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Investments in Other Entities (Equity Method) (Detail) - USD ($) | Jun. 30, 2018 | Dec. 31, 2017
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Equity Method Investments | $ 23,545,361 | $ 21,903,524
Universal Care Inc [Member] |  |
Equity Method Investments | 10,321,180 | 8,609,455
LaSalle Medical Associates - IPA Line of Business [Member] |  |
Equity Method Investments | 8,496,283 | 9,452,767
Diagnostic Medical Group [Member] |  |
Equity Method Investments | 2,568,066 | 1,847,411
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |
Equity Method Investments | 1,437,274 | 1,400,693
Pacific Ambulatory Surgery Center, LLC [Member] |  |
Equity Method Investments | $ 722,558 | $ 593,198

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