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Interim Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2012
Mar. 31, 2011
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income (loss) $ (1,376) $ 438
Discontinued operations (141) (8)
NET INCOME (LOSS) FROM CONTINUING OPERATIONS (1,235) 446
Adjustments to reconcile net income (loss) from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 1,822 1,556
Provision for doubtful accounts 884 569
Deferred income tax provision (benefit) (261) 109
Provision for self-insured professional liability, net of cash payments 829 66
Stock based compensation 164 201
Other 91 238
Changes in other assets and liabilities affecting operating activities:    
Receivables, net (1,684) (3,732)
Prepaid expenses and other assets 28 177
Trade accounts payable and accrued expenses 319 1,306
Net cash provided by continuing operations 957 936
Discontinued operations 65 (12)
Net cash provided by operating activities 1,022 924
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of property and equipment (1,328) (2,048)
Change in restricted cash 440 (1,828)
Deposits and other deferred balances (69) (28)
Net cash used in investing activities (957) (3,904)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Repayment of debt obligations (329) (20,579)
Proceeds from issuance of debt and capital leases 634 23,430
Financing costs (118) (879)
Issuance/redemption of equity grants 106 199
Payment of common stock dividends (319) (318)
Payment of preferred stock dividends (86) (86)
Contributions from (distributions to) noncontrolling interests (52) 27
Payment for preferred stock restructuring (139) (135)
Net cash provided by (used in) financing activities (303) 1,659
NET DECREASE IN CASH AND CASH EQUIVALENTS (238) (1,321)
CASH AND CASH EQUIVALENTS, beginning of period 6,692 8,862
CASH AND CASH EQUIVALENTS, end of period 6,454 7,541
SUPPLEMENTAL INFORMATION:    
Cash payments of interest, net of amounts capitalized 583 296
Cash payments of income taxes $ 60 $ 25