Consolidated Statements of Cash Flows (USD $)	12 Months Ended
	Dec. 31, 2014	Dec. 31, 2013
Operating activities:
Net income (loss)	$ 2,514,563	$ (15,059,107)
Less: Loss from discontinued operations, net of tax	(357,452)	(839,238)
Income (loss) from continuing operations	2,872,015	(14,219,869)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	5,550,162	5,093,246
Impairment of goodwill		21,864,781
Impairment of equity investment in affiliate	1,600,000	1,640,389
Deferred tax benefit	(1,154,252)	(301,713)
Stock-based compensation, net of cashless vesting	1,064,854	129,721
Gain on redemption of non-controlling interests		(66,915)
Provision for doubtful accounts	5,118,194	3,755,035
Equity in earnings of affiliates	(2,979,293)	(5,885,188)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net of provision for doubtful accounts	(11,333,987)	(9,412,289)
Receivables from affiliates	(309,182)	197,483
Supplies Inventories	67,967	12,142
Prepaid and other current assets	(1,528,377)	(81,786)
Other assets	(193,211)	134,489
Accounts payable	(1,284,827)	(695,691)
Accrued liabilities	6,383,015	(2,513,206)
Income taxes payable		3,564,455
Other current liabilities	(3,613,586)	827,132
Other liabilities	4,274,861	3,302,290
Net cash provided by operating activities from continuing operations	2,934,353	7,344,506
Net cash used in operating activities from discontinued operations	(488,300)	(992,512)
Net cash provided by operating activities	2,446,053	6,351,994
Investing activities:
Cash received in business acquisition		68,170
Purchase of property and equipment	(4,884,948)	(6,368,276)
Disposal of property and equipment	1,807	2,039,904
Sale of equity investment in affiliates	178,000
Distributions from affiliates	2,778,257	5,559,317
Net cash provided by (used in) investing activities from continuing operations	(1,926,884)	1,299,115
Net cash provided by investing activities from discontinued operations		395,000
Net cash provided by (used in) investing activities	(1,926,884)	1,694,115
Financing activities:
Debt proceeds	32,885,948	10,035,860
Debt payments	(26,284,135)	(11,728,810)
Common stock proceeds		435,000
Preferred noncontrolling interests proceeds		8,700,000
Preferred noncontrolling interests dividend	(781,052)	(1,003,635)
Redemption of preferred noncontrolling interests		(11,102,372)
Distributions to noncontrolling interests	(3,731,252)	(660,555)
Proceeds from noncontrolling interests	112,167
Distributions to member		(743,464)
Net cash provided by (used in) financing activities from continuing operations	2,201,676	(6,067,976)
Net cash used in financing activities from discontinued operations	(4,072,896)	(803,124)
Net cash used in financing activities	(1,871,220)	(6,871,100)
Net change in cash and cash equivalents	(1,352,051)	1,175,009
Cash and cash equivalents at beginning of year	4,212,076	3,037,067
Cash and cash equivalents at end of year	2,860,025	4,212,076
Cash Paid for Interest and Income Taxes:
Interest expense	2,052,213	2,366,345
Interest expense, discontinued operations	168,733	124,821
Income taxes, continuing operations	3,255,623
Noncash Investing and Financing Activities:
Common stock warrants issued	(936,000)	(936,000)
Common stock issued as payment for liabilities		(108,537)
Seller financing - reverse acquisition		2,000,000
Debt and liabilities assumed - reverse acquisition		2,032,098
Debt issued in purchase of noncontrolling preferred interest		(2,339,905)
Debt converted to common stock		$ (14,138,187)