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Business Combination and Goodwill (Tables)
6 Months Ended
Jun. 30, 2019
Business Combinations [Abstract]  
Summary of Estimated Fair Values of Assets Acquired and Liabilities Assumed
The following table summarizes the estimated fair values of the assets acquired and liabilities assumed, as of the acquisition date:
 
Preliminary
Balance Sheet
Assets acquired
 
Cash and cash equivalents
$
3,568,554

Accounts receivable, net
10,335,664

Other current assets
1,534,212

Network relationship intangible assets
29,858,000

Goodwill
23,507,944

Accounts Payable
$
(2,273,753
)
Deferred tax liabilities
(8,355,343
)
Medical liabilities
(13,119,714
)
    Net assets acquired
$
45,055,564

 
 
Cash paid
$
45,055,564

Schedule of Carrying Value of Goodwill
The change in the carrying value of goodwill for the six months ended June 30, 2019 is as follows;
Balance, January 1, 2019
$
185,805,880

Acquisition of Alpha Care
23,507,944

 
 
Balance, June 30, 2019
$
209,313,824