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Related Parties - Additional Information (Details)
1 Months Ended 4 Months Ended 12 Months Ended
Apr. 15, 2014
Apr. 01, 2013
shares
Apr. 15, 2014
USD ($)
Dec. 31, 2015
USD ($)
$ / shares
shares
Dec. 31, 2014
USD ($)
$ / shares
shares
Dec. 31, 2013
USD ($)
Owner
Dec. 31, 2012
USD ($)
Apr. 30, 2014
shares
Mar. 31, 2014
shares
Apr. 30, 2013
USD ($)
$ / shares
shares
Related Party Transaction [Line Items]                    
Description of transaction       (i) The greater of $0.1 million per month or 5.0% of the monthly collected revenues and (ii) 7.0% of the Professional Groups collected revenues.            
Automatic renewals term one party terminates agreement           1 year        
Transaction amount           $ 2,800,000 $ 600,000      
Expenses related to agreement           3,400,000 $ 600,000      
Common stock, shares issued | shares       22,813,809 21,374,374     741,322 516,625 1,423,574
Common stock, par value | $ / shares       $ 0.001 $ 0.001         $ 5.24
Aggregate offering price at common stock                   $ 7,500,000
Common stock subscribed shares | shares   19,090                
Common stock share subscribed value per share | $ / shares                   $ 5.24
Common stock subscribed                   $ 100,000
Monthly collected revenues                    
Related Party Transaction [Line Items]                    
Transaction amount           $ 100,000        
Percentage of monthly collected revenues           5.00%        
Professional Groups                    
Related Party Transaction [Line Items]                    
Percentage of monthly collected revenues           7.00%        
Clinical Revenue Management Services, LLC ("CRMS")                    
Related Party Transaction [Line Items]                    
Transaction amount     $ 100,000              
Expenses related to agreement     $ 100,000              
Rental income from related parties           $ 100,000        
Transaction date Apr. 15, 2014                  
Office Building | Clinical Revenue Management Services, LLC ("CRMS")                    
Related Party Transaction [Line Items]                    
Rental income from related parties           $ 0        
CRMS                    
Related Party Transaction [Line Items]                    
Number of owners | Owner           2        
Vaco                    
Related Party Transaction [Line Items]                    
Expenses related to agreement       $ 100,000 $ 100,000 $ 100,000        
Percentage of placement fee or hourly rate for temporary professional services       25.00%            
Chief Executive Officer                    
Related Party Transaction [Line Items]                    
Expenses related to agreement       $ 1,000,000 $ 300,000          
Vice President                    
Related Party Transaction [Line Items]                    
Expenses related to agreement       $ 7,700,000