CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2012	Sep. 30, 2011
Cash flows from operating activities:
Net loss	$ (7,398)	$ (2,724)
Loss from discontinued operations, net of tax	481	285
Loss from continuing operations	(6,917)	(2,439)
Adjustments to reconcile net loss from continuing operations to net cash provided by (used in) operating activities:
Depreciation and amortization	5,233	2,188
Warrants issued for services	2	162
Stock based compensation expense	639	579
Lease expense in excess of cash	419	558
Amortization of deferred financing costs	1,585	599
Amortization of debt discounts	646	663
Derivative (gain) loss	1,342	(807)
Loss on debt extinguishment	(500)	136
Deferred tax expense	151	163
(Gain) loss on disposal of assets	(18)	126
Gain on acquisitions		(898)
Provision for bad debts	2,754	593
Other noncash items		59
Changes in certain assets and liabilities, net of acquisitions:
Accounts receivable	(12,471)	(8,305)
Prepaid expenses and other	(181)	(159)
Other assets	189	(525)
Accounts payable and accrued expenses	11,023	8,433
Net cash provided by operating activities - continuing operations	3,896	1,126
Net cash used in operating activities - discontinued operations	(554)	(96)
Net cash provided by operating activities	3,342	1,030
Cash flows from investing activities:
Proceeds from sale of property and equipment	3
Change in restricted cash and investments and escrow deposits for acquisitions	(1,820)	546
Acquisitions	(52,482)	(52,475)
Purchase of property and equipment	(2,904)	(2,732)
Net cash used in investing activities - continuing operations	(57,203)	(54,661)
Net cash provided by investing activities - discontinued operations	50
Net cash used in investing activities	(57,153)	(54,661)
Cash flows from financing activities:
Proceeds from debt	58,788	48,738
Proceeds from convertible debt	7,500
Debt issuance costs	(2,763)	(389)
Change in lines of credit	1,787	5,770
Exercise of warrants and options	137	6,798
Proceeds from stock issuances, net	3,837
Refinanced debt	(5,000)
Repayment of notes payable	(7,819)	(1,013)
Net cash provided by financing activities - continuing operations	56,467	59,904
Net cash used in financing activities - discontinued operations	(147)	(134)
Net cash provided by financing activities	56,320	59,770
Net Change in Cash	2,509	6,139
Cash, Beginning	7,364	3,911
Cash decrease due to deconsolidation of variable interest entities (Note 2)	(180)	0
Cash, Ending	9,693	10,050
Cash paid during the period for:
Interest	9,632	4,246
Income Taxes		197
Supplemental Disclosure of Non-cash Activities:
Acquisitions in exchange for debt and equity instruments	7,800	2,400
Warrants issued for financing costs	641	330
Restricted stock issued for financing costs	175
Other assets acquired in exchange for debt		$ 5,063