Interim Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands	6 Months Ended
	Jun. 30, 2011	Jun. 30, 2010
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 3,375	$ 1,885
Discontinued operations	(10)	191
Net income from continuing operations	3,385	1,694
Adjustments to reconcile net income from continuing operations to net cash provided by operating activities:
Depreciation and amortization	3,121	2,848
Provision for doubtful accounts	1,194	940
Deferred income tax provision (benefits)	1,073	64
Provision for (benefit from) self-insured professional liability, net of cash payments	6	(193)
Stock based compensation	403	333
Amortization of deferred balances	84	121
Provision for leases in excess of cash payments	225	447
Payment from lessor for leasehold improvement		120
Debt retirement costs	79	127
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(4,897)	(937)
Prepaid expenses and other assets	(32)	(412)
Trade accounts payable and accrued expenses	2,167	2,094
Net cash provided by continuing operations	6,808	7,246
Discontinued operations	(5)	1,093
Net cash provided by operating activities	6,803	8,339
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(5,553)	(2,079)
Increase in restricted cash	(1,732)
Deposit and other deferred balances	(28)
Net cash used by continuing operations	(7,313)	(2,079)
Discontinued operations		(45)
Net cash used in investing activities	(7,313)	(2,124)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(22,709)	(3,962)
Proceeds from issuance of debt	24,781	3,463
Financing costs	(796)	(426)
Exercise of stock options	2	(46)
Proceeds from issuance of restricted share units	196	57
Payment of common stock dividends	(636)	(572)
Payment of preferred stock dividends	(172)	(172)
Contributions from noncontrolling interests	39
Payment for preferred stock restructuring	(271)	(262)
Net cash provided by (used in) financing activities	434	(1,920)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	(76)	4,295
CASH AND CASH EQUIVALENTS, beginning of period	8,862	8,609
CASH AND CASH EQUIVALENTS, end of period	8,786	12,904
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	833	642
Cash payments of income taxes	$ 482	$ 662