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Held for Sale and Discontinued Operations (Tables) | 9 Months Ended
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Sep. 30, 2018
Discontinued Operations and Disposal Groups [Abstract] |
Disposal Groups, Including Discontinued Operations [Table Text Block] | The following table presents the financial results of discontinued operations related to DMG:
| Three months ended September 30, |  | Nine months ended September 30,
| 2018 |  | 2017 |  | 2018 |  | 2017
Revenues | $ | 1,252,909 |  |  | $ | 1,178,443 |  |  | $ | 3,733,270 |  |  | $ | 3,461,493 |
Expenses | 1,260,814 |  |  | 1,164,562 |  |  | 3,679,747 |  |  | 3,396,914 |
Goodwill impairment charges | — |  |  | 601,040 |  |  | — |  |  | 651,659 |
Valuation adjustment | 98,201 |  |  | — |  |  | 98,201 |  |  | — |
(Loss) income from discontinued operations before taxes | (106,106 | ) |  | (587,159 | ) |  | (44,678 | ) |  | (587,080 | )
Income tax expense (benefit) | 105,633 |  |  | (216,287 | ) |  | 103,151 |  |  | (198,121 | )
Net loss from discontinued operations, net of tax | (211,739 | ) |  | (370,872 | ) |  | (147,829 | ) |  | (388,959 | )
The following table presents the financial position of discontinued operations related to DMG:
| September 30, 2018 |  | December 31, 2017
Assets |  |  |  |  |
Cash and cash equivalents | $ | 444,468 |  |  | $ | 179,668 |
Other current assets | 848,905 |  |  | 826,608 |
Property and equipment, net | 438,332 |  |  | 379,945 |
Intangible assets, net | 1,316,571 |  |  | 1,316,550 |
Other long-term assets | 114,236 |  |  | 178,894 |
Goodwill | 2,883,475 |  |  | 2,879,977 |
Valuation allowance on disposal group | (98,201 | ) |  | — |
Total current assets held for sale, net | $ | 5,947,786 |  |  | $ | 5,761,642 |
Liabilities |  |  |  |  |
Other liabilities | $ | 652,502 |  |  | $ | 505,734 |
Medical payables | 457,748 |  |  | 457,040 |
Current portion of long-term debt | 2,839 |  |  | 2,845 |
Long-term debt | 33,595 |  |  | 35,003 |
Other long-term liabilities | 272,937 |  |  | 184,448 |
Total current liabilities held for sale | $ | 1,419,621 |  |  | $ | 1,185,070 |
The following table presents cash flows of discontinued operations related to DMG:
| September 30, 2018 |  | September 30, 2017
Net cash provided by operating activities from discontinued operations | $ | 208,570 |  |  | $ | 298,974 |
Net cash used in investing activities from discontinued operations | $ | (32,860 | ) |  | $ | (187,606 | )

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