Mezzanine and Shareholders’ Equity (Tables)

12 Months Ended

Dec. 31, 2017

Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions

The stock options under the Exclusivity Amendment Agreement were accounted for at fair value, as determined using the Black-Scholes option pricing model and the following assumptions:

Year ended December 31,	2017			2016
Expected term		0.93 - 1.75 years			2.75 years
Expected volatility		38.10% - 41.60	%		53.01	%
Risk-free interest rate		1.64% - 1.86	%		1.47	%
Market value of common stock		$0.52 - $0.76			$0.52 - $0.76
Annual dividend yield		2.23% - 3.53	%		2.51% - 3.53	%
Forfeiture rate		0% - 6.8	%		8	%

Warrants Outstanding

Warrants consisted of the following:

	Shares		Weighted  Average  Exercise Price		Weighted Average  Remaining  Contractual  Term  (Years)		Aggregate  Intrinsic  Value
Warrants outstanding at January 1, 2017
Warrants assumed in the Merger		1,898,541	$	9.06		2.69	$	14.94
Warrants granted		1,750,000		10.49		5.00		13.51
Warrants exercised		-		-		-		-
Warrants forfeited		-		-		-		-
Warrants outstanding at December 31, 2017		3,648,541	$	9.75		3.74	$	14.25

	Weighted-Average Per Share Intrinsic Value		Number of Warrants
Outstanding at December 31, 2016	$	-		-
Warrants assumed in the Merger		0.94		1,898,541
Granted		-		1,750,000
Exercised		-		-
Cancelled		-		-
Outstanding at December 31, 2017	$	14.25		3,648,541

								Weighted
				Weighted				Average
				Average				Exercise Price
Exercise Price Per		Warrants		Remaining		Warrants		Per
Share		Outstanding		Contractual Life		Exercisable		Share
$	4.00 - 4.50		116,875		0.24		116,875	$	4.41
	9.00 – 10.00		2,681,666		3.51		2,681,666		9.58
	11.00		850,000		4.94		850,000		11.00
$	4.50 –10.00		3,648,541		3.74		3,648,541	$	9.75

Contracted physicians and other services [Member]

Stock Option Transactions Under Stock Option Plans

Share-based compensation expense related to common stock option awards granted in connection with the Exclusivity Amendment Agreement recognized over their respective vesting periods is as follows:

Year ended December 31,	2017		2016
Contracted physicians and other services	$	2,113,116	$	1,512,740

Exclusivity Amendment Agreement, NMM [Member]

Stock Option Transactions Under Stock Option Plans

The Company’s stock option activity for options grants under the Exclusivity Amendment Agreement for NMM is summarized below:

	Shares		Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value
Options outstanding at January 1, 2016		139,016	$	2.44		3.75	$	473,363
Options granted		-		-		-		-
Options exercised		-		-		-		-
Options forfeited		-		-		-		-
Options outstanding at December 31, 2016		139,016	$	2.44		2.75	$	717,155
Options exercisable at December 31, 2016		139,016	$	2.44		2.75	$	717,155
Options outstanding at January 1, 2017		139,016	$	2.44		2.75	$	717,155
Options granted
Options exercised		(102,199)		2.44		-		527,223
Options forfeited		(36,817)		2.44		-		-
Options outstanding at December 31, 2017		-	$	-		-	$	-
Options exercisable at December 31, 2017		-	$	-		-	$	-

Exclusivity Amendment Agreement, APC [Member]

Stock Option Transactions Under Stock Option Plans

The Company’s stock option activity for options grants under the Exclusivity Amendment Agreement for APC is summarized below:

	Shares		Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value
Options outstanding at January 1, 2016		1,910,400	$	0.167		3.75	$	960,931
Options granted		-		-		-		-
Options exercised		-		-		-		-
Options forfeited		-		-		-		-
Options outstanding at December 31, 2016		1,910,400	$	0.167		2.75	$	1,138,598
Options exercisable at December 31, 2016		1,910,400	$	0.167		2.75	$	1,138,598
Options outstanding at January 1, 2017		1,910,400	$	0.167		2.75	$	1,138,598
Options granted		-		-		-		-
Options exercised		(1,056,600)		0.167		-		629,734
Options forfeited		-		-		-		-
Options outstanding at December 31, 2017		853,800	$	0.167		1.75	$	508,864
Options exercisable at December 31, 2017		853,800	$	0.167		1.75	$	508,864

Employee Stock Option [Member]

Stock Option Transactions Under Stock Option Plans

The activity of stock options under the 2010, 2013 and 2015 Plans are as follows:

	Shares		Weighted Average Exercise Price		Weighted Average Remaining Contractual Term (Years)		Aggregate Intrinsic Value
Options outstanding at January 1, 2017		-	$	-		-	$	-
Options assumed in the Merger (see Note 3)		1,141,040		3.95		5.85		5.81
Options granted		-		-		-		-
Options exercised		-		-		-		-
Options forfeited		-		-		-		-
Options outstanding at December 31, 2017		1,141,040	$	3.95		5.79	$	19.81
Options exercisable at December 31, 2017		1,141,040	$	3.95		5.79	$	19.81