Investments in Other Entities - Equity Method (Details) - USD ($)	Dec. 31, 2019	Dec. 31, 2018
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	$ 28,427,455	$ 34,876,980
Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	1,438,199	2,635,945
LaSalle Medical Associates – IPA Line of Business
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	6,396,706	7,054,888
Diagnostic Medical Group
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	2,334,083	2,257,346
Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	1,395,878	1,359,494
Pacific Ambulatory Surgery Center, LLC
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	0	285,198
Accountable Health Care IPA
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	0	4,977,957
531 W. College, LLC
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	16,697,898	16,273,152
MWN, LLC
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method	$ 164,691	$ 33,000