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Basis of Presentation (Tables) | 9 Months Ended
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Sep. 30, 2019
Accounting Policies [Abstract] |
Schedule of Disaggregated Revenue By Each Payor Type | The following table presents disaggregated revenue generated by each payor type for the three and nine months ended September 30, 2019 and 2018:
Three Months Ended September 30, | 2019 |  | 2018
Commercial | $ | 25,429,304 |  |  | $ | 28,463,636 |
Medicare | 60,737,135 |  |  | 79,117,660 |
Medicaid | 61,189,161 |  |  | 47,318,190 |
Other third parties | 8,704,624 |  |  | 11,829,795 |
Revenue | $ | 156,060,224 |  |  | $ | 166,729,281 |
Nine Months Ended September 30, | 2019 |  | 2018
Commercial | $ | 75,883,004 |  |  | $ | 83,830,517 |
Medicare | 155,729,758 |  |  | 186,449,517 |
Medicaid | 122,836,562 |  |  | 109,870,854 |
Other third parties | 27,417,637 |  |  | 33,168,170 |
Revenue | $ | 381,866,961 |  |  | $ | 413,319,058 |
Schedule of Contributions to Revenue and Receivables by Payor | The Company had major payors that contributed the following percentages of net revenue:
| For the Three Months Ended September 30,
| 2019 |  | 2018
Payor A | 12.0 | % |  | 14.8 | %
Payor B | 11.7 | % |  | 18.4 | %
Payor C | * |  |  | 12.7 | %
Payor D | 12.0 | % |  | 16.7 | %
Payor E | 19.9 | % |  | * |
| For the Nine Months Ended September 30,
| 2019 |  | 2018
Payor A | 14.3 | % |  | 13.4 | %
Payor B | 13.3 | % |  | 16.9 | %
Payor C | 10.0 | % |  | 13.1 | %
Payor D | * |  |  | 15.6 | %
Payor E | 11.0 | % |  | * |
* | Less than 10% of total net revenues
The Company had major payors that contributed to the following percentages of receivables and receivables – related parties before the allowance for doubtful accounts:
| As of September 30, 2019 |  | As of December 31, 2018
Payor E | 18.1 | % |  | * |
Payor F | 28.0 | % |  | 34.1 | %
Payor G | 29.1 | % |  | 42.2 | %
* | Less than 10% of total receivables and receivables - related parties, net
Schedule of Carrying Amounts and Fair Values of Financial Instruments | The carrying amounts and fair values of the Company’s financial instruments as of September 30, 2019 are presented below:
| Fair Value Measurements |  |
| Level 1 |  | Level 2 |  | Level 3 |  | Total
Assets |  |  |  |  |  |  |
Money market funds* | $ | 194,428,575 |  |  | $ | — |  |  | $ | — |  |  | $ | 194,428,575 |
Marketable securities – certificates of deposit | 1,087,197 |  |  | — |  |  | — |  |  | 1,087,197 |
Marketable securities – equity securities | 67,283 |  |  | — |  |  | — |  |  | 67,283 |
Total | $ | 195,583,055 |  |  | $ | — |  |  | $ | — |  |  | $ | 195,583,055 |
The carrying amounts and fair values of the Company’s financial instruments as of December 31, 2018 are presented below:
| Fair Value Measurements |  |
| Level 1 |  | Level 2 |  | Level 3 |  | Total
Assets |  |  |  |  |  |  |
Money market funds* | $ | 85,500,745 |  |  | $ | — |  |  | $ | — |  |  | $ | 85,500,745 |
Marketable securities – certificates of deposit | 1,066,103 |  |  | — |  |  | — |  |  | 1,066,103 |
Marketable securities – equity securities | 60,999 |  |  | — |  |  | — |  |  | 60,999 |
Total | $ | 86,627,847 |  |  | $ | — |  |  | $ | — |  |  | $ | 86,627,847 |
* Included in cash and cash equivalents

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- Definition Tabular disclosure of the extent of the entity's reliance on its major customers, if revenues from transactions with a single external customer amount to 10 percent or more of entity revenues, including the disclosure of that fact, the total amount of revenues from each such customer, and the identity of the reportable segment or segments reporting the revenues. The entity need not disclose the identity of a major customer or the amount of revenues that each segment reports from that customer. For these purposes, a group of companies known to the entity to be under common control is considered a single customer, and the federal government, a state government, a local government such as a county or municipality, or a foreign government is each considered a single customer. + References No definition available. + Details
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