Fair Value Measurements (Details 2) - USD ($)	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Life expectancy sensitivity analysis
Average life expectancy	4 years 9 months 18 days	5 years 2 months 12 days
Impact of -5% in life expectancy, fair value	$ 188,372,343	$ 202,547,381
No change, fair value	172,242,734	186,251,760
Impact of +5% in life expectancy, fair value	155,482,251	169,348,101
Impact of -5% change in life expectancy, change in fair value	16,129,609	16,295,621
Impact of +5% change in life expectancy, change in fair value	(16,760,483)	(16,903,659)
Discount rate
Impact of +2% in discount rate, fair value	163,300,406	175,204,064
No change, fair value	172,242,734	186,251,760
Impact of -2% in discount rate, fair value	182,200,298	198,679,523
Impact of +2% change in discount rate, change in fair value	(8,942,328)	(11,047,696)
Impact of -2% change in discount rate, change in fair value	$ 9,957,564	$ 12,427,763