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Investments in Other Entities (Equity Method) (Detail) - USD ($) | Dec. 31, 2017 | Dec. 31, 2016
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Equity Method Investments | $ 21,903,524 | $ 24,256,065
Universal Care Inc [Member] |  |
Equity Method Investments | 8,609,455 | 10,942,360
LaSalle Medical Associates IPA [Member] |  |
Equity Method Investments | 9,452,767 | 9,503,875
Diagnostic Medical Group [Member] |  |
Equity Method Investments | 1,847,411 | 1,683,698
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |
Equity Method Investments | 1,400,693 | 1,346,428
Pacific Ambulatory Surgery Center, LLC [Member] |  |
Equity Method Investments | $ 593,198 | $ 779,704

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