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v3.19.1

Eliminated Upon Consolidation Included In Accompanying Consolidated Balance Sheets (Detail) - USD ($) | Mar. 31, 2019 | Dec. 31, 2018 | Mar. 31, 2018 | Dec. 31, 2017
--- | --- | --- | --- | ---
Current assets |  |  |  |
Cash and cash equivalents | $ 93,007,780 | $ 106,891,503 | $ 103,731,761 |
Investment in marketable securities | 1,143,006 | 1,127,102 |  |
Receivables, net | 6,640,236 | 7,127,217 |  |
Prepaid expenses and other current assets | 7,984,419 | 7,385,098 |  |
Total current assets | 176,912,063 | 172,862,792 |  |
Noncurrent assets |  |  |  |
Land, property and equipment, net | 12,332,342 | 12,721,082 |  |
Intangible assets, net | 83,056,658 | 86,875,883 |  |
Goodwill | 185,805,880 | 185,805,880 |  |
Loans receivable – related parties | 17,500,000 | 17,500,000 |  |
Investments in other entities – equity method | 34,027,323 | 34,876,980 |  |
Restricted cash | 740,212 | 745,470 | $ 745,293 |
Right-of-use asset | 8,528,159 | 0 |  |
Other assets | 1,551,359 | 1,205,962 |  |
Total noncurrent assets | 343,946,933 | 340,136,257 |  |
Total assets | 520,858,996 | 512,999,049 |  |
Current liabilities |  |  |  |
Accounts payable and accrued expenses | 47,654,471 | 25,075,489 |  |
Fiduciary accounts payable | 2,084,926 | 1,538,598 |  |
Medical liabilities | 23,265,865 | 33,641,701 |  | $ 63,972,318
Bank loan | 0 | 40,257 |  |
Lease liabilities | 2,461,924 | 0 |  |
Total current liabilities | 88,400,766 | 72,019,647 |  |
Noncurrent liabilities |  |  |  |
Deferred tax liability | 16,992,790 | 19,615,935 |  |
Liability for unissued equity shares | 1,185,025 | 1,185,025 |  |
Lease liabilities | 5,977,145 | 0 |  |
Total noncurrent liabilities | 37,647,070 | 34,318,221 |  |
Total liabilities | 126,047,836 | 106,337,868 |  |
Variable Interest Entity, Primary Beneficiary [Member] |  |  |  |
Current assets |  |  |  |
Cash and cash equivalents | 52,359,206 | 71,726,342 |  |
Investment in marketable securities | 1,074,280 | 1,066,103 |  |
Receivables, net | 3,096,946 | 3,904,586 |  |
Receivables, net – related party | 51,606,081 | 45,258,916 |  |
Prepaid expenses and other current assets | 3,944,518 | 3,647,654 |  |
Total current assets | 112,081,031 | 125,603,601 |  |
Noncurrent assets |  |  |  |
Land, property and equipment, net | 9,400,074 | 9,602,228 |  |
Intangible assets, net | 56,273,585 | 58,984,420 |  |
Goodwill | 56,213,450 | 56,213,450 |  |
Loans receivable – related parties | 12,500,000 | 12,500,000 |  |
Investment in a privately held entity that does not report net asset value per share | 4,725,000 | 4,725,000 |  |
Investments in other entities – equity method | 25,881,231 | 26,707,404 |  |
Restricted cash | 740,212 | 745,470 |  |
Right-of-use asset | 4,216,800 | 0 |  |
Other assets | 1,282,090 | 839,085 |  |
Total noncurrent assets | 171,232,442 | 170,317,057 |  |
Total assets | 283,313,473 | 295,920,658 |  |
Current liabilities |  |  |  |
Accounts payable and accrued expenses | 5,379,342 | 6,378,751 |  |
Fiduciary accounts payable | 2,084,926 | 1,538,598 |  |
Medical liabilities | 21,610,483 | 24,983,110 |  |
Income taxes payable | 12,706,621 | 11,621,861 |  |
Amount due to affiliate | 12,197,167 | 11,505,680 |  |
Bank loan | 0 | 40,257 |  |
Lease liabilities | 840,525 | 0 |  |
Capital lease obligations | 101,741 | 101,741 |  |
Total current liabilities | 54,920,805 | 56,169,998 |  |
Noncurrent liabilities |  |  |  |
Deferred tax liability | 13,360,989 | 15,693,159 |  |
Liability for unissued equity shares | 1,185,025 | 1,185,025 |  |
Lease liabilities | 3,278,928 |  |  |
Capital lease obligations | 492,110 | 517,261 |  |
Total noncurrent liabilities | 18,317,052 | 17,395,445 |  |
Total liabilities | $ 73,237,857 | $ 73,565,443 |  |

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