CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	3 Months Ended
Mar. 31, 2014	Mar. 31, 2013
OPERATING ACTIVITIES
Net income including non-controlling interests	$ 6,323	$ 5,609
Adjustments to reconcile net income including non-controlling interests to net cash provided by operating activities:
Depreciation and amortization	1,387	1,352
Provision for doubtful accounts	950	1,089
Equity-based awards compensation expense	735	639
Loss on sale of business and sale or abandonment of assets, net	19	14
Excess tax benefit from exercise of stock options	(126)
Deferred income tax	1,580	(219)
Other		33
Changes in operating assets and liabilities:
Increase in patient accounts receivable	(3,002)	(3,429)
Decrease in accounts receivable - other	146	74
Decrease in other assets	735	2,095
Decrease in accounts payable and accrued expenses	(5,241)	(2,460)
Increase in other liabilities	184	56
Net cash provided by operating activities	3,690	4,853
INVESTING ACTIVITIES
Purchase of fixed assets	(849)	(1,270)
Purchase of businesses, net of cash acquired	(125)	(4,215)
Acquisitions of non-controlling interests	(2,833)	(956)
Proceeds on sale of business and fixed assets, net	16	14
Net cash used in investing activities	(3,791)	(6,427)
FINANCING ACTIVITIES
Distributions to non-controlling interests	(1,413)	(1,594)
Cash dividends to shareholders		(1,207)
Proceeds from revolving line of credit	29,000	30,600
Payments on revolving line of credit	(23,500)	(27,600)
Payment of notes payable	(250)	(50)
Excess tax benefit from stock options exercised	126	33
Other	1	5
Net cash used in financing activities	3,964	187
Net increase in cash	3,863	(1,387)
Cash - beginning of period	12,898	11,671
Cash - end of period	16,761	10,284
Cash paid during the period for:
Income taxes	242	177
Interest	345	119
Non-cash investing and financing transactions during the period:
Purchase of business - seller financing portion		400
Revaluation of redeemable non-controlling interests	$ 1,639

Name:	us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

Amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Excludes cash and cash equivalents within disposal group and discontinued operation.