Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
CASH FLOWS FROM OPERATING ACTIVITIES:
NET INCOME (LOSS)	$ (2,920)	$ 1,367	$ 3,849
Discontinued operations	297	181	219
Income (loss) from continuing operations	(3,217)	1,186	3,630
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	7,043	6,365	5,614
Provision for doubtful accounts	3,581	2,223	2,105
Deferred income tax provision (benefit)	(1,411)	801	2,041
Provision for self-insured professional liability, net of cash payments	3,789	1,573	(917)
Stock based compensation	580	537	597
Provision for leases net of cash payments	(148)	320	782
Asset impairment	0	344	0
Other	457	416	460
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(6,659)	(6,507)	(3,787)
Prepaid expenses and other assets	(445)	(140)	(1,817)
Trade accounts payable and accrued expenses	(540)	1,589	(94)
Net cash provided by continuing operations	3,030	8,707	8,614
Discontinued operations	609	1,334	1,442
Net cash provided by operating activities	3,639	10,041	10,056
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(4,850)	(13,460)	(6,253)
Investment in unconsolidated affiliate	(420)		0
Change in restricted cash	752	(1,029)	0
Deposits and other deferred balances	(319)	(31)	0
Net cash used in continuing operations	(4,837)	(14,520)	(6,253)
Discontinued operations	3,632	103	(155)
Net cash used in investing activities	(1,205)	(14,417)	(6,408)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(1,364)	(24,583)	(4,278)
Proceeds from issuance of debt and sale leaseback transaction	634	29,554	3,463
Financing costs	(118)	(797)	(511)
Issuance and redemption of employee equity awards	55	191	6
Payment of common stock dividends	(1,282)	(1,272)	(1,203)
Payment of preferred stock dividends	(344)	(344)	(344)
Contributions from (distributions to) noncontrolling interests	(206)	3	0
Payment for preferred stock restructuring	(563)	(546)	(528)
Net cash (used in) provided by financing activities	(3,188)	2,206	(3,395)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	(754)	(2,170)	253
CASH AND CASH EQUIVALENTS, beginning of period	6,692	8,862	8,609
CASH AND CASH EQUIVALENTS, end of period	5,938	6,692	8,862
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	2,347	1,875	1,353
Cash payments of income taxes	497	627	617
Capital lease obligations incurred	$ 293	$ 527	$ 387