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Accounts Payable and Accrued Expenses (Details) - USD ($) | Sep. 30, 2019 | Dec. 31, 2018
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Payables and Accruals [Abstract] |  |
Accounts payable | $ 4,353,117 | $ 4,481,544
Capitation payable | 2,603,636 | 300,000
Subcontractor IPA risk pool payable | 3,171,030 | 2,532,750
Professional fees | 3,523,226 | 2,251,741
Due to related parties | 482,552 | 1,488,313
Accrued compensation | 4,427,951 | 4,996,906
Contract liabilities | 16,978,405 | 9,024,235
Accounts payable and accrued expenses | $ 35,539,917 | $ 25,075,489

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