CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)	Dec. 31, 2013	Dec. 31, 2012
Fixed maturities, available for sale at fair value, amortized cost	$ 6,986,000	$ 3,771,000
Short-term investments, available for sale at fair value, amortized cost	260,000	393,000
Accounts receivable, uncollected premiums	719,755	485,443
Accounts receivable, net of allowance	7,686	55,163
Depreciation and amortization, property and equipment	$ 2,728,361	$ 2,590,246
Redeemable preferred shares, authorized	100,000
Redeemable preferred shares, issued	2,300
Provider Preferred-2009 Series [Member]
Redeemable preferred shares, par value
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized	5,000	5,000
Redeemable preferred shares, issued
Redeemable preferred shares, outstanding	0	0
Institutional Preferred Shares-2010 Series [Member]
Redeemable preferred shares, par value
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized	300	300
Redeemable preferred shares, issued	300	300
Redeemable preferred shares, outstanding	300	300
Institutional Preferred Shares-2012 Series [Member]
Redeemable preferred shares, par value
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized	1,000	1,000
Redeemable preferred shares, issued	1,000	1,000
Redeemable preferred shares, outstanding	1,000	1,000
Institutional Preferred Shares-2013 Series [Member]
Redeemable preferred shares, par value
Redeemable preferred shares, cumulative dividend rate	5.00%	5.00%
Redeemable preferred shares, authorized	1,000	1,000
Redeemable preferred shares, issued	1,000	1,000
Redeemable preferred shares, outstanding	1,000	1,000
Class A Redeemable Common Shares [Member]
Redeemable common shares, par value
Redeemable common shares, authorized	7,500	7,500
Redeemable common shares, issued	546	565
Redeemable common shares, outstanding	546	565
Class B Redeemable Common Shares [Member]
Redeemable common shares, par value
Redeemable common shares, authorized	100,000	100,000
Redeemable common shares, issued	7,889	100,000
Redeemable common shares, outstanding	7,889	7,770
Redeemable Preferred Stock [Member]
Redeemable preferred shares, par value
Redeemable preferred shares, authorized	92,700	92,700
Redeemable preferred shares, issued