Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
CASH FLOWS FROM OPERATING ACTIVITIES:
NET LOSS	$ (36,063)	$ (7,396)	$ (4,827)
Income (loss) from discontinued operations	(8,589)	3,868	4,921
Loss from continuing operations	(27,474)	(11,264)	(9,748)
Adjustments to reconcile loss from continuing operations to net cash provided by operating activities:
Depreciation and amortization	9,122	9,991	9,252
Provision for doubtful accounts	0	0	8,202
Deferred income tax provision (benefit)	15,421	(926)	2,040
Provision for self-insured professional liability, net of cash payments	4,739	2,325	1,342
Stock based and deferred compensation	573	1,127	1,027
Debt retirement costs	0	267	0
Provision for leases, net of cash payments	3,897	(106)	(936)
Amortization of right-of-use assets	21,890
Litigation contingency expense	3,100	6,400	0
Gain on sale of assets and unconsolidated affiliate	0	(308)	(733)
Gain on bargain purchase	0	0	(925)
Deferred bonus	0	0	761
Other	1,507	415	524
Changes in other assets and liabilities affecting operating activities:
Receivables	9,200	(2,289)	(10,721)
Prepaid expenses and other assets	(6,693)	(5,926)	385
Trade accounts payable and accrued expenses	(1,793)	6,010	1,589
Operating lease liabilities	(21,154)
Net cash provided by continuing operations	12,335	5,716	2,059
Net cash provided by (used in) discontinued operations	(7,003)	(65)	10,001
Net cash provided by operating activities	5,332	5,651	12,060
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of property and equipment	(4,980)	(7,531)	(8,423)
Acquisition of property and equipment through business combination	0	0	(8,750)
Proceeds from unconsolidated affiliate	0	308	1,100
Net cash used in continuing operations	(4,980)	(7,223)	(16,073)
Net cash provided by (used in) discontinued operations	6	17,653	(1,307)
Net cash provided by (used in) investing activities	(4,974)	10,430	(17,380)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt and finance lease obligations	(12,541)	(36,684)	(30,154)
Proceeds from issuance of debt	12,500	21,689	37,067
Financing costs	(333)	(146)	(195)
Issuance and redemption of employee equity awards	41	(217)	(94)
Payment of common stock dividends	0	(1,054)	(1,384)
Payment for preferred stock restructuring	0	(508)	(659)
Net cash provided by (used in) continuing operations	(333)	(16,920)	4,581
Net cash provided by (used in) discontinued operations	0	0	0
Net cash provided by (used in) financing activities	(333)	(16,920)	4,581
NET INCREASE (DECREASE) IN CASH	25	(839)	(739)
CASH, beginning of period	2,685	3,524	4,263
CASH, end of period	2,710	2,685	3,524
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash payments of interest, net of amounts capitalized	5,390	6,074	5,404
Cash payments of income taxes	432	498	847
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:
Acquisition of equipment through finance lease	483	$ 689	$ 507
Acquisition of operating leases through adoption of ASC Topic 842	389,403
Lease modification	$ (48,877)