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Investments in Other Entities - Equity Method - Summarized Balance Sheets and Statements of Income (Details) - USD ($) | 9 Months Ended |
--- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Dec. 31, 2018
LaSalle Medical Associates – IPA Line of Business |  |  |
Assets |  |  |
Cash and cash equivalents | $ 3,237,833 |  | $ 18,444,702
Receivables, net | 7,778,735 |  | 2,897,337
Other current assets | 3,526,319 |  | 5,459,442
Loan receivable | 2,250,000 |  | 1,250,000
Restricted cash | 680,216 |  | 667,414
Total assets | 17,473,103 |  | 28,718,895
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 22,953,961 |  | 26,837,814
Stockholders’ (deficit) equity | (5,480,858) |  | 1,881,081
Total liabilities and stockholders’ (deficit) equity | 17,473,103 |  | 28,718,895
Statements of Operations |  |  |
Revenues | 144,569,818 | $ 177,696,760 |
Expenses | 155,581,757 | 180,445,655 |
Net loss | (11,011,939) | (2,748,895) |
Universal Care, Inc. |  |  |
Assets |  |  |
Cash and cash equivalents | 29,568,915 |  | 27,812,520
Receivables, net | 62,787,671 |  | 46,978,703
Other current assets | 33,786,968 |  | 18,670,350
Other assets | 10,799,827 |  | 661,621
Property and equipment, net | 3,319,680 |  | 2,786,996
Total assets | 140,263,061 |  | 96,910,190
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 120,698,226 |  | 89,731,133
Other liabilities | 25,067,577 |  | 25,024,043
Stockholders’ (deficit) equity | (5,502,742) |  | (17,844,986)
Total liabilities and stockholders’ (deficit) equity | 140,263,061 |  | 96,910,190
Statements of Operations |  |  |
Revenues | 372,181,425 | 240,633,955 |
Expenses | 370,597,312 | 246,765,335 |
Income (loss) before benefit from income taxes | 1,584,113 | (6,131,380) |
Provision for income taxes | (11,010,394) | (130,023) |
Net loss | 12,594,507 | (6,001,357) |
WCollege LLC |  |  |
Assets |  |  |
Cash and cash equivalents | 31,986 |  | 158,088
Other current assets | 24,750 |  | 16,137
Other assets | 70,000 |  | 70,000
Property and equipment, net | 33,412,652 |  | 33,394,792
Total assets | 33,539,388 |  | 33,639,017
Liabilities and Stockholders' (Deficit) Equity |  |  |
Current liabilities | 1,261,243 |  | 1,007,413
Stockholders’ (deficit) equity | 32,278,145 |  | 32,631,604
Total liabilities and stockholders’ (deficit) equity | 33,539,388 |  | $ 33,639,017
Statements of Operations |  |  |
Revenues | 0 | 0 |
Expenses | 779,958 | 181,359 |
Income (loss) before benefit from income taxes | (779,958) | (181,359) |
Other Income | 426,500 | 25,650 |
Net loss | $ (353,458) | $ (155,709) |

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