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Investments in Other Entities (Equity Method) (Detail) - USD ($) | Sep. 30, 2018 | Dec. 31, 2017
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Equity Method Investments | $ 24,122,895 | $ 21,903,524
Universal Care Inc [Member] |  |
Equity Method Investments | 5,674,791 | 8,609,455
LaSalle Medical Associates - IPA Line of Business [Member] |  |
Equity Method Investments | 8,667,419 | 9,452,767
Diagnostic Medical Group [Member] |  |
Equity Method Investments | 2,537,929 | 1,847,411
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |
Equity Method Investments | 1,442,264 | 1,400,693
Pacific Ambulatory Surgery Center, LLC [Member] |  |
Equity Method Investments | 853,243 | 593,198
Accountable Health Care IPA [Member] |  |
Equity Method Investments | $ 4,947,249 | $ 0

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