122	342,932
Lease and rent expense	57,073	54,988	33,364
Professional liability	11,796	10,764	8,456
Litigation contingency expense	6,400	0	0
General and administrative	32,791	33,311	30,271
Depreciation and amortization	11,201	10,902	8,292
Gain on sale of assets	(4,825)	0	0
Lease termination costs (receipts)	0	(180)	2,008
Total expenses	565,122	567,907	425,323
OPERATING INCOME (LOSS)	(1,660)	6,887	740
OTHER INCOME (EXPENSE):
Other income	168	0	0
Equity in net income of investment in unconsolidated affiliate	0	0	273
Gain on bargain purchase	0	925	0
Gain on sale of investment in unconsolidated affiliate	308	733	1,366
Hurricane costs	0	(232)	0
Interest expense, net	(6,653)	(6,369)	(4,802)
Debt retirement costs	(267)	0	(351)
Total other income (expense)	(6,444)	(4,943)	(3,514)
INCOME (LOSS) FROM CONTINUING OPERATIONS BEFORE INCOME TAXES	(8,104)	1,944	(2,774)
BENEFIT (PROVISION) FOR INCOME TAXES	750	(6,743)	1,030
LOSS FROM CONTINUING OPERATIONS	(7,354)	(4,799)	(1,744)
LOSS FROM DISCONTINUED OPERATIONS:
Operating loss, net of income tax benefit of $5, $43 and $41, respectively	(42)	(28)	(67)
LOSS FROM DISCONTINUED OPERATIONS	(42)	(28)	(67)
NET LOSS	$ (7,396)	$ (4,827)	$ (1,811)
Per common share – basic
Continuing operations (in dollars per share)	$ (1.15)	$ (0.76)	$ (0.28)
Discontinued operations (in dollars per share)	(0.01)	(0.01)	(0.01)
Net income (loss) (in dollars per share)	(1.16)	(0.77)	(0.29)
Per common share – diluted
Continuing operations (in dollars per share)	(1.15)	(0.76)	(0.28)
Discontinued operations (in dollars per share)	(0.01)	(0.01)	(0.01)
Diluted net income (loss) per common share (in dollars per share)	(1.16)	(0.77)	(0.29)
DIVIDENDS DECLARED PER SHARE OF COMMON STOCK (in dollars per share)	$ 0.165	$ 0.22	$ 0.22
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic (in shares)	6,372	6,279	6,199
Diluted (in shares)	6,372	6,279	6,199