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Accounts payable and accrued expenses (Detail) - USD ($) | Mar. 31, 2018 | Dec. 31, 2017
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Account Payable And Accrued Liabilities [Line Items] |  |
Accounts payable | $ 3,356,677 | $ 3,786,381
Specialty capitation payable | 300,000 | 547,307
Subcontractor IPA risk pool payable | 1,472,985 | 1,348,376
Professional fees | 2,727,238 | 3,004,215
Deferred revenue | 710,106 | 250,000
Accrued compensation | 3,543,524 | 4,343,341
Accounts payable and accrued liabilities | $ 12,110,530 | $ 13,279,620

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