Consolidated Statements Of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Cash flows from operating activities
Net income (loss)	$ (1,981)	$ 6,028	$ 3,602
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities
Depreciation and amortization	3,554	4,046	4,913
Deferred income taxes	(4,663)	447	(735)
Change in fair value of financial instrument		(191)	(586)
Stock-based compensation	331	255	297
Contingent purchase price deemed interest expense			1,802
Write-off of debt issuance costs			794
Amortization of debt issuance costs	224	179	590
Provision for doubtful accounts	4,275	4,429	4,514
Goodwill and intangible assets impairment charge	15,989
Revaluation of contingent consideration	(469)
Loss on sale of assets	43
Changes in operating assets and liabilities, net of acquired businesses:
Accounts receivable	(5,689)	(4,892)	(25,768)
Prepaid expenses and other current assets	1,433	(767)	(1,790)
Accounts payable	1,962	(459)	(116)
Accrued expenses	934	1,676	3,544
Deferred revenue	4	(48)	14
Net cash provided by (used in) operating activities	15,947	10,703	(8,925)
Cash flows from investing activities
Acquisitions of businesses	(500)	(5,588)	(14,177)
Purchases of property and equipment	(551)	(612)	(671)
Net cash used in investing activities	(1,051)	(6,200)	(14,848)
Cash flows from financing activities
Net proceeds from issuance of common stock			47,480
Payments on term loan			(53,368)
Net (repayments) borrowings on revolving credit loans			(7,694)
Net borrowings (repayments) on term loan	(2,292)	5,000
Net (payments) borrowings on revolving credit loan	(8,500)	(5,250)	38,500
Payments on preferred stock dividends			(1,673)
Payments on subordinated dividend notes	(2,500)	(1,250)	(5,117)
Debt issuance costs	(34)	(151)	(756)
Net borrowings (repayments) on other notes payable	(366)	(2,554)	806
Net cash (used in) provided by financing activities	(13,692)	(4,205)	18,178
Net change in cash	1,204	298	(5,595)
Cash, at beginning of period	816	518	6,113
Cash, at end of period	2,020	816	518
Supplemental disclosures of cash flow information
Cash paid for interest	2,337	3,555	5,872
Cash paid for income taxes	2,005	1,457	2,405
Supplemental disclosures of non-cash investing and financing activities
Contingent and deferred consideration accrued for acquisitions	683	1,615	709
Undeclared accrued preferred stock dividends			5,387
Tax benefit related to the amortization of tax goodwill in excess of book basis	159	160	425
Conversion of accrued preferred dividends into subordinated dividend notes			$ 12,936