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Investments in Other Entities (Equity Method) (Detail) - USD ($) | Mar. 31, 2018 | Dec. 31, 2017
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Equity Method Investments | $ 21,875,500 | $ 21,903,524
Universal Care Inc [Member] |  |
Equity Method Investments | 8,589,253 | 8,609,455
LaSalle Medical Associates - IPA Line of Business [Member] |  |
Equity Method Investments | 9,099,975 | 9,452,767
Diagnostic Medical Group [Member] |  |
Equity Method Investments | 2,176,453 | 1,847,411
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |
Equity Method Investments | 1,374,668 | 1,400,693
Pacific Ambulatory Surgery Center, LLC [Member] |  |
Equity Method Investments | $ 635,151 | $ 593,198

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