Certain Relationships and Related Transactions (Details) (USD $)	12 Months Ended						3 Months Ended	12 Months Ended												1 Months Ended	12 Months Ended				12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2013 General Counsel	Dec. 31, 2012 General Counsel	Dec. 31, 2011 General Counsel	Dec. 31, 2013 Affiliated Entity, Immediate Family Member of Management or Principal Owner owner	Dec. 31, 2013 Director	Dec. 31, 2012 Director	Dec. 31, 2011 Director	Dec. 31, 2013 Director Chief Executive Officer	Dec. 31, 2012 Director Chief Executive Officer	Dec. 31, 2011 Director Chief Executive Officer	Dec. 31, 2013 Assistant Medical Director CEO's Spouse	Dec. 31, 2012 Assistant Medical Director CEO's Spouse	Dec. 31, 2011 Assistant Medical Director CEO's Spouse	Dec. 31, 2013 Clinical Programmer CEO Spouse' Nephew	Dec. 31, 2012 Clinical Programmer CEO Spouse' Nephew	Dec. 31, 2011 Clinical Programmer CEO Spouse' Nephew	Dec. 31, 2012 Equals Law Firm General Counsel	Dec. 31, 2013 Equals Law Firm General Counsel	Dec. 31, 2012 Equals Law Firm General Counsel	Dec. 31, 2011 Equals Law Firm General Counsel	Dec. 31, 2013 Office [Member] Director sqft	Dec. 31, 2013 Clinical Research Associate Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2012 Clinical Research Associate Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2011 Clinical Research Associate Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2013 Retreat House Expense Retreat House, LLC Chief Executive Officer	Dec. 31, 2012 Retreat House Expense Retreat House, LLC Chief Executive Officer	Dec. 31, 2011 Retreat House Expense Retreat House, LLC Chief Executive Officer	Dec. 31, 2012 Data Control Clerk Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2011 Data Control Clerk Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2013 541620 Environmental Consulting Services Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2012 541620 Environmental Consulting Services Immediate Family Member of Management or Principal Owner CEO's Son	Dec. 31, 2011 541620 Environmental Consulting Services Immediate Family Member of Management or Principal Owner CEO's Son
Related Party Transaction [Line Items]
Related Party Transactions, Number of Owners in Affiliated Entity							3
Related Party Transaction, Expenses from Transactions with Related Party																									$ 70,000	$ 38,000	$ 0	$ 0	$ 0	$ 137,000	$ 8,000	$ 3,000	$ 0	$ 20,000	$ 0
Operating Leases, Rent Expense								12,000	48,000	48,000											36,000	3,000	0
Operating Lease, Monthly Rent Expense								4,000												3,000
Area of Real Estate Property																								2,000
Board Of Directors Fees				180,000	176,000	170,000		71,000	176,000	170,000	180,000	176,000	170,000
Consulting Agreement, Termination Period								30 days
Professional Fees	21,000	21,000	5,250					9,000													181,000	147,000	159,000
Compensation														26,000	25,000	28,000	22,000	12,000	6,000
Monthly Consulting Fee								$ 3,000