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Accounts Payable and Accrued Expenses (Detail) - USD ($) | Mar. 31, 2019 | Dec. 31, 2018
--- | --- | ---
Account Payable And Accrued Liabilities [Line Items] |  |
Accounts payable | $ 4,750,543 | $ 4,481,544
Specialty capitation payable | 300,000 | 300,000
Subcontractor IPA risk pool payable | 2,191,664 | 2,532,750
Professional fees | 2,470,583 | 2,251,741
Due to related parties | 568,385 | 1,488,313
Contract liabilities | 33,292,123 | 9,024,235
Accrued compensation | 4,081,173 | 4,996,906
Accounts payable and accrued liabilities | $ 47,654,471 | $ 25,075,489

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