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v3.8.0.1

Eliminated Upon Consolidation Included In Accompanying Consolidated Balance Sheets (Detail) - USD ($) | Mar. 31, 2018 | Dec. 31, 2017 | Mar. 31, 2017 | Dec. 31, 2016
--- | --- | --- | --- | ---
Current assets |  |  |  |
Cash and cash equivalents | $ 103,731,761 | $ 99,749,199 | $ 63,251,651 |
Restricted cash - short-term | 18,028,116 | 18,005,661 | 0 |
Investment in marketable securities | 1,138,477 | 1,143,095 |  |
Receivables, net | 52,805,123 | 20,117,304 |  |
Prepaid expenses and other current assets | 3,525,437 | 3,126,866 |  |
Total current assets | 180,615,388 | 144,159,562 |  |
Noncurrent assets |  |  |  |
Land, property and equipment, net | 13,700,034 | 13,814,306 |  |
Intangible assets, net | 99,138,657 | 103,533,558 |  |
Goodwill | 188,933,191 | 189,847,202 |  |
Loans receivable - related parties | 5,000,000 | 5,000,000 |  |
Loan receivable | 10,000,000 | 10,000,000 |  |
Investments in other entities - equity method | 21,875,500 | 21,903,524 |  |
Restricted cash - long-term | 745,293 | 745,235 | $ 101,132 |
Other assets | 1,585,850 | 1,632,406 |  |
Total noncurrent assets | 340,978,525 | 346,476,231 |  |
Total assets | 521,593,913 | 490,635,793 |  |
Current liabilities |  |  |  |
Accounts payable and accrued expenses | 12,110,530 | 13,279,620 |  |
Fiduciary accounts payable | 1,386,474 | 2,017,437 |  |
Medical liabilities | 69,110,826 | 63,972,318 |  | $ 18,957,465
Bank loan, short-term | 394,783 | 510,391 |  |
Capital lease obligations | 99,480 | 98,738 |  |
Total current liabilities | 110,616,762 | 109,601,999 |  |
Noncurrent liabilities |  |  |  |
Deferred tax liability | 30,055,819 | 24,916,598 |  |
Liability for unissued equity shares | 1,185,025 | 1,185,025 |  |
Capital lease obligations, net of current portion | 593,852 | 619,001 |  |
Total noncurrent liabilities | 49,834,696 | 44,720,624 |  |
Total liabilities | 160,451,458 | 154,322,623 |  |
Variable Interest Entity, Primary Beneficiary [Member] |  |  |  |
Current assets |  |  |  |
Cash and cash equivalents | 58,024,188 | 54,686,370 |  |
Restricted cash - short-term | 18,028,116 | 18,005,661 |  |
Fiduciary cash | 1,386,474 | 2,017,437 |  |
Investment in marketable securities | 1,061,022 | 1,057,090 |  |
Receivables, net | 38,844,184 | 15,183,483 |  |
Prepaid expenses and other current assets | 1,960,737 | 1,821,328 |  |
Total current assets | 119,304,721 | 92,771,369 |  |
Noncurrent assets |  |  |  |
Land, property and equipment, net | 10,201,045 | 10,167,689 |  |
Intangible assets, net | 67,670,837 | 70,841,907 |  |
Goodwill | 60,012,316 | 60,012,316 |  |
Loans receivable - related parties | 5,000,000 | 5,000,000 |  |
Loan receivable | 5,000,000 | 5,000,000 |  |
Investments in other entities - equity method | 21,875,500 | 21,903,524 |  |
Investments in other entities - cost method | 4,320,000 | 4,320,000 |  |
Restricted cash - long-term | 745,293 | 745,235 |  |
Other assets | 1,155,114 | 1,371,664 |  |
Total noncurrent assets | 175,980,105 | 179,362,335 |  |
Total assets | 295,284,826 | 272,133,704 |  |
Current liabilities |  |  |  |
Accounts payable and accrued expenses | 3,505,047 | 3,625,610 |  |
Incentives payable | 14,900,000 | 21,500,000 |  |
Fiduciary accounts payable | 1,386,474 | 2,017,437 |  |
Medical liabilities | 25,212,116 | 25,186,240 |  |
Income taxes payable | 3,229,058 | 1,463,540 |  |
Amount due to affiliate | 28,061,953 | 24,889,717 |  |
Bank loan, short-term | 394,783 | 510,391 |  |
Capital lease obligations | 99,480 | 98,738 |  |
Total current liabilities | 76,788,911 | 79,291,673 |  |
Noncurrent liabilities |  |  |  |
Deferred tax liability | 27,406,818 | 20,970,766 |  |
Liability for unissued equity shares | 1,185,025 | 1,185,025 |  |
Capital lease obligations, net of current portion | 593,852 | 619,001 |  |
Total noncurrent liabilities | 29,185,695 | 22,774,792 |  |
Total liabilities | $ 105,974,606 | $ 102,066,465 |  |

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