Segment and Related Information (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016	Dec. 31, 2016
Segment Reporting Information [Line Items]
Service Revenues			$ 39,953,055	$ 23,883,663
Net Income (loss)	$ (6,656,585)	$ (3,735,949)	(17,286,503)	(14,322,082)
Depreciation and Amortization			11,705,198	$ 5,338,919
Capital Expenditures			1,400,000
Goodwill	13,248,633		13,248,633		$ 7,234,420
Total Assets	105,440,220		105,440,220		$ 49,198,632
Mid-Atlantic [Member]
Segment Reporting Information [Line Items]
Service Revenues			13,680,000
Net Income (loss)			(4,118,000)
Depreciation and Amortization			5,100,000
Capital Expenditures			3,726,000
Goodwill	6,014,000		6,014,000
Total Assets	57,400,000		57,400,000
Midwest [Member]
Segment Reporting Information [Line Items]
Service Revenues			26,273,000
Net Income (loss)			(2,796,000)
Depreciation and Amortization			6,500,000
Capital Expenditures			6,746,000
Goodwill	7,234,000		7,234,000
Total Assets	46,900,000		46,900,000
Corporate [Member]
Segment Reporting Information [Line Items]
Service Revenues
Net Income (loss)			(10,252,000)
Depreciation and Amortization			100,000
Capital Expenditures			100,000
Goodwill
Total Assets	1,100,000		1,100,000
Total [Member]
Segment Reporting Information [Line Items]
Service Revenues			39,953,000
Net Income (loss)			(17,166,000)
Depreciation and Amortization			11,700,000
Capital Expenditures			10,572,000
Goodwill	13,248,000		13,248,000
Total Assets	$ 105,400,000		$ 105,400,000