Intangible Assets (Detail) - USD ($)	6 Months Ended
	Jun. 30, 2016	Dec. 31, 2015
Finite Lived Intangible Assets [Line Items]
Intangible asset carrying amount	$ 18,454,500	$ 18,454,500
Accumulated Amortization	(8,627,737)	(7,502,330)
Intangible assets, net	9,826,763	10,952,170
Management Fee Contracts
Finite Lived Intangible Assets [Line Items]
Intangible asset carrying amount	3,498,500
Accumulated Amortization	(2,822,807)
Intangible assets, net	$ 675,693	893,723
Non-compete agreements
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	5 years
Intangible asset carrying amount	$ 2,027,000
Accumulated Amortization	(1,458,925)
Intangible assets, net	$ 568,075	771,161
Physician memberships
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	7 years
Intangible asset carrying amount	$ 6,468,000
Accumulated Amortization	(3,388,000)
Intangible assets, net	$ 3,080,000	3,542,000
Medicare Provider Agreements
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	20 years
Intangible asset carrying amount	$ 3,930,000
Accumulated Amortization	(95,241)
Intangible assets, net	$ 3,834,759	3,930,000
Trade Name
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	5 years
Intangible asset carrying amount	$ 381,000
Accumulated Amortization	(227,447)
Intangible assets, net	$ 153,553	192,379
Service Contracts
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	10 years
Intangible asset carrying amount	$ 2,150,000
Accumulated Amortization	(635,317)
Intangible assets, net	$ 1,514,683	$ 1,622,907
Minimum
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	2 years
Minimum | Management Fee Contracts
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	6 years
Maximum
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	20 years
Maximum | Management Fee Contracts
Finite Lived Intangible Assets [Line Items]
Estimated useful lives	8 years