CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Cash flows from operating activities:
Net Loss	$ (11,895)	$ (985)
Income (loss) from discontinued operations, net of tax	(74)	1,679
(Loss) income from continuing operations	(11,969)	694
Adjustments to reconcile net (loss) income from continuing operations to net cash provided by operating activities:
Depreciation and amortization	4,634	4,868
Stock-based compensation expense	176	267
Rent expense in excess of cash paid	368	578
Rent revenue in excess of cash received	(2,003)	(2,670)
Amortization of deferred financing costs, debt discounts and premiums	575	338
Loss on debt extinguishment	5,234
Deferred tax expense	(38)	(188)
Bad debt expense	4,132	886
Changes in operating assets and liabilities:
Accounts receivable	(497)	182
Prepaid expenses	314	283
Other assets	584	(76)
Accounts payable, and accrued expenses and other	1,235	665
Other liabilities	334	168
Net cash provided by operating activities—continuing operations	3,079	5,995
Net cash used in operating activities—discontinued operations	(1,731)	(850)
Net cash provided by operating activities	1,348	5,145
Cash flow from investing activities:
Change in net cash investments		(44)
Purchase of real estate, net		(1,375)
Purchase of property and equipment	(338)	(846)
Net cash used in investing activities—continuing operations	(338)	(2,265)
Net cash (used in) provided by investing activities	(338)	(2,265)
Cash flows from financing activities:
Proceeds from debt issuance	2,397
Repayment on notes payable	(2,076)	(3,609)
Repayment on bonds payable	(95)	(90)
Repayment on convertible debt		(7,700)
Debt issuance costs, net of refunds	130	(62)
Proceeds from preferred stock issuances, net		977
Repurchase of common stock		(186)
Dividends on preferred stock		(5,702)
Net cash provided by (used in) financing activities—continuing operations	356	(16,372)
Net cash used in financing activities—discontinued operations	(239)	(658)
Net cash used in financing activities	117	(17,030)
Net change in cash and restricted cash	1,127	(14,150)
Cash and restricted cash at beginning of period	5,359	19,509
Cash and restricted cash at end of period	6,486	5,359
Supplemental Disclosure of Cash Flow Information:
Interest	5,220	3,781
Income taxes paid		29
Supplemental disclosure of non-cash Activities:
Non-cash payments of long-term debt	(8,744)
Non-cash payments of convertible debt	(1,500)
Non-cash payments of professional liability settlements from financing	(2,371)
Non-cash debt issuance costs and prepayment penalties	(1,238)
Non-cash payments of professional liability settlements from prior insurer	(2,850)
Net payments through escrow	(16,703)
Non-cash proceeds from financing	13,853
Non-cash proceeds from prior insurer for professional liability settlements	2,850
Net proceeds through escrow	16,703
Non-cash proceeds from debt to purchase real estate		4,125
Non-cash deferred financing	4,202
Surrender of security deposit	305	500
Non-cash proceeds from financing of South Carolina Medicaid audit repayment		385
Settlement agreements in excess of cash paid		264
Issuance of vendor-financed insurance	$ 198	$ 198