Interim Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2012	Sep. 30, 2011
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss)	$ (1,789)	$ 2,502
Discontinued operations	177	165
Net income (loss) from continuing operations	(1,966)	2,337
Adjustments to reconcile net income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	5,308	4,589
Provision for doubtful accounts	2,377	1,607
Deferred income tax provision (benefit)	(435)	1,938
Provision for self-insured professional liability, net of cash payments	2,066	(342)
Stock based compensation	435	546
Asset impairment	0	344
Other	290	537
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(2,757)	(4,555)
Prepaid expenses and other assets	(2,745)	(1,405)
Trade accounts payable and accrued expenses	(714)	3,648
Net cash provided by continuing operations	1,859	9,244
Discontinued operations	858	1,152
Net cash provided by operating activities	2,717	10,396
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(3,963)	(9,311)
Investment in unconsolidated affiliate	(223)
Change in restricted cash	665	(1,733)
Proceeds from sale of discontinued operations	3,632	0
Deposits and other deferred balances	(224)	(31)
Net cash used in investing activities	(113)	(11,075)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(1,011)	(24,302)
Proceeds from issuance of debt and capital leases	927	26,000
Financing costs	(118)	(797)
Issuance and redemption of employee equity awards	56	196
Payment of common stock dividends	(961)	(953)
Payment of preferred stock dividends	(258)	(258)
Contributions from (distributions to) noncontrolling interests	(154)	87
Payment for preferred stock restructuring	(420)	(408)
Net cash used in financing activities	(1,939)	(435)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	665	(1,114)
CASH AND CASH EQUIVALENTS, beginning of period	6,692
CASH AND CASH EQUIVALENTS, end of period	7,357	7,748
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	1,776	1,353
Cash payments of income taxes	$ 176	$ 617