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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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- Definition

This item represents the carrying amount on the entity's balance sheet of its investment in common stock of an equity method investee. This is not an indicator of the fair value of the investment, rather it is the initial cost adjusted for the entity's share of earnings and losses of the investee, adjusted for any distributions (dividends) and other than temporary impairment (OTTI) losses recognized.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 323
-SubTopic 10
-Section 45
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=109237563&loc=d3e33749-111570

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8813-108599

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.12)
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

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