Commitments and Contingencies (Details) - USD ($)	9 Months Ended	12 Months Ended
	Sep. 30, 2015	Dec. 31, 2014
Commitments and Contingencies [Abstract]
Minimum annual individual medical claims for stop loss coverage	$ 100,000
Umbrella insurance coverage	2,000,000
Minimum aggregate medical claims for umbrella insurance coverage per calendar year	4,500,000
Summary of expenses and losses incurred but not reported [Abstract]
Automobile and workers' compensation	3,477,000	$ 2,585,000
Employee medical coverage	1,170,000	1,057,000
Future legal cost accrued	$ 500,000	$ 500,000