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Accounts Payable and Accrued Expenses (Detail) - USD ($) | Dec. 31, 2018 | Dec. 31, 2017
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Account Payable And Accrued Liabilities [Line Items] |  |
Accounts payable | $ 4,481,544 | $ 3,786,381
Specialty capitation payable | 300,000 | 547,307
Subcontractor IPA risk pool payable | 2,532,750 | 1,348,376
Professional fees | 2,251,741 | 3,004,215
Due to related parties | 1,488,313 | 0
Contract liabilities | 9,024,235 | 250,000
Accrued compensation | 4,996,906 | 4,343,341
Accounts payable and accrued liabilities | $ 25,075,489 | $ 13,279,620

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