Schedule of intangible assets (Detail) - USD ($)	3 Months Ended	6 Months Ended
	Mar. 31, 2016	Sep. 30, 2016
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 2,544,500	$ 2,544,500
Accumulated Amortization	(191,288)	(381,605)
Intangible Assets, Net	2,353,212	2,162,895
Medicare License | Indefinite-lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	704,000	704,000
Intangible Assets, Net	$ 704,000	$ 704,000
Acquired Technology
Finite-Lived Intangible Assets [Line Items]
Weighted Average Life (Yrs)	5 years	5 years
Acquired Technology | Finite-Lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross		$ 1,312,500
Accumulated Amortization		(131,250)
Intangible Assets, Net		$ 1,181,250
Acquired Technology | Indefinite-lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 1,312,500
Intangible Assets, Net	$ 1,312,500
Exclusivity
Finite-Lived Intangible Assets [Line Items]
Weighted Average Life (Yrs)	4 years
Exclusivity | Finite-Lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 0
Accumulated Amortization	0
Intangible Assets, Net	$ 0
Non-compete
Finite-Lived Intangible Assets [Line Items]
Weighted Average Life (Yrs)	4 years	4 years
Non-compete | Finite-Lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 117,000	$ 117,000
Accumulated Amortization	(58,737)	(76,705)
Intangible Assets, Net	$ 58,263	$ 40,295
Payor relationships
Finite-Lived Intangible Assets [Line Items]
Weighted Average Life (Yrs)	5 years
Payor relationships | Finite-Lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 0
Accumulated Amortization	0
Intangible Assets, Net	$ 0
Network relationships
Finite-Lived Intangible Assets [Line Items]
Weighted Average Life (Yrs)	5 years	5 years
Network relationships | Finite-Lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 220,000	$ 220,000
Accumulated Amortization	(73,333)	(95,333)
Intangible Assets, Net	$ 146,667	$ 124,667
Trade name
Finite-Lived Intangible Assets [Line Items]
Weighted Average Life (Yrs)	5 years	5 years
Trade name | Finite-Lived Intangible Assets [Member]
Finite-Lived Intangible Assets [Line Items]
Intangible Assets, Gross	$ 191,000	$ 191,000
Accumulated Amortization	(59,218)	(78,317)
Intangible Assets, Net	$ 131,782	$ 112,683