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Schedule II - Valuation and Qualifying Accounts (Detail) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Valuation and Qualifying Accounts [Abstract]      
Balance at beginning of year $ 712,285us-gaap_ValuationAllowancesAndReservesBalance $ 624,896us-gaap_ValuationAllowancesAndReservesBalance $ 576,030us-gaap_ValuationAllowancesAndReservesBalance
Amount charged against operating revenue 5,403,437us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense 4,695,232us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense 3,994,924us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense
Accounts receivable contractual adjustments and write-offs (net of recoveries) (5,266,955)us-gaap_ValuationAllowancesAndReservesAdjustments (4,607,843)us-gaap_ValuationAllowancesAndReservesAdjustments (3,946,058)us-gaap_ValuationAllowancesAndReservesAdjustments
Balance at end of year $ 848,767us-gaap_ValuationAllowancesAndReservesBalance $ 712,285us-gaap_ValuationAllowancesAndReservesBalance $ 624,896us-gaap_ValuationAllowancesAndReservesBalance