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Investments in Other Entities (Equity Method) (Detail) - USD ($) | Mar. 31, 2019 | Dec. 31, 2018
--- | --- | ---
Equity Method Investments | $ 34,027,323 | $ 34,876,980
Universal Care Inc [Member] |  |
Equity Method Investments | 3,673,132 | 2,635,945
LaSalle Medical Associates IPA [Member] |  |
Equity Method Investments | 5,980,923 | 7,054,888
Diagnostic Medical Group [Member] |  |
Equity Method Investments | 2,481,166 | 2,257,346
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |
Equity Method Investments | 1,429,960 | 1,359,494
Pacific Ambulatory Surgery Center, LLC [Member] |  |
Equity Method Investments | 0 | 285,198
Accountable Health Care IPA [Member] |  |
Equity Method Investments | 4,202,958 | 4,977,957
531 W. College, LLC – related party [Member] |  |
Equity Method Investments | 16,226,184 | 16,273,152
MWN, LLC – related party |  |
Equity Method Investments | $ 33,000 | $ 33,000

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