Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($)	9 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2018
Finite-Lived Intangible Assets [Line Items]
Accumulated Amortization	$ (69,584,695)	$ (57,600,117)
Total	114,166,000
Intangible Assets, Gross	183,751,000	144,476,000
Intangible Assets, Net	114,166,305	86,875,883
Network relationships
Finite-Lived Intangible Assets [Line Items]
Amortized Intangible Assets, Gross	151,152,000	109,883,000
Accumulated Amortization	(57,503,773)	(48,361,773)
Total	$ 93,648,227	$ 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	15 years
Amortized Intangible Assets, Gross	$ 22,832,000	$ 22,832,000
Accumulated Amortization	(9,146,391)	(7,447,581)
Total	$ 13,685,609	$ 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	(2,086,523)	(1,289,667)
Total	$ 4,609,477	$ 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	(755,333)	(446,333)
Total	$ 1,304,667	$ 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	(92,675)	(54,763)
Total	918,325	956,237
Medicare license
Finite-Lived Intangible Assets [Line Items]
Indefinite Lived Assets	$ 0	$ 1,994,000