Consolidated Statements of Operations (USD $) In Thousands, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Revenues:
Hospitality and Advertising Services	$ 410,919	$ 443,654	$ 476,658
Healthcare	10,343	8,518	7,834
Total revenues	421,262	452,172	484,492
Direct costs (exclusive of operating expenses and depreciation and amortization shown separately below):
Hospitality and Advertising Services	232,181	249,745	269,997
Healthcare	5,128	4,290	3,918
Operating expenses:
System operations	39,386	42,940	42,605
Selling, general and administrative	41,918	48,151	45,494
Depreciation and amortization	72,235	83,236	100,309
Restructuring charge	1,923	421	603
Other operating expense (income)	31	(21)	(126)
Total direct costs and operating expenses	392,802	428,762	462,800
Income from operations	28,460	23,410	21,692
Other income and (expenses):
Interest expense	(31,206)	(33,537)	(38,092)
Gain on extinguishment of debt			9,292
Loss on early retirement of debt	(158)	(1,050)	(1,537)
Other (expense) income	(349)	326	(747)
Loss before income taxes	(3,253)	(10,851)	(9,392)
Benefit (provision) for income taxes	2,622	(834)	(763)
Net loss	(631)	(11,685)	(10,155)
Preferred stock dividends	(5,744)	(5,750)	(3,114)
Net loss attributable to common stockholders	$ (6,375)	$ (17,435)	$ (13,269)
Net loss per common share (basic and diluted) (in dollars per share)	$ (0.25)	$ (0.71)	$ (0.59)
Weighted average shares outstanding (basic and diluted)	25,082,921	24,454,796	22,439,325