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Schedule of Long-Term Debt and Capital Lease Obligations (Detail) (USD $)
 9 Months Ended
Sep. 30, 2013
Dec. 31, 2012
Short-term Debt [Line Items]    
Long-term debt $ 19,269,159 $ 17,504,090
Less: Current portion of long-term debt (8,134,412) (5,971,339)
Long-term debt 11,134,747 11,532,751
Capital lease obligations
    
Short-term Debt [Line Items]    
Long-term debt 2,831,339 4,879,886
Senior Lender | Line of credit
    
Short-term Debt [Line Items]    
Debt instrument interest rate 7.00% [1]  
Debt instrument maturity date 2014-06  
Long-term debt 896,000 431,000
Senior Lender | Notes payable - working capital
    
Short-term Debt [Line Items]    
Long-term debt 4,059,723 5,216,251
Senior Lender | Note payable - equity investments
    
Short-term Debt [Line Items]    
Debt instrument interest rate 6.25% [1]  
Debt instrument maturity date 2016-09  
Long-term debt 3,538,734 4,289,057
Senior Lender | Note payable - management agreements
    
Short-term Debt [Line Items]    
Debt instrument interest rate 6.75% [1]  
Debt instrument maturity date 2016-12  
Long-term debt 687,808 826,617
Senior Lender | Note payable - assumption
    
Short-term Debt [Line Items]    
Debt instrument interest rate 6.75% [1]  
Debt instrument maturity date 2015-01  
Long-term debt 178,801   
Other Lenders | Note payable - equity investments
    
Short-term Debt [Line Items]    
Debt instrument interest rate 7.70% [1]  
Debt instrument maturity date 2013-11  
Long-term debt 30,054 167,841
Other Lenders | Note payable - preferred interest redemption
    
Short-term Debt [Line Items]    
Debt instrument interest rate 10.00% [1]  
Debt instrument maturity date 2015-07  
Long-term debt 5,100,000   
Other Lenders | Notes payable - THE
    
Short-term Debt [Line Items]    
Long-term debt 348,304 453,034
Other Lenders | Note payable - HC REIT
    
Short-term Debt [Line Items]    
Long-term debt    450,917
Other Lenders | Notes payable - physician partners
    
Short-term Debt [Line Items]    
Long-term debt 166,413 617,198
Other Lenders | Notes payable - settlements
    
Short-term Debt [Line Items]    
Long-term debt 1,312,411   
Other Lenders | Notes payable - acquisition
    
Short-term Debt [Line Items]    
Debt instrument interest rate 6.00% [1]  
Long-term debt $ 119,572 $ 172,289
Minimum | Capital lease obligations
    
Short-term Debt [Line Items]    
Debt instrument interest rate 0.20% [1]  
Debt instrument maturity date 2013-04  
Minimum | Senior Lender | Notes payable - working capital
    
Short-term Debt [Line Items]    
Debt instrument interest rate 5.50% [1]  
Debt instrument maturity date 2014-03  
Minimum | Other Lenders | Notes payable - THE
    
Short-term Debt [Line Items]    
Debt instrument interest rate 4.60% [1]  
Debt instrument maturity date 2014-12  
Minimum | Other Lenders | Notes payable - physician partners
    
Short-term Debt [Line Items]    
Debt instrument interest rate 5.25% [1]  
Debt instrument maturity date 2013-10  
Minimum | Other Lenders | Notes payable - settlements
    
Short-term Debt [Line Items]    
Debt instrument interest rate 5.25% [1]  
Debt instrument maturity date 2013-11  
Minimum | Other Lenders | Notes payable - acquisition
    
Short-term Debt [Line Items]    
Debt instrument maturity date 2014-12  
Maximum | Capital lease obligations
    
Short-term Debt [Line Items]    
Debt instrument interest rate 12.30% [1]  
Debt instrument maturity date 2022-12  
Maximum | Senior Lender | Notes payable - working capital
    
Short-term Debt [Line Items]    
Debt instrument interest rate 7.00% [1]  
Debt instrument maturity date 2016-02  
Maximum | Other Lenders | Notes payable - THE
    
Short-term Debt [Line Items]    
Debt instrument interest rate 8.00% [1]  
Debt instrument maturity date 2016-02  
Maximum | Other Lenders | Notes payable - physician partners
    
Short-term Debt [Line Items]    
Debt instrument interest rate 6.75% [1]  
Debt instrument maturity date 2014-11  
Maximum | Other Lenders | Notes payable - settlements
    
Short-term Debt [Line Items]    
Debt instrument interest rate 8.00% [1]  
Debt instrument maturity date 2018-01  
Maximum | Other Lenders | Notes payable - acquisition
    
Short-term Debt [Line Items]    
Debt instrument maturity date 2015-10  
[1] Effective rate as of September 30, 2013