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Investments in Other Entities (Summarized Balance Sheets and Statements of Income) (Detail) - USD ($) | 6 Months Ended |
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Dec. 31, 2017
LaSalle Medical Associates IPA [Member] |  |  |
Assets |  |  |
Cash and cash equivalents | $ 21,943,637 |  | $ 21,065,105
Receivables, net | 2,276,731 |  | 2,433,116
Other current assets | 2,173,110 |  | 1,565,606
Loan receivable | 1,250,000 |  | 1,250,000
Restricted cash | 664,612 |  | 662,109
Total assets | 28,308,090 |  | 26,975,936
Liabilities and Stockholders' Equity |  |  |
Current liabilities | 25,511,420 |  | 20,353,337
Stockholders' equity | 2,796,670 |  | 6,622,599
Total liabilities and stockholders' equity | 28,308,090 |  | 26,975,936
Statements of Income |  |  |
Revenues | 110,311,466 | $ 97,902,002 |
Expenses | 113,744,898 | 95,847,786 |
Net income | (3,433,432) | 2,054,216 |
Universal Care Inc [Member] |  |  |
Assets |  |  |
Cash and cash equivalents | 27,874,357 |  | 21,872,894
Receivables, net | 29,042,535 |  | 18,618,760
Other current assets | 19,541,123 |  | 13,021,520
Other assets | 3,259,848 |  | 3,754,470
Property and equipment, net | 2,132,063 |  | 1,576,621
Total assets | 81,849,926 |  | 58,844,265
Liabilities and Stockholders' Equity |  |  |
Current liabilities | 68,941,956 |  | 54,421,532
Other liabilities | 15,036,729 |  | 10,051,952
Stockholders' equity | (2,128,759) |  | (5,629,219)
Total liabilities and stockholders' equity | 81,849,926 |  | $ 58,844,265
Statements of Income |  |  |
Revenues | 149,825,595 | 91,586,434 |
Expenses | 146,614,334 | 90,759,639 |
Income before (benefit) provision for income taxes | 3,211,261 | 826,795 |
(Benefit) provision for income taxes | (289,200) | 330,700 |
Net income | $ 3,500,461 | $ 496,095 |

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