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Quarterly Financial Information (Unaudited) (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Quarterly Financial Information Disclosure [Abstract]                      
Net revenues $ 93,749us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 90,331us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 82,313us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 77,799us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 75,663us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 64,631us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 61,488us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 58,439us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 344,192us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 260,221us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions $ 231,047us-gaap_HealthCareOrganizationRevenueNetOfPatientServiceRevenueProvisions
Professional liability expense 1,856us-gaap_MalpracticeLossContingencyPremiumCosts [1] 1,743us-gaap_MalpracticeLossContingencyPremiumCosts [1] 1,556us-gaap_MalpracticeLossContingencyPremiumCosts [1] 2,061us-gaap_MalpracticeLossContingencyPremiumCosts [1] 1,454us-gaap_MalpracticeLossContingencyPremiumCosts [2] 947us-gaap_MalpracticeLossContingencyPremiumCosts [2] 1,758us-gaap_MalpracticeLossContingencyPremiumCosts [2] 1,507us-gaap_MalpracticeLossContingencyPremiumCosts [2] 7,216us-gaap_MalpracticeLossContingencyPremiumCosts 5,666us-gaap_MalpracticeLossContingencyPremiumCosts 4,304us-gaap_MalpracticeLossContingencyPremiumCosts
Income (loss) from continuing operations 691us-gaap_IncomeLossFromContinuingOperations 219us-gaap_IncomeLossFromContinuingOperations 973us-gaap_IncomeLossFromContinuingOperations (433)us-gaap_IncomeLossFromContinuingOperations (977)us-gaap_IncomeLossFromContinuingOperations (2,321)us-gaap_IncomeLossFromContinuingOperations (2,421)us-gaap_IncomeLossFromContinuingOperations (1,274)us-gaap_IncomeLossFromContinuingOperations 1,450us-gaap_IncomeLossFromContinuingOperations (6,993)us-gaap_IncomeLossFromContinuingOperations (3,871)us-gaap_IncomeLossFromContinuingOperations
Income (loss) from discontinued operations, net of tax (186)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 3,928us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 128us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax (612)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 406us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax (2,444)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 242us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 327us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 3,258us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax (1,469)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 951us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax
Net income (loss) $ 505us-gaap_NetIncomeLoss $ 4,099us-gaap_NetIncomeLoss $ 1,015us-gaap_NetIncomeLoss $ (1,106)us-gaap_NetIncomeLoss $ (678)us-gaap_NetIncomeLoss $ (4,868)us-gaap_NetIncomeLoss $ (2,281)us-gaap_NetIncomeLoss $ (1,051)us-gaap_NetIncomeLoss $ 4,733us-gaap_NetIncomeLoss $ (8,534)us-gaap_NetIncomeLoss $ (3,046)us-gaap_NetIncomeLoss
Per common share - basic                      
Continuing operations (in dollars per share) $ 0.11us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.03us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.15us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.08)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.18)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.41)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.43)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.24)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 0.21us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (1.26)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ (0.74)us-gaap_IncomeLossFromContinuingOperationsPerBasicShare
Discontinued operations (in dollars per share) $ (0.03)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.65us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.02us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.10)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.07us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.42)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.04us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.06us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.54us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.25)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.16us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
Net income (loss) (in dollars per share) $ 0.08us-gaap_EarningsPerShareBasic $ 0.68us-gaap_EarningsPerShareBasic $ 0.17us-gaap_EarningsPerShareBasic $ (0.18)us-gaap_EarningsPerShareBasic $ (0.11)us-gaap_EarningsPerShareBasic $ (0.83)us-gaap_EarningsPerShareBasic $ (0.39)us-gaap_EarningsPerShareBasic $ (0.18)us-gaap_EarningsPerShareBasic $ 0.75us-gaap_EarningsPerShareBasic $ (1.51)us-gaap_EarningsPerShareBasic $ (0.58)us-gaap_EarningsPerShareBasic
Per common share - diluted                      
Continuing operations (in dollars per share) $ 0.11us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.03us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.14us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.08)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.18)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.41)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.43)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.24)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 0.20us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (1.26)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ (0.74)us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare
Discontinued operations (in dollars per share) $ (0.03)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.63us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.02us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.10)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.07us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.42)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.04us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.06us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.52us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.25)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.16us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
Net income (loss) (in dollars per share) $ 0.08us-gaap_EarningsPerShareDiluted $ 0.66us-gaap_EarningsPerShareDiluted $ 0.16us-gaap_EarningsPerShareDiluted $ (0.18)us-gaap_EarningsPerShareDiluted $ (0.11)us-gaap_EarningsPerShareDiluted $ (0.83)us-gaap_EarningsPerShareDiluted $ (0.39)us-gaap_EarningsPerShareDiluted $ (0.18)us-gaap_EarningsPerShareDiluted $ 0.72us-gaap_EarningsPerShareDiluted $ (1.51)us-gaap_EarningsPerShareDiluted $ (0.58)us-gaap_EarningsPerShareDiluted
[1] The Company's quarterly results are significantly affected by the amounts recorded for professional liability expense, as discussed further in Note 11. The amount of expense recorded for professional liability in each quarter of 2014 is set forth in the table above.
[2] The Company's quarterly results are significantly affected by the amounts recorded for professional liability expense, as discussed further in Note 11. The amount of expense recorded for professional liability in each quarter of 2013 is set forth in the table above.