Investments in Other Entities - Summarized Balance Sheets and Statements of Income (Details) - USD ($)	6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
LaSalle Medical Associates – IPA Line of Business
Assets
Cash and cash equivalents	$ 6,338,344		$ 18,444,702
Receivables, net	6,864,902		2,897,337
Other current assets	3,526,319		5,459,442
Loan receivable	2,250,000		1,250,000
Restricted cash	676,774		667,414
Total assets	19,656,339		28,718,895
Liabilities and Stockholders' (Deficit) Equity
Current liabilities	23,536,048		26,837,814
Stockholders’ (deficit) equity	(3,879,709)		1,881,081
Total liabilities and stockholders’ (deficit) equity	19,656,339		28,718,895
Statements of Operations
Revenues	93,434,476	$ 110,311,466
Expenses	102,845,266	113,744,898
Net loss	(9,410,790)	(3,433,432)
Universal Care, Inc.
Assets
Cash and cash equivalents	44,503,392		27,812,520
Receivables, net	48,820,720		46,978,703
Other current assets	37,563,651		18,670,350
Other assets	673,893		661,621
Property and equipment, net	3,071,398		2,786,996
Total assets	134,633,054		96,910,190
Liabilities and Stockholders' (Deficit) Equity
Current liabilities	115,966,346		89,731,133
Other liabilities	25,005,609		25,024,043
Stockholders’ (deficit) equity	(6,338,901)		(17,844,986)
Total liabilities and stockholders’ (deficit) equity	134,633,054		96,910,190
Statements of Operations
Revenues	247,517,017	149,825,595
Expenses	239,388,926	146,614,334
Income (loss) before benefit from income taxes	8,128,091	3,211,261
Provision for income taxes	(3,167,384)	(289,200)
Net loss	11,295,475	$ 3,500,461
Accountable Health Care IPA- related party
Assets
Cash and cash equivalents	3,501,839		5,582,837
Receivables, net	0		11,246,477
Other current assets	30,940		30,940
Other assets	1,312,768		1,312,768
Property and equipment, net	138,690		138,690
Total assets	4,984,237		18,311,712
Liabilities and Stockholders' (Deficit) Equity
Current liabilities	20,793,426		16,824,083
Other liabilities	19,500,000		19,500,000
Stockholders’ (deficit) equity	(35,309,189)		(18,012,371)
Total liabilities and stockholders’ (deficit) equity	4,984,237		18,311,712
Statements of Operations
Revenues	46,813,524
Expenses	64,063,864
Income (loss) before benefit from income taxes	(17,250,340)
Provision for income taxes	0
Net loss	(17,250,340)
WCollege LLC
Assets
Cash and cash equivalents	141,616		158,088
Other current assets	0		16,137
Other assets	70,000		70,000
Property and equipment, net	33,394,792		33,394,792
Total assets	33,606,408		33,639,017
Liabilities and Stockholders' (Deficit) Equity
Current liabilities	1,128,741		1,007,413
Stockholders’ (deficit) equity	32,477,667		32,631,604
Total liabilities and stockholders’ (deficit) equity	33,606,408		$ 33,639,017
Statements of Operations
Revenues	0
Expenses	538,437
Income (loss) before benefit from income taxes	(538,437)
Other Income	384,500
Net loss	$ (153,937)