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Divestitures - Additional Information (Detail) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jul. 15, 2015
Jun. 12, 2015
May 12, 2015
Jun. 30, 2016
Jun. 30, 2016
Divestitures [Line Items]            
Proceeds from sale of equity investment     $ 7,800,000     $ 2,200,000
Gain on sale of equity investment in affiliate         $ 2,140,832 $ 2,140,832
Proceeds from termination of management agreement     500,000      
Senior Lender            
Divestitures [Line Items]            
Repayment of principal balance of notes     $ 7,000,000      
GCPP            
Divestitures [Line Items]            
Equity method investment percentage sold     20.00%      
Edmond, Oklahoma | Summit Medical Center            
Divestitures [Line Items]            
Equity method investment percentage sold 8.00%          
Proceeds from sale of equity investment $ 2,200,000          
Gain on sale of equity investment in affiliate $ 2,100,000          
Houston Texas | Kirby Glen Surgery, LLC            
Divestitures [Line Items]            
Equity method investment percentage sold   10.00%        
Proceeds from sale of equity investment   $ 200,000        
Houston Texas | Houston Orthopedic Surgical Hospital, L.L.C            
Divestitures [Line Items]            
Equity method investment percentage sold       20.00%    
Proceeds from sale of equity investment       $ 1,800,000    
Escrow related to sale of property of equity investee       $ 600,000