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Disaggregation of Revenue (Detail) - USD ($) | 3 Months Ended
--- | ---
Mar. 31, 2018 | Mar. 31, 2017
Revenue | $ 124,166,727 | $ 85,336,062
Commercial [Member] |  |
Revenue | 105,350,102 | 83,848,918
Medicare [Member] |  |
Revenue | 18,541,115 | 1,453,703
Medicaid [Member] |  |
Revenue | 176,350 | 0
Other third parties [Member] |  |
Revenue | $ 99,160 | $ 33,441

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- Definition Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
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Period Type: | duration

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- Details
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Period Type: |

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- Details
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Period Type: |

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- Details
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Period Type: |