Intangible Assets (Detail) (USD $)	6 Months Ended
	Jun. 30, 2014	Dec. 31, 2013
Finite Lived Intangible Assets [Line Items]
Carrying Value	$ 14,524,500	$ 14,524,500
Accumulated Amortization	(4,413,614)	(3,385,879)
Intangible assets, net	10,110,886	11,138,621
Minimum
Finite Lived Intangible Assets [Line Items]
Useful Life	5 years
Maximum
Finite Lived Intangible Assets [Line Items]
Useful Life	10 years
Management fee contracts
Finite Lived Intangible Assets [Line Items]
Carrying Value	3,498,500
Accumulated Amortization	(1,952,472)
Intangible assets, net	1,546,028	1,763,463
Management fee contracts | Minimum
Finite Lived Intangible Assets [Line Items]
Useful Life	6 years
Management fee contracts | Maximum
Finite Lived Intangible Assets [Line Items]
Useful Life	8 years
Non-compete
Finite Lived Intangible Assets [Line Items]
Useful Life	5 years
Carrying Value	2,027,000
Accumulated Amortization	(646,444)
Intangible assets, net	1,380,556	1,583,256
Physician memberships
Finite Lived Intangible Assets [Line Items]
Useful Life	7 years
Carrying Value	6,468,000
Accumulated Amortization	(1,540,000)
Intangible assets, net	4,928,000	5,390,000
Trade Name
Finite Lived Intangible Assets [Line Items]
Useful Life	5 years
Carrying Value	381,000
Accumulated Amortization	(71,882)
Intangible assets, net	309,118	347,218
Service Contracts
Finite Lived Intangible Assets [Line Items]
Useful Life	10 years
Carrying Value	2,150,000
Accumulated Amortization	(202,816)
Intangible assets, net	$ 1,947,184	$ 2,054,684