Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($)	6 Months Ended		12 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
Finite-Lived Intangible Assets [Line Items]
Accumulated Amortization	$ (65,264,142)		$ (57,600,117)
Total	107,076,000
Intangible Assets, Gross	174,334,000		144,476,000
Intangible Assets, Net	109,069,858		86,875,883
Network relationships
Finite-Lived Intangible Assets [Line Items]
Amortized Intangible Assets, Gross	139,741,000		109,883,000
Accumulated Amortization	(54,094,505)		(48,361,773)
Total	$ 85,646,495		$ 61,521,227
Network relationships | Minimum
Finite-Lived Intangible Assets [Line Items]
Useful Life	11 years		11 years
Network relationships | Maximum
Finite-Lived Intangible Assets [Line Items]
Useful Life	15 years		15 years
Management contracts
Finite-Lived Intangible Assets [Line Items]
Useful Life	15 years	20 years
Amortized Intangible Assets, Gross	$ 22,832,000		$ 22,832,000
Accumulated Amortization	(8,616,362)		(7,447,581)
Total	$ 14,215,638		$ 15,384,419
Member relationships
Finite-Lived Intangible Assets [Line Items]
Useful Life	12 years		12 years
Amortized Intangible Assets, Gross	$ 6,696,000		$ 6,696,000
Accumulated Amortization	(1,820,905)		(1,289,667)
Total	$ 4,875,095		$ 5,406,333
Patient management platform
Finite-Lived Intangible Assets [Line Items]
Useful Life	5 years		5 years
Amortized Intangible Assets, Gross	$ 2,060,000		$ 2,060,000
Accumulated Amortization	(652,333)		(446,333)
Total	$ 1,407,667		$ 1,613,667
Tradename/trademarks
Finite-Lived Intangible Assets [Line Items]
Useful Life	20 years		20 years
Amortized Intangible Assets, Gross	$ 1,011,000		$ 1,011,000
Accumulated Amortization	(80,037)		(54,763)
Total	930,963		956,237
Medicare license
Finite-Lived Intangible Assets [Line Items]
Indefinite Lived Assets	$ 1,994,000		$ 1,994,000