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Organization, Nature of Operations and Basis of Presentation (Details)
12 Months Ended
Dec. 31, 2015
Clinic
State
Facility
Dec. 31, 2014
Clinic
Dec. 31, 2013
Clinic
Organization, Nature of Operations and Basis of Presentation [Abstract]      
Number of clinics operated 508    
Number of states where clinics are operated | State 42    
Number of third party facilities | Facility 21    
Percentage of general partnership interest owned 1.00%    
Minimum percentage of limited partnership interest owned 49.00%    
Maximum percentage of limited partnership interest owned 94.00%    
Percentage of interest acquired in a single clinic 60.00%    
Number of clinic practices acquired   4 3