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Business Combination and Goodwill - Assets Acquired and Liabilities Assumed (Details) |  |  |  | 9 Months Ended |
--- | --- | --- | --- | --- | ---
Sep. 10, 2019 USD ($) acquisition | Aug. 30, 2019 USD ($) | May 31, 2019 USD ($) | Sep. 30, 2019 USD ($) | Sep. 30, 2018 USD ($) | Dec. 31, 2018 USD ($)
Business Acquisition [Line Items] |  |  |  |  |  |
Cash paid |  |  |  | $ 49,402,514 | $ 0 |
Gain on loan assumption |  |  |  | 2,250,000 | $ 0 |
Assets acquired |  |  |  |  |  |
Goodwill |  |  |  | 237,134,772 |  | $ 185,805,880
Accountable Health Care - related party |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Consideration transferred |  | $ 25,100,000 |  |  |  |
Liabilities assumed |  | $ 15,400,000 |  |  |  |
Series of Individually Immaterial Business Acquisitions |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Consideration transferred |  |  |  | $ 1,700,000 |  |
Number of acquisitions | acquisition | 1 |  |  |  |  |
Value of shares transferred in acquisition | $ 400,000 |  |  |  |  |
APC and APC-LSMA | Alpha Care Medical Group, Inc. |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Interest acquired |  |  | 100.00% |  |  |
Cash paid |  |  | $ 45,055,564 |  |  |
Escrow deposit for potential post-closing adjustments |  |  | 2,000,000 |  |  |
Assets acquired |  |  |  |  |  |
Cash and cash equivalents |  |  | 3,568,554 |  |  |
Accounts receivable, net |  |  | 10,335,664 |  |  |
Other current assets |  |  | 2,004,649 |  |  |
Network relationship intangible assets |  |  | 29,858,000 |  |  |
Goodwill |  |  | 24,637,507 |  |  |
Accounts Payable |  |  | (2,273,753) |  |  |
Deferred tax liabilities |  |  | (8,355,343) |  |  |
Medical liabilities |  |  | (14,719,714) |  |  |
Net assets acquired |  |  | $ 45,055,564 |  |  |
APC | Accountable Health Care - related party |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Interest acquired |  | 25.00% |  |  |  |
Payments to acquire investments |  | $ 2,400,000 |  |  |  |
Dr. Jay | Accountable Health Care - related party |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Interest acquired |  | 75.00% |  |  |  |
Cash paid |  | $ 7,250,000 |  |  |  |
Consideration transferred |  | 7,300,000 |  |  |  |
Liabilities assumed |  | 5,000,000 |  |  |  |
Gain on loan assumption |  | 2,300,000 |  |  |  |
Assets acquired |  |  |  |  |  |
Cash and cash equivalents |  | 581,965 |  |  |  |
Accounts receivable, net |  | 5,150,060 |  |  |  |
Other current assets |  | 198,056 |  |  |  |
Network relationship intangible assets |  | 11,411,000 |  |  |  |
Goodwill |  | 25,604,917 |  |  |  |
Accounts Payable |  | (2,993,325) |  |  |  |
Deferred tax liabilities |  | (3,193,209) |  |  |  |
Medical liabilities |  | (11,684,658) |  |  |  |
Subordinated Loan |  | (15,408,138) |  |  |  |
Net assets acquired |  | 9,666,668 |  |  |  |
Equity investment contributed |  | $ 2,416,668 |  |  |  |

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- Definition Amount of currency on hand as well as demand deposits with banks or financial institutions, acquired at the acquisition date. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=84161108&loc=d3e4845-128472 + Details
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- Definition Amount due from customers or clients for goods or services, including trade receivables, that have been delivered or sold in the normal course of business, and amounts due from others, including related parties expected to be converted to cash, sold or exchanged within one year or the normal operating cycle, if longer, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=84161108&loc=d3e4845-128472 + Details
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