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Investments in Other Entities (Summarized Balance Sheets and Statements of Income) (Detail) - USD ($)
 3 Months Ended 12 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
LaSalle Medical Associates IPA [Member]      
Assets      
Cash and cash equivalents $ 204,981   $ 18,444,702
Receivables, net 7,116,487   2,897,337
Other current assets 3,526,319   5,459,442
Loan receivable 2,250,000   1,250,000
Restricted cash 673,204   667,414
Total assets 13,770,991   28,718,895
Liabilities and stockholders' deficit      
Current liabilities 16,185,769   26,837,814
Stockholders' (deficit) equity (2,414,778)   1,881,081
Total liabilities and stockholders' (deficit) equity 13,770,991   28,718,895
Statements of Operation      
Revenues 46,406,351 $ 52,983,791  
Expenses 50,702,210 54,002,458  
Net (loss) income (4,295,859) (1,018,667)  
Universal Care Inc [Member]      
Assets      
Cash and cash equivalents 29,161,538   27,812,520
Receivables, net 49,693,015   46,978,703
Other current assets 32,487,216   18,670,350
Other assets 659,897   661,621
Property and equipment, net 2,943,466   2,786,996
Total assets 114,945,132   96,910,190
Liabilities and stockholders' deficit      
Current liabilities 104,980,771   89,731,133
Other liabilities 25,014,826   25,024,043
Stockholders' (deficit) equity (15,050,465)   (17,844,986)
Total liabilities and stockholders' (deficit) equity 114,945,132   96,910,190
Statements of Operation      
Revenues 113,318,827 72,665,437  
Expenses 111,408,456 72,154,950  
Income (loss) before income tax provision (benefit) 1,910,371 510,487  
Income tax provision (benefit) (210,667) 551,800  
Net (loss) income 2,121,038 $ (41,313)  
Accountable Health Care IPA [Member]      
Assets      
Cash and cash equivalents 4,381,055   5,582,837
Receivables, net 11,246,477   11,246,477
Other current assets 30,940   30,940
Other assets 1,312,769   1,312,768
Property and equipment, net 138,690   138,690
Total assets 17,109,931   18,311,712
Liabilities and stockholders' deficit      
Current liabilities 18,723,556   16,824,083
Other liabilities 19,500,000   19,500,000
Stockholders' (deficit) equity (21,113,625)   (18,012,371)
Total liabilities and stockholders' (deficit) equity 17,109,931   18,311,712
Statements of Operation      
Revenues 22,990,290    
Expenses 26,091,544    
Income (loss) before income tax provision (benefit) (3,101,254)    
Income tax provision (benefit) 0    
Net (loss) income (3,101,254)    
531 W. College, LLC [Member]      
Assets      
Cash and cash equivalents 341,969   158,088
Other current assets 78,677   16,137
Other assets 70,000   70,000
Property and equipment, net 33,394,792   33,394,792
Total assets 33,885,438   33,639,017
Liabilities and stockholders' deficit      
Current liabilities 1,433,070   1,007,413
Stockholders' (deficit) equity 32,452,368   32,631,604
Total liabilities and stockholders' (deficit) equity 33,885,438   33,639,017
Statements of Operation      
Revenues 0    
Expenses 468,560   875,771
Income (loss) before income tax provision (benefit) (468,560)   (875,771)
Income tax provision (benefit) 289,325   162,451
Net (loss) income $ (179,235)   $ (713,320)