Preliminary Purchase Allocation to the fair value of the Assets Acquired and Liabilities Assumed (Detail) - USD ($)	Jun. 30, 2016	Dec. 31, 2015
Business Acquisition [Line Items]
Goodwill	$ 13,537,809	$ 7,601,809
UGHS
Business Acquisition [Line Items]
Accounts receivable	7,229,000
Supplies inventories	1,689,000
Other current assets	395,000
Total current assets	9,313,000
Property and equipment	39,630,000
Other assets	307,000
Intangible, net	3,930,000
Goodwill	6,628,000
Total assets acquired	59,808,000
Accounts payable and accrued liabilities	1,964,000
Current portion of long-term debt and capital lease obligations	4,740,000
Total current liabilities	6,704,000
Long-term debt and capital lease obligations, net of current portion	28,004,000
Total liabilities assumed	34,708,000
Net assets acquired	25,100,000
UGHS | Preliminary
Business Acquisition [Line Items]
Accounts receivable	7,229,000
Supplies inventories	1,689,000
Other current assets	395,000
Total current assets	9,313,000
Property and equipment	40,363,000
Other assets	307,000
Goodwill	9,450,000
Total assets acquired	59,433,000
Accounts payable and accrued liabilities	1,589,000
Current portion of long-term debt and capital lease obligations	4,740,000
Total current liabilities	6,329,000
Long-term debt and capital lease obligations, net of current portion	28,004,000
Total liabilities assumed	34,333,000
Net assets acquired	25,100,000
UGHS | Adjustments
Business Acquisition [Line Items]
Property and equipment	(733,000)
Intangible, net	3,930,000
Goodwill	(2,822,000)
Total assets acquired	375,000
Accounts payable and accrued liabilities	375,000
Total current liabilities	375,000
Total liabilities assumed	375,000
Ninety Nine Healthcare Management Limited Liability Company | Preliminary
Business Acquisition [Line Items]
Cash	282,000
Accounts receivable	613,000
Total current assets	895,000
Property and equipment	47,000
Other assets	16,000
Goodwill	5,936,000
Total assets acquired	6,894,000
Accounts payable and accrued liabilities	628,000
Contingent consideration	550,000
Total liabilities assumed	1,178,000
Noncontrolling interests	2,801,000
Net assets acquired	$ 2,915,000