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Note 4 - Segment Information:
12 Months Ended
Dec. 31, 2011
Segment Reporting Disclosure [Text Block]
NOTE 4 - SEGMENT INFORMATION:

In mid-2010, we consolidated our Fertility Centers Division and our Consumer Services Division into one operating segment, the Attain Fertility Centers Division (AFC). This consolidation resulted in a reduction from three operating segments to two, our current Attain Fertility Centers and our Vein Clinics divisions. This consolidation was done to reflect the integrated goals, resources and management shared by the former Fertility Centers and Consumer Services divisions.

Performance by segment, for the three years ended December 31, 2011, 2010 and 2009 are presented below (000’s omitted):

   
Attain Fertility
Centers
   
Vein
Clinics
   
Corp. G&A
   
Consolidated
 
                         
For the Year ended December 31, 2011
                       
Revenues
  $ 199,963     $ 73,619     $     $ 273,582  
Cost of Services
    182,015       70,476             252,491  
Contribution
    17,948       3,143             21,091  
Operating Margin
    9.0 %     4.3 %           7.7 %
                                 
General and administrative
                11,551       11,551  
Other Expense
                1,650       1,650  
Interest (income) expense, net
                335       335  
Income (loss) before income taxes
    17,948       3,143       (13,536 )     7,555  
Depreciation expense included above
  $ 4,312     $ 2,120     $ 767     $ 7,199  
Capital expenditures, net
  $ 3,704     $ 4,658     $ 860     $ 9,222  
Total assets
  $ 55,029     $ 57,507     $ 44,968     $ 157,504  
                                 
For the Year ended December 31, 2010
                               
Revenues
  $ 182,443     $ 60,726     $     $ 243,169  
Cost of Services
    164,718       57,235             221,953  
Contribution
    17,725       3,491             21,216  
Operating Margin
    9.7 %     5.7 %           8.7 %
                                 
General and administrative
                12,668       12,668  
Interest (income) expense, net
    (202 )           897       695  
Income (loss) before income taxes
  $ 17,927     $ 3,491     $ (13,565 )   $ 7,853  
Depreciation expense included above
  $ 3,773     $ 1,133     $ 645     $ 5,551  
Capital expenditures, net
  $ 3,413     $ 3,995     $ 702     $ 8,110  
Total assets
  $ 41,692     $ 52,999     $ 53,964     $ 148,655  
                                 
For the Year ended December 31, 2009
                               
Revenues
  $ 166,135     $ 50,625     $     $ 216,760  
Cost of Services
    149,345       46,525             195,870  
Contribution
    16,790       4,100             20,890  
Operating Margin
    10.1 %     8.1 %           9.6 %
                                 
General and administrative
                12,155       12,155  
Interest (income) expense, net
    (149 )           1,059       910  
Income (loss) before income taxes
  $ 16,939     $ 4,100     $ (13,214 )   $ 7,825  
Depreciation expense included above
  $ 4,076     $ 873     $ 873     $ 5,822  
Capital expenditures, net
  $ 4,173     $ 947     $ 790     $ 5,910  
Total assets
  $ 39,190     $ 49,845     $ 35,274     $ 124,309