Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010
Net revenues	$ 48,906	$ 61,201
Cost of revenues
Provider payments	37,588	45,789
Administrative fees	2,395	3,317
Claims administration and provider development	4,162	4,645
Total cost of revenues	44,145	53,751
Contribution margin	4,761	7,450
Selling, general and administrative expenses	6,240	6,190
Depreciation and amortization	792	767
Goodwill impairment charge	4,361	0
Total operating expenses	11,393	6,957
Operating income (loss)	(6,632)	493
Other income:
Other income	39	104
Income (loss) before income taxes	(6,593)	597
Income tax provision	644	111
Net income (loss)	$ (7,237)	$ 486
Earnings (loss) per common share:
Basic	$ (0.43)	$ 0.03
Diluted	$ (0.43)	$ 0.03
Basic weighted average common shares outstanding	17,005	16,550
Diluted weighted average common shares outstanding	17,005	17,176