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Variable Interest Entities (VIEs) (Tables)
3 Months Ended
Mar. 31, 2019
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of Variable Interest Entities
The following table includes assets that can only be used to settle the liabilities of APC and the creditors of APC have no recourse to the Company, nor do creditors of the Company have recourse against the assets of APC. These assets and liabilities, with the exception of the investment in a privately held entity that does not report net asset value per share and amounts due to affiliate, which are eliminated upon consolidation with the NMM, are included in the accompanying condensed consolidated balance sheets.
 
 
 
March 31,

2019
 
 
December 31,

2018
 
 
 
 
 
 
 
 
Assets
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 assets
 
 
4,216,800
 
 
 
-
 
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
 
 
-
 
 
 
40,257
 
Lease liabilities
 
 
840,525
 
 
 
-
 
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