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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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Represents the amount of specialty capitation payable current.

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Sum of the carrying values as of the balance sheet date of obligations incurred through that date and due within one year (or the operating cycle, if longer), including liabilities incurred (and for which invoices have typically been received) and payable to vendors for goods and services received, taxes, interest, rent and utilities, accrued salaries and bonuses, payroll taxes and fringe benefits.

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Carrying value as of the balance sheet date of liabilities incurred (and for which invoices have typically been received) and payable to vendors for goods and services received that are used in an entity's business. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer).

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Carrying value as of the balance sheet date of obligations incurred through that date and payable for professional fees, such as for legal and accounting services received. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer).

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