Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Net revenues	$ 26,751	$ 34,902
Cost of revenues
Provider payments	19,762	25,660
Administrative fees	1,083	1,551
Claims administration and provider development	2,705	3,032
Total cost of revenues	23,550	30,243
Contribution margin	3,201	4,659
Selling, general and administrative expenses	6,166	6,841
Depreciation and amortization	795	878
Total operating expenses	6,961	7,719
Loss before income taxes	(3,760)	(3,060)
Income tax provision	25	31
Net loss	$ (3,785)	$ (3,091)
Loss per basic and diluted common share	$ (0.66)	$ (0.54)
Basic and diluted weighted average common shares outstanding	5,715	5,707