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Investments in Other Entities - Summarized Balance Sheets and Statements of Income (Details) - USD ($) | 6 Months Ended |
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Jun. 30, 2019 | Jun. 30, 2018 | Dec. 31, 2018
LaSalle Medical Associates – IPA Line of Business |  |  |
Assets |  |  |
Cash and cash equivalents | $ 6,338,344 |  | $ 18,444,702
Receivables, net | 6,864,902 |  | 2,897,337
Other current assets | 3,526,319 |  | 5,459,442
Loan receivable | 2,250,000 |  | 1,250,000
Restricted cash | 676,774 |  | 667,414
Total assets | 19,656,339 |  | 28,718,895
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 23,536,048 |  | 26,837,814
Stockholders’ (deficit) equity | (3,879,709) |  | 1,881,081
Total liabilities and stockholders’ (deficit) equity | 19,656,339 |  | 28,718,895
Statements of Operations |  |  |
Revenues | 93,434,476 | $ 110,311,466 |
Expenses | 102,845,266 | 113,744,898 |
Net loss | (9,410,790) | (3,433,432) |
Universal Care, Inc. |  |  |
Assets |  |  |
Cash and cash equivalents | 44,503,392 |  | 27,812,520
Receivables, net | 48,820,720 |  | 46,978,703
Other current assets | 37,563,651 |  | 18,670,350
Other assets | 673,893 |  | 661,621
Property and equipment, net | 3,071,398 |  | 2,786,996
Total assets | 134,633,054 |  | 96,910,190
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 115,966,346 |  | 89,731,133
Other liabilities | 25,005,609 |  | 25,024,043
Stockholders’ (deficit) equity | (6,338,901) |  | (17,844,986)
Total liabilities and stockholders’ (deficit) equity | 134,633,054 |  | 96,910,190
Statements of Operations |  |  |
Revenues | 247,517,017 | 149,825,595 |
Expenses | 239,388,926 | 146,614,334 |
Income (loss) before benefit from income taxes | 8,128,091 | 3,211,261 |
Provision for income taxes | (3,167,384) | (289,200) |
Net loss | 11,295,475 | $ 3,500,461 |
Accountable Health Care IPA- related party |  |  |
Assets |  |  |
Cash and cash equivalents | 3,501,839 |  | 5,582,837
Receivables, net | 0 |  | 11,246,477
Other current assets | 30,940 |  | 30,940
Other assets | 1,312,768 |  | 1,312,768
Property and equipment, net | 138,690 |  | 138,690
Total assets | 4,984,237 |  | 18,311,712
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 20,793,426 |  | 16,824,083
Other liabilities | 19,500,000 |  | 19,500,000
Stockholders’ (deficit) equity | (35,309,189) |  | (18,012,371)
Total liabilities and stockholders’ (deficit) equity | 4,984,237 |  | 18,311,712
Statements of Operations |  |  |
Revenues | 46,813,524 |  |
Expenses | 64,063,864 |  |
Income (loss) before benefit from income taxes | (17,250,340) |  |
Provision for income taxes | 0 |  |
Net loss | (17,250,340) |  |
WCollege LLC |  |  |
Assets |  |  |
Cash and cash equivalents | 141,616 |  | 158,088
Other current assets | 0 |  | 16,137
Other assets | 70,000 |  | 70,000
Property and equipment, net | 33,394,792 |  | 33,394,792
Total assets | 33,606,408 |  | 33,639,017
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 1,128,741 |  | 1,007,413
Stockholders’ (deficit) equity | 32,477,667 |  | 32,631,604
Total liabilities and stockholders’ (deficit) equity | 33,606,408 |  | $ 33,639,017
Statements of Operations |  |  |
Revenues | 0 |  |
Expenses | 538,437 |  |
Income (loss) before benefit from income taxes | (538,437) |  |
Other Income | 384,500 |  |
Net loss | $ (153,937) |  |

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