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Investments in Other Entities (Summarized Balance Sheets and Statements of Income) (Detail) - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017
WCollege LLC [Member] |  |  |
Assets |  |  |
Cash and cash equivalents |  | $ 158,088 |
Other current assets |  | 16,137 |
Other assets |  | 70,000 |
Property and equipment, net |  | 33,394,792 |
Total assets |  | 33,639,017 |
Liabilities and stockholders' deficit |  |  |
Current liabilities |  | 1,007,413 |
Stockholders' equity |  | 32,631,604 |
Total liabilities and stockholders' equity |  | 33,639,017 |
Statements of Operations |  |  |
Revenues |  | 0 |
Expenses |  | 875,771 |
Loss before income tax provision (benefit) |  | (875,771) |
Income tax provision (benefit) |  | 162,451 |
Net (loss) income |  | (713,320) |
LaSalle Medical Associates IPA [Member] |  |  |
Assets |  |  |
Cash and cash equivalents |  | 18,444,702 | $ 21,065,105
Receivables, net |  | 2,897,337 | 2,433,116
Other current assets |  | 5,459,442 | 1,565,606
Loan receivable |  | 1,250,000 | 1,250,000
Restricted cash |  | 667,414 | 662,109
Total assets |  | 28,718,895 | 26,975,936
Liabilities and stockholders' deficit |  |  |
Current liabilities |  | 26,837,814 | 20,353,337
Stockholders' equity |  | 1,881,081 | 6,622,599
Total liabilities and stockholders' equity |  | 28,718,895 | 26,975,936
Statements of Operations |  |  |
Revenues |  | 239,031,485 | 195,143,984
Expenses |  | 251,738,193 | 188,265,085
Loss) Income from operations |  | (12,706,708) | 6,878,899
Loss before income tax provision (benefit) |  | (12,533,352) | 6,878,899
Income tax provision (benefit) |  | (3,334,332) | 3,083,333
Equity Method Investment, Summarized Financial Information, Other Income |  | 173,356 | 0
Net (loss) income |  | (9,199,020) | 3,795,566
Universal Care Inc [Member] |  |  |
Assets |  |  |
Cash and cash equivalents |  | 27,812,520 | 21,872,894
Receivables, net |  | 46,978,703 | 18,618,760
Other current assets |  | 18,670,350 | 13,021,520
Other assets |  | 661,621 | 3,754,470
Property and equipment, net |  | 2,786,996 | 1,576,621
Total assets |  | 96,910,190 | 58,844,265
Liabilities and stockholders' deficit |  |  |
Current liabilities |  | 89,731,133 | 54,421,532
Other liabilities |  | 25,024,043 | 10,051,952
Stockholders' equity |  | (17,844,986) | (5,629,219)
Total liabilities and stockholders' equity |  | 96,910,190 | 58,844,265
Statements of Operations |  |  |
Revenues |  | 326,719,634 | 188,389,384
Expenses |  | 335,242,582 | 193,196,938
Loss before income tax provision (benefit) |  | (8,522,948) | (4,807,554)
Income tax provision (benefit) |  | 3,692,818 | (36,835)
Net (loss) income |  | (12,215,766) | $ (4,770,719)
Accountable Health Care IPA [Member] |  |  |
Assets |  |  |
Cash and cash equivalents |  | 5,582,837 |
Receivables, net |  | 11,246,477 |
Other current assets |  | 30,940 |
Other assets |  | 1,312,768 |
Property and equipment, net |  | 138,690 |
Total assets |  | 18,311,712 |
Liabilities and stockholders' deficit |  |  |
Current liabilities |  | 16,824,083 |
Other liabilities |  | 19,500,000 |
Stockholders' equity |  | (18,012,371) |
Total liabilities and stockholders' equity |  | 18,311,712 |
Statements of Operations |  |  |
Revenues |  | 96,204,337 |
Expenses |  | 99,690,049 |
Loss before income tax provision (benefit) |  | (3,485,712) |
Income tax provision (benefit) |  | 800 |
Net (loss) income | [1] | $ (3,486,512) |
[1] | APC’s allocation of net loss commenced on September 21, 2018.

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