CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Cash flows from operating activities:    
Net Loss $ (2,413) $ (941)
Loss from discontinued operations, net of Tax 109 35
Loss from continuing operations (2,304) (906)
Adjustments to reconcile net loss from continuing operations to net cash provided by operating activities:    
Depreciation and amortization 1,710 647
Warrants issued for services   32
Stock-based compensation expense 190 358
Lease expense in excess of cash 157 193
Amortization of deferred financing costs 337 132
Amortization of debt discounts 213 216
Derivative (gain) loss (410) 1,350
Deferred tax expense 9 45
(Gain) loss on disposal of assets (2) 21
Gain on acquisitions   (1,104)
Provision for bad debts 918 102
Other noncash items   24
Changes in certain assets and liabilities, net of acquisitions:    
Accounts receivable (3,051) (2,587)
Prepaid expenses and other (200) (487)
Other assets 180 (128)
Accounts payable and accrued expenses 3,860 2,715
Net cash provided by operating activities - continuing operations 1,607 623
Net cash (used in) provided by operating activities - discontinued operations (105) 160
Net cash provided by operating activities 1,502 783
Cash flows from investing activities:    
Proceeds from sales of property and equipment 3  
Change in restricted cash and investments and escrow deposits for acquisitions 566 573
Acquisitions (7,919) (5,595)
Purchase of property and equipment (463) (468)
Net cash used in investing activities - continuing operations (7,813) (5,490)
Net cash used in investing activities (7,813) (5,490)
Cash flows from financing activities:    
Proceeds from debt 8,488 8,138
Debt issuance costs (206) (123)
Change in lines of credit (556) 3,013
Exercise of warrants and options 23  
Proceeds from stock issuances, net 3,641  
Repayment of notes payable (1,215) (482)
Net cash provided by financing activities - continuing operations 10,175 10,546
Net cash used in financing activities - discontinued operations (48) (46)
Net cash provided by financing activities 10,127 10,500
Net Change in Cash 3,816 5,793
Cash, Beginning 7,364 3,911
Cash decrease due to deconsolidation of variable interest entities (Note 2) (180)  
Cash, Ending 11,000 9,704
Cash paid during the period for:    
Interest 2,554 1,017
Supplemental Disclosure of Non-cash Activities:    
Acquisitions in exchange for debt and equity instruments 5,000  
Warrants issued for financings costs 276 330
Non-cash debt issuance costs   $ 361