Goodwill, Other Intangible Assets and Software Development Costs (Intangible Assets and Related Accumulated Amortization) (Details) (USD $)	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 1,585,000		$ 1,585,000		$ 640,000
Amortization expense	48,000	32,000	117,400	96,000
Other intangibles, net
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	2,349,000		2,349,000		2,349,000
Accumulated amortization	(1,805,000)		(1,805,000)		(1,709,000)
Intangible assets, net	544,000		544,000		640,000
Ancillary provider network
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	1,921,000		1,921,000		1,921,000
Software
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	428,000		428,000		428,000
Urgent and Primary Care
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	1,062,000		1,062,000		0
Accumulated amortization	(21,000)		(21,000)		0
Intangible assets, net	1,041,000		1,041,000		0
Amortization expense		0		0
Urgent and Primary Care | Patient base
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	949,000		949,000		0
Accumulated amortization	(17,000)		(17,000)
Urgent and Primary Care | Licensed trade name
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount	113,000		113,000		0
Accumulated amortization	$ (4,000)		$ (4,000)