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Investments in Other Entities - Equity Method - Equity Method Investments (Details) - USD ($) | Sep. 30, 2019 | Dec. 31, 2018
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Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | $ 35,840,105 | $ 34,876,980
LaSalle Medical Associates – IPA Line of Business |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 6,426,903 | 7,054,888
Pacific Medical Imaging & Oncology Center, Inc. |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 1,542,506 | 1,359,494
Universal Care, Inc. |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 8,794,659 | 2,635,945
Accountable Health Care - related party |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 0 | 4,977,957
Diagnostic Medical Group |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 2,714,008 | 2,257,346
Pacific Ambulatory Surgery Center, LLC |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 0 | 285,198
531 W. College, LLC – related party |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | 16,139,073 | 16,273,152
MWN, LLC – related party |  |
Schedule of Equity Method Investments [Line Items] |  |
Investments in other entities – equity method | $ 222,956 | $ 33,000

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