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Accounts payable and accrued expenses (Detail) - USD ($) | Dec. 31, 2017 | Dec. 31, 2016
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Account Payable And Accrued Liabilities [Line Items] |  |
Accounts payable | $ 3,786,381 | $ 1,424,573
Specialty capitation payable | 547,307 | 678,335
Subcontractor IPA risk pool payable | 1,348,376 | 1,709,112
ACA payable | 0 | 718,808
Professional fees | 3,004,215 | 411,705
Deferred Revenue, Current | 250,000 | 603,041
Accrued compensation | 4,343,341 | 2,537,703
Accounts payable and accrued liabilities | $ 13,279,620 | $ 8,083,277

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