Commitments and Contingencies (Details) (USD $)	9 Months Ended
	Sep. 30, 2014	Dec. 31, 2013
Commitments and Contingencies [Abstract]
Estimated expenses and related liabilities for losses incurred not reported to insurance carrier	$ 1,628,000	$ 1,796,000
Accrued medical claims	1,338,000	1,129,000
Minimum annual individual medical claims for stop loss coverage	100,000	100,000
Umbrella insurance coverage	2,000,000	2,000,000
Minimum aggregate medical claims for umbrella insurance coverage for 2013	4,500,000	4,500,000
Future legal cost accrued	$ 200,000