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Business Combination and Goodwill (Tables)
9 Months Ended
Sep. 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
2,004,649

Network relationship intangible assets
29,858,000

Goodwill
24,637,507

Accounts Payable
(2,273,753
)
Deferred tax liabilities
(8,355,343
)
Medical liabilities
(14,719,714
)
    Net assets acquired
$
45,055,564

 
 
Cash paid
$
45,055,564

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
$
581,965

Accounts receivable, net
5,150,060

Other current assets
198,056

Network relationship intangible assets
11,411,000

Goodwill
25,604,917

Accounts Payable
(2,993,325
)
Deferred tax liabilities
(3,193,209
)
Medical liabilities
(11,684,658
)
Subordinated Loan
(15,408,138
)
Net asset acquired
$
9,666,668

 
 
Equity investment contributed
$
2,416,668

Cash paid
$
7,250,000

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

 
 
Acquisition of Alpha Care
24,637,507

Acquisition of AMG
1,086,468

Acquisition of Accountable Health Care
25,604,917

 
 
Balance, September 30, 2019
$
237,134,772