Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss)	$ 1,624	$ 4,708	$ (8,462)
Discontinued operations	(1,128)	3,258	(1,469)
Income (loss) from continuing operations	2,752	1,450	(6,993)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	7,524	7,078	6,363
Provision for doubtful accounts	7,507	5,710	4,068
Deferred income tax provision (benefit)	(1,222)	837	(4,148)
Provision for self-insured professional liability, net of cash payments	3,200	1,173	384
Stock based compensation	1,152	580	950
Debt retirement costs	0	0	320
Provision for leases net of cash payments	(1,749)	(1,180)	(631)
Equity in net income of unconsolidated affiliate	(335)	0	(67)
Other	396	316	224
Changes in other assets and liabilities affecting operating activities:
Receivables, net	(9,883)	(14,592)	(13,873)
Prepaid expenses and other assets	(60)	(184)	837
Trade accounts payable and accrued expenses	1,009	4,771	6,231
Net cash provided by (used in) continuing operations	10,291	5,959	(6,335)
Net cash provided by (used in) discontinued operations	(7,014)	(2,978)	5,108
Net cash provided by (used in) operating activities	3,277	2,981	(1,227)
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property and equipment	(4,646)	(5,494)	(5,351)
Acquisition of property and equipment through business combination	(10,900)	0	(14,742)
Proceeds from sale of discontinued operations	0	17,124	0
Change in restricted cash	2,489	31	(3,303)
Deposits and other deferred balances	(9)	(64)	0
Net cash provided by (used in) continuing operations	(13,066)	11,597	(23,396)
Net cash provided by (used in) discontinued operations	0	(61)	1,785
Net cash provided by (used in) investing activities	(13,066)	11,536	(21,611)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt obligations	(15,342)	(21,645)	(30,183)
Proceeds from issuance of debt and sale leaseback transaction	27,945	21,808	54,500
Financing costs	(160)	(195)	(1,341)
Issuance and redemption of employee equity awards	79	(47)	22
Redemption of preferred stock	0	(4,918)	0
Payment of common stock dividends	(1,347)	(1,322)	(972)
Payment of preferred stock dividends	0	(220)	(344)
Deconsolidation of noncontrolling interests, net of income taxes	0	(1,385)	(208)
Payment for preferred stock restructuring	(619)	(600)	(581)
Net cash provided by (used in) continuing operations	10,556	(8,524)	20,893
Net cash provided by (used in) discontinued operations	0	(5,956)	(202)
Net cash provided by (used in) financing activities	10,556	(14,480)	20,691
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS	767	37	(2,147)
CASH AND CASH EQUIVALENTS, beginning of period	3,818	3,781	5,928
CASH AND CASH EQUIVALENTS, end of period	4,585	3,818	3,781
SUPPLEMENTAL INFORMATION:
Cash payments of interest, net of amounts capitalized	3,629	3,324	2,637
Cash payments of income taxes	$ 205	$ 84	$ 88