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Final Allocation of Total Purchase Price (Detail) - USD ($) | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
--- | --- | --- | ---
Goodwill | $ 189,847,202 | $ 103,407,351 | $ 100,851,144
Total assets acquired | 65,538,118 |  |
Total liabilities assumed | (66,451,586) |  |
APCN-ACO Inc [Member] |  |  |
Investments in other entities - cost method | 25,000 |  |
Identifiable intangible asset - member relationships | 1,738,000 |  |
Goodwill | 1,679,849 |  |
Total assets acquired | 3,442,849 |  |
Deferred tax liability | (367,849) |  |
Total liabilities assumed | (367,849) |  |
Net assets acquired | 3,075,000 | 3,075,000 |
AP-ACO [Member] |  |  |
Identifiable intangible asset - member relationships | 1,497,000 |  |
Goodwill | 1,192,968 |  |
Total assets acquired | 2,689,968 |  |
Deferred tax liability | (609,968) |  |
Total liabilities assumed | (609,968) |  |
Net assets acquired | $ 2,080,000 | $ 2,080,000 |

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