Medical Liabilities (Details) - USD ($)	6 Months Ended	12 Months Ended
	Jun. 30, 2019	Dec. 31, 2018
Medical Liabilities, Current [Roll Forward]
Balance, beginning of period	$ 33,641,701	$ 63,972,318
Acquired from Alpha Care (see Note 3)	13,119,714	0
Claims paid for previous period	(39,744,468)	(36,549,348)
Incurred health care costs	96,521,548	209,002,961
Claims paid for current period	(60,439,690)	(167,537,480)
Payment to CMS based on APAACO 2017 year settlement	0	(34,464,826)
Adjustments	(155,907)	(781,924)
Balance, end of period	$ 42,942,898	$ 33,641,701