CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011
Cash flows from operating activities:
Net loss	$ (2,758)	$ (5,503)
Loss from discontinued operations, net of tax	279	126
Net Loss from continuing operations	(2,479)	(5,377)
Adjustments to reconcile loss from continuing operations to net cash provided by (used in) operating activities:
Depreciation and amortization	3,304	1,352
Warrants issued for services		297
Stock based compensation expense	371	467
Lease expense in excess of cash	291	379
Amortization of deferred financing costs	977	407
Amortization of debt discounts	427	445
Derivative (gain) loss	(763)	3,938
Loss on debt extinguishment		77
Deferred tax expense	33	95
(Gain) loss on disposal of assets	(2)	126
Gain on acquisitions		(1,104)
Provision for bad debts	1,676	351
Other noncash expenses		45
Changes in certain assets and liabilities, net of acquisitions:
Accounts receivable	(8,820)	(3,538)
Prepaid expenses and other	102	278
Other assets	156	(29)
Accounts payable and other liabilities	5,108	3,010
Net cash provided by operating activities - continuing operations	381	1,219
Net cash (used in) provided by operating activities - discontinued operations	(269)	14
Net cash provided by operating activities	112	1,233
Cash flows from investing activities:
Proceeds from sale of property and equipment	3
Change in restricted cash and investments and escrow deposits for acquisitions	(2,683)	(110)
Acquisitions	(36,655)	(32,636)
Purchase of property and equipment	(1,676)	(1,943)
Net cash used in investing activities - continuing operations	(41,011)	(34,689)
Net cash used in investing activities	(41,011)	(34,689)
Cash flows from financing activities:
Proceeds from debt	47,188	31,673
Debt issuance costs	(1,526)	(175)
Change in lines of credit	313	4,287
Exercise of warrants and options	95	219
Proceeds from stock issuances, net	3,768
Repayment of notes payable	(6,953)	(709)
Net cash provided by financing activities - continuing operations	42,885	35,295
Net cash used in financing activities - discontinued operations	(97)	(89)
Net cash provided by financing activities	42,788	35,206
Net Change in Cash	1,889	1,750
Cash, Beginning	7,364	3,911
Cash decrease due to deconsolidation of variable interest entities (Note 2)	(180)
Cash, Ending	9,073	5,661
Cash paid during the period for:
Interest	5,807	2,438
Supplemental Disclosure of Non-cash Activities:
Acquisitions in exchange for debt and equity instruments	5,000
Warrants issued for financings costs	565	330
Other assets acquired in exchange for debt		$ 3,427