Segment and Related Information (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Segment Reporting Information [Line Items]
Service Revenues	$ 14,220,423	$ 8,006,098	$ 25,125,490	$ 15,494,337
Net Income (loss)	(7,575,068)	$ (4,368,641)	(10,629,918)	(10,586,133)
Depreciation and Amortization			7,391,591	$ 3,505,840
Capital Expenditures			1,400,000
Goodwill	13,248,633		13,248,633		$ 7,234,420
Total Assets	110,090,544		110,090,544		$ 49,198,632
Corporate [Member]
Segment Reporting Information [Line Items]
Service Revenues
Net Income (loss)			(5,718,000)
Depreciation and Amortization			(23,000)
Capital Expenditures			100,000
Goodwill
Total Assets	1,085,000		1,085,000
Total [Member]
Segment Reporting Information [Line Items]
Service Revenues			25,125,000
Net Income (loss)			(10,555,000)
Depreciation and Amortization			7,398,000
Capital Expenditures			9,226,000
Goodwill	13,248,000		13,248,000
Total Assets	110,090,000		110,090,000
Mid-Atlantic [Member]
Segment Reporting Information [Line Items]
Service Revenues			8,160,000
Net Income (loss)			(2,841,000)
Depreciation and Amortization			3,072,000
Capital Expenditures			2,626,000
Goodwill	6,014,000		6,014,000
Total Assets	58,800,000		58,800,000
Midwest [Member]
Segment Reporting Information [Line Items]
Service Revenues			16,965,000
Net Income (loss)			(1,996,000)
Depreciation and Amortization			4,296,000
Capital Expenditures			6,500,000
Goodwill	7,234,000		7,234,000
Total Assets	$ 50,205,000		$ 50,205,000