Fair Value Measurements (Details 2) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2020	Dec. 31, 2019
Life expectancy sensitivity analysis
Average life expectancy	4 years 9 months 18 days	4 years 9 months 18 days
Impact of -5% in life expectancy, fair value	$ 194,653,176	$ 188,372,343
No change, fair value	178,822,344	172,242,734
Impact of +5% in life expectancy, fair value	162,381,250	155,482,251
Impact of -5% change in life expectancy, change in fair value	15,830,832	16,129,609
Impact of +5% change in life expectancy, change in fair value	(16,441,094)	(16,760,483)
Discount rate
Impact of +2% in discount rate, fair value	168,726,909	163,300,406
No change, fair value	178,822,344	172,242,734
Impact of -2% in discount rate, fair value	190,147,372	182,200,298
Impact of +2% change in discount rate, change in fair value	(10,095,435)	(8,942,328)
Impact of -2% change in discount rate, change in fair value	$ 11,325,028	$ 9,957,564