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Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($) | 6 Months Ended | 12 Months Ended
--- | --- | ---
Jun. 30, 2019 | Jun. 30, 2018 | Dec. 31, 2018
Finite-Lived Intangible Assets [Line Items] |  |  |
Accumulated Amortization | $ (65,264,142) |  | $ (57,600,117)
Total | 107,076,000 |  |
Intangible Assets, Gross | 174,334,000 |  | 144,476,000
Intangible Assets, Net | 109,069,858 |  | 86,875,883
Network relationships |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Amortized Intangible Assets, Gross | 139,741,000 |  | 109,883,000
Accumulated Amortization | (54,094,505) |  | (48,361,773)
Total | $ 85,646,495 |  | $ 61,521,227
Network relationships | Minimum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful Life | 11 years |  | 11 years
Network relationships | Maximum |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful Life | 15 years |  | 15 years
Management contracts |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful Life | 15 years | 20 years |
Amortized Intangible Assets, Gross | $ 22,832,000 |  | $ 22,832,000
Accumulated Amortization | (8,616,362) |  | (7,447,581)
Total | $ 14,215,638 |  | $ 15,384,419
Member relationships |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful Life | 12 years |  | 12 years
Amortized Intangible Assets, Gross | $ 6,696,000 |  | $ 6,696,000
Accumulated Amortization | (1,820,905) |  | (1,289,667)
Total | $ 4,875,095 |  | $ 5,406,333
Patient management platform |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful Life | 5 years |  | 5 years
Amortized Intangible Assets, Gross | $ 2,060,000 |  | $ 2,060,000
Accumulated Amortization | (652,333) |  | (446,333)
Total | $ 1,407,667 |  | $ 1,613,667
Tradename/trademarks |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Useful Life | 20 years |  | 20 years
Amortized Intangible Assets, Gross | $ 1,011,000 |  | $ 1,011,000
Accumulated Amortization | (80,037) |  | (54,763)
Total | 930,963 |  | 956,237
Medicare license |  |  |
Finite-Lived Intangible Assets [Line Items] |  |  |
Indefinite Lived Assets | $ 1,994,000 |  | $ 1,994,000

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