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Investments in Other Entities (Summarized Balance Sheets and Statements of Income) (Detail) - USD ($) | 3 Months Ended |
--- | --- | ---
Mar. 31, 2018 | Mar. 31, 2017 | Dec. 31, 2017
LaSalle Medical Associates IPA [Member] |  |  |
Equity Method Investment, Summarized Financial Information, Assets [Abstract] |  |  |
Equity Method Investment, Summarized Financial Information, Cash and Cash Equivalents | $ 22,064,701 |  | $ 21,065,105
Equity Method Investment, Summarized Financial Information, Receivables | 3,005,144 |  | 2,433,116
Equity Method Investment, Summarized Financial Information, Other current assets | 2,173,110 |  | 1,565,606
Equity Method Investment, Summarized Financial Information, Loan Receivables | 1,250,000 |  | 1,250,000
Equity Method Investment, Summarized Financial Information, Restricted Cash | 664,612 |  | 662,109
Equity Method Investment, Summarized Financial Information, Assets | 29,157,567 |  | 26,975,936
Equity Method Investment, Summarized Financial Information, Liabilities and Equity [Abstract] |  |  |
Equity Method Investment, Summarized Financial Information, Current Liabilities | 23,946,133 |  | 20,353,337
Equity Method Investment Summarized Financial Information, Stockholders' deficit | 5,211,434 |  | 6,622,599
Equity Method Investment, Summarized Financial Information, Total liabilities and stockholders' deficit | 29,157,567 |  | 26,975,936
Equity Method Investment, Summarized Financial Information, Income Statement [Abstract] |  |  |
Equity Method Investment, Summarized Financial Information, Revenue | 52,983,791 | $ 49,753,004 |
Equity Method Investment, Summarized Financial Information, Expenses | 54,002,458 | 44,506,050 |
Equity Method Investment, Summarized Financial Information, Net (loss) income | (1,018,667) | 5,246,954 |
Universal Care Inc [Member] |  |  |
Equity Method Investment, Summarized Financial Information, Assets [Abstract] |  |  |
Equity Method Investment, Summarized Financial Information, Cash and Cash Equivalents | 22,595,206 |  | 21,872,894
Equity Method Investment, Summarized Financial Information, Receivables | 23,862,184 |  | 18,618,760
Equity Method Investment, Summarized Financial Information, Other current assets | 18,870,831 |  | 13,021,520
Equity Method Investment, Summarized Financial Information, Other Assets | 2,259,507 |  | 3,754,470
Equity Method Investment, Summarized Financial Information, Property And Equipment | 1,770,157 |  | 1,576,621
Equity Method Investment, Summarized Financial Information, Assets | 69,357,885 |  | 58,844,265
Equity Method Investment, Summarized Financial Information, Liabilities and Equity [Abstract] |  |  |
Equity Method Investment, Summarized Financial Information, Current Liabilities | 64,984,078 |  | 54,421,532
Equity Method Investment, Summarized Financial Information, Other Liabilities | 10,044,340 |  | 10,051,952
Equity Method Investment Summarized Financial Information, Stockholders' deficit | (5,670,533) |  | (5,629,219)
Equity Method Investment, Summarized Financial Information, Total liabilities and stockholders' deficit | 69,357,885 |  | $ 58,844,265
Equity Method Investment, Summarized Financial Information, Income Statement [Abstract] |  |  |
Equity Method Investment, Summarized Financial Information, Revenue | 72,665,437 | 46,540,892 |
Equity Method Investment, Summarized Financial Information, Expenses | 72,154,950 | 44,757,246 |
Equity Method Investment, Summarized Financial Information, Income before provision for income taxes | 510,487 | 1,783,646 |
Equity Method Investment, Summarized Financial Information, Provision for income taxes | 551,800 | 713,500 |
Equity Method Investment, Summarized Financial Information, Net (loss) income | $ (41,313) | $ 1,070,146 |

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