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Medical Payables (Detail) - USD ($)
6 Months Ended 12 Months Ended
Sep. 30, 2017
Mar. 31, 2017
Medical Payables [Line Items]    
Balance, beginning of period $ 1,768,231 $ 2,670,709
Incurred health care costs:    
Current year 60,445,600 10,365,502
Claims paid:    
Current year (30,685,463) (8,524,215)
Prior years (1,829,866) (1,881,869)
Total claims paid (32,515,329) (10,406,084)
Risk pool settlement 0 814,733
Accrual for net surplus (deficit) from full risk capitation contracts 995,671 (1,676,629)
Balance, end of period $ 30,694,173 $ 1,768,231