Consolidated Statements of Operations (USD $) In Thousands, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Revenues:
Hospitality and Advertising Services	$ 353,228	$ 410,919	$ 443,654
Healthcare	11,461	10,343	8,518
Total revenues	364,689	421,262	452,172
Direct costs (exclusive of operating expenses and depreciation and amortization shown separately below):
Hospitality and Advertising Services	211,779	232,181	249,745
Healthcare	6,422	5,128	4,290
Operating expenses:
System operations	34,455	39,386	42,940
Selling, general and administrative	37,340	41,918	48,151
Depreciation and amortization	63,766	72,235	83,236
Goodwill impairment charge	92,614	0
Restructuring charge	7,570	1,923	421
Reorganization items	14,574
Other operating expense (income)	(32)	31	(21)
Total direct costs and operating expenses	468,488	392,802	428,762
(Loss) income from operations	(103,799)	28,460	23,410
Other income and (expenses):
Interest expense	(25,301)	(31,206)	(33,537)
Loss on early retirement of debt	(312)	(158)	(1,050)
Other (expense) income	(1,182)	(349)	326
Loss before income taxes	(130,594)	(3,253)	(10,851)
(Provision) benefit for income taxes	(3,693)	2,622	(834)
Net loss	(134,287)	(631)	(11,685)
Preferred stock dividends (See Note 11)	(5,557)	(5,744)	(5,750)
Net loss attributable to common stockholders	$ (139,844)	$ (6,375)	$ (17,435)
Net loss per common share (basic and diluted) (in dollars per share)	$ (5.48)	$ (0.25)	$ (0.71)
Weighted average shares outstanding (basic and diluted) (in shares)	25,513,277	25,082,921	24,454,796