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Business Combination and Goodwill - Assets Acquired and Liabilities Assumed (Details)
9 Months Ended
Sep. 10, 2019
USD ($)
acquisition
Aug. 30, 2019
USD ($)
May 31, 2019
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Business Acquisition [Line Items]            
Cash paid       $ 49,402,514 $ 0  
Gain on loan assumption       2,250,000 $ 0  
Assets acquired            
Goodwill       237,134,772   $ 185,805,880
Accountable Health Care - related party            
Business Acquisition [Line Items]            
Consideration transferred   $ 25,100,000        
Liabilities assumed   $ 15,400,000        
Series of Individually Immaterial Business Acquisitions            
Business Acquisition [Line Items]            
Consideration transferred       $ 1,700,000    
Number of acquisitions | acquisition 1          
Value of shares transferred in acquisition $ 400,000          
APC and APC-LSMA | Alpha Care Medical Group, Inc.            
Business Acquisition [Line Items]            
Interest acquired     100.00%      
Cash paid     $ 45,055,564      
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     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      
APC | Accountable Health Care - related party            
Business Acquisition [Line Items]            
Interest acquired   25.00%        
Payments to acquire investments   $ 2,400,000        
Dr. Jay | Accountable Health Care - related party            
Business Acquisition [Line Items]            
Interest acquired   75.00%        
Cash paid   $ 7,250,000        
Consideration transferred   7,300,000        
Liabilities assumed   5,000,000        
Gain on loan assumption   2,300,000        
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 assets acquired   9,666,668        
Equity investment contributed   $ 2,416,668