Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Income Statement [Abstract]
PATIENT REVENUES, net	$ 475,020	$ 476,122	$ 482,811
EXPENSES:
Operating	380,870	381,178	389,916
Lease and rent expense	52,990
Lease and rent expense		49,231	48,248
Professional liability	6,996	6,498	7,992
Litigation contingency expense	3,100	6,400	0
General and administrative	28,009	30,237	31,342
Depreciation and amortization	9,122	9,991	9,252
Lease termination receipts	0	0	(180)
Total expenses	481,087	483,535	486,570
OPERATING LOSS	(6,067)	(7,413)	(3,759)
OTHER INCOME (EXPENSE):
Other income	281	160	472
Gain on bargain purchase	0	0	925
Gain on sale of investment in unconsolidated affiliate	0	308	733
Hurricane costs	0	0	(232)
Interest expense, net	(5,994)	(5,533)	(5,353)
Debt retirement costs	0	(267)	0
Total other income (expense)	(5,713)	(5,332)	(3,455)
LOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAXES	(11,780)	(12,745)	(7,214)
BENEFIT (PROVISION) FOR INCOME TAXES	(15,694)	1,481	(2,534)
LOSS FROM CONTINUING OPERATIONS	(27,474)	(11,264)	(9,748)
INCOME (LOSS) FROM DISCONTINUED OPERATIONS:
Operating income (loss), net of income tax provision of ($517), ($731) and ($4,209), respectively	(9,322)	(957)	4,921
Gain on lease modification, net of tax	733	0	0
Gain on sale of assets, net of tax	0	4,825	0
INCOME (LOSS) FROM DISCONTINUED OPERATIONS	(8,589)	3,868	4,921
NET LOSS	$ (36,063)	$ (7,396)	$ (4,827)
Per common share – basic
Continuing operations (in dollars per share)	$ (4.25)	$ (1.77)	$ (1.55)
Discontinued operations (in dollars per share)	(1.33)	0.61	0.78
Net income (loss) (in dollars per share)	(5.58)	(1.16)	(0.77)
Per common share – diluted
Continuing operations (in dollars per share)	(4.25)	(1.77)	(1.55)
Discontinued operations (in dollars per share)	(1.33)	0.61	0.78
Diluted net income (loss) per common share (in dollars per share)	(5.58)	(1.16)	(0.77)
DIVIDENDS DECLARED PER SHARE OF COMMON STOCK (in dollars per share)	$ 0	$ 0.165	$ 0.22
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic (in shares)	6,459	6,372	6,279
Diluted (in shares)	6,459	6,372	6,279