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Investments in Other Entities (Equity Method) (Detail) - USD ($) | Dec. 31, 2018 | Dec. 31, 2017
--- | --- | ---
Equity Method Investments | $ 34,876,980 | $ 21,903,524
Universal Care Inc [Member] |  |
Equity Method Investments | 2,635,945 | 8,609,455
LaSalle Medical Associates IPA [Member] |  |
Equity Method Investments | 7,054,888 | 9,452,767
Diagnostic Medical Group [Member] |  |
Equity Method Investments | 2,257,346 | 1,847,411
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |
Equity Method Investments | 1,359,494 | 1,400,693
Pacific Ambulatory Surgery Center, LLC [Member] |  |
Equity Method Investments | 285,198 | 593,198
Accountable Health Care IPA [Member] |  |
Equity Method Investments | 4,977,957 | 0
531 W. College, LLC – related party |  |
Equity Method Investments | 16,273,152 | 0
MWN, LLC – related party |  |
Equity Method Investments | $ 33,000 | $ 0

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