Business Combination and Goodwill - Assets Acquired and Liabilities Assumed (Details) - USD ($)		6 Months Ended
	May 31, 2019	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
Assets acquired
Goodwill		$ 209,313,824		$ 185,805,880
Cash paid		$ 41,518,084	$ 0
APC and APC-LSMA | Alpha Care Medical Group, Inc.
Business Acquisition [Line Items]
Interest acquired	100.00%
Escrow deposit for potential post-closing adjustments	$ 2,000,000
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