CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Cash flows from operating activities:
Net income	$ 8,341	$ 6,366	$ 1,492
Adjustments to reconcile net income to net cash (used in) provided by operating activities:
Provision for doubtful accounts	18,113	11,391	10,950
Depreciation and amortization	7,837	4,662	3,003
Equity compensation	5,757	1,802	979
Loss on disposal of property and equipment	365		395
Bargain purchase gain	(1,775)
Amortization of debt issuance costs	261	32	32
Deferred income taxes	962	(1,374)	(1,500)
Decrease in fair value of contingent related-party note payable			(91)
Changes in operating assets and liabilities:
Accounts receivable	(46,097)	(15,155)	(14,810)
Prepaid expenses and other assets	(1,924)	190	(1,287)
Accounts payable	5,061	106	510
Accrued liabilities	9,463	(320)	3,611
Other long term liabilities	(171)	272	159
Net cash provided by operating activities	6,193	8,038	3,443
Cash flows from investing activities:
Purchase of property and equipment	(51,525)	(15,584)	(12,975)
Issuance of notes and other receivables - related parties		(488)
Collection of notes and other receivables - related parties		738	50
Acquisition of subsidiaries, net of cash acquired	(90,187)	(3,483)
Escrow funds held on acquisition	(1,100)	(500)
Purchase of intangible assets	(540)
Purchase of other assets, net	(50)	(204)	(429)
Net cash used in investing activities	(143,402)	(19,521)	(13,144)
Cash flows from financing activities:
Proceeds from revolving line of credit	47,000	(12,550)	5,851
Proceeds from long-term debt	100,218	4,053	9,150
Payments on long-term debt and capital leases	(27,572)	(5,742)	(2,433)
Repayment of long-term debt — related party	(542)	(2,601)	(1,554)
Repayment of subordinated notes payable	(945)
Payment of debt issuance costs	(2,211)
Repurchase of common stock		(5,710)	(5,063)
Proceeds from sale of common stock — initial public offering		69,518
Proceeds from sale of common stock — private placement		6,089	7,429
Dividends paid		(509)
Contributions from noncontrolling interest			1,979
Distributions to noncontrolling interest		(915)	(1,396)
Redemption of noncontrolling interest			(2,990)
Net cash provided by financing activities	107,419	58,011	10,973
Net change in cash and cash equivalents	(29,790)	46,528	1,272
Cash and cash equivalents, beginning of period	48,540	2,012	740
Cash and cash equivalents, end of period	18,750	48,540	2,012
Cash and cash equivalents paid for:
Interest, net of capitalized interest	3,404	1,743	1,265
Income taxes, net of refunds	1,250	4,156	2,870
Supplemental information on non-cash investing and financing transactions:
Acquisition of equipment through capital lease	291	614
Accrued purchase of property and equipment	1,487
BHR
Supplemental information on non-cash investing and financing transactions:
Purchase Price		11,759
Assumption of debt		(1,759)
Buyer common stock issued		(7,000)
Cash paid for acquisition		3,000
BHR | Series A Preferred Stock
Adjustments to reconcile net income to net cash (used in) provided by operating activities:
Accretion of BHR Series A Preferred Units		66
Cash flows from financing activities:
Proceeds from sale of BHR Series A Preferred Units		8,203
Redemption of BHR Series A Preferred Units	(8,529)	(1,825)
CRMS
Supplemental information on non-cash investing and financing transactions:
Purchase Price		2,500
Buyer common stock issued		(2,000)
Cash paid for acquisition		$ 500
Clinical Services Of Rhode Island Inc
Supplemental information on non-cash investing and financing transactions:
Purchase Price	2,007
Buyer common stock issued	(1,343)
Cash paid for acquisition	664
Referral Solutions Group LLC
Supplemental information on non-cash investing and financing transactions:
Purchase Price	56,654
Buyer common stock issued	(24,174)
Cash paid for acquisition	32,480
Taj Media LLC
Supplemental information on non-cash investing and financing transactions:
Purchase Price	3,907
Buyer common stock issued	(1,667)
Cash paid for acquisition	$ 2,240
VIEs
Cash flows from investing activities:
Cash acquired in consolidation of variable interest entity			$ 210