Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($)	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Indefinite-lived Intangible Assets [Roll Forward]
Impairment/ Disposal	$ (1,994,000)	$ 0
Finite-lived Intangible Assets [Roll Forward]
Additions	34,047,000	0
Accumulated Amortization	(73,517,151)	(57,600,117)
Total	103,012,000
Intangible Assets Gross Beginning Balance	144,476,000	144,476,000
Intangible Assets Gross, Ending Balance	176,529,000	144,476,000
Intangible assets, net	103,011,849	86,875,883
Network relationships
Finite-lived Intangible Assets [Roll Forward]
Beginning Balance, Gross	109,883,000	109,883,000
Additions	34,047,000	0
Ending Balance, Gross	143,930,000	109,883,000
Accumulated Amortization	(60,524,996)	(48,361,773)
Total	$ 83,405,004	$ 61,521,227
Network relationships | Minimum
Finite-Lived Intangible Assets [Line Items]
Useful Life (Years)	11 years	11 years
Network relationships | Maximum
Finite-Lived Intangible Assets [Line Items]
Useful Life (Years)	15 years	15 years
Management contracts
Finite-Lived Intangible Assets [Line Items]
Useful Life (Years)	15 years	15 years
Finite-lived Intangible Assets [Roll Forward]
Beginning Balance, Gross	$ 22,832,000	$ 22,832,000
Additions	0	0
Ending Balance, Gross	22,832,000	22,832,000
Accumulated Amortization	(9,676,381)	(7,447,581)
Total	$ 13,155,619	$ 15,384,419
Member relationships
Finite-Lived Intangible Assets [Line Items]
Useful Life (Years)	12 years	12 years
Finite-lived Intangible Assets [Roll Forward]
Beginning Balance, Gross	$ 6,696,000	$ 6,696,000
Additions	0	0
Ending Balance, Gross	6,696,000	6,696,000
Accumulated Amortization	(2,352,133)	(1,289,667)
Total	$ 4,343,867	$ 5,406,333
Patient management platform
Finite-Lived Intangible Assets [Line Items]
Useful Life (Years)	5 years	5 years
Finite-lived Intangible Assets [Roll Forward]
Beginning Balance, Gross	$ 2,060,000	$ 2,060,000
Additions	0	0
Ending Balance, Gross	2,060,000	2,060,000
Accumulated Amortization	(858,329)	(446,333)
Total	$ 1,201,671	$ 1,613,667
Tradename/trademarks
Finite-Lived Intangible Assets [Line Items]
Useful Life (Years)	20 years	20 years
Finite-lived Intangible Assets [Roll Forward]
Beginning Balance, Gross	$ 1,011,000	$ 1,011,000
Additions	0	0
Ending Balance, Gross	1,011,000	1,011,000
Accumulated Amortization	(105,312)	(54,763)
Total	905,688	956,237
Medicare licenses
Indefinite-lived Intangible Assets [Roll Forward]
Beginning Balance	1,994,000	1,994,000
Additions	0	0
Impairment/ Disposal	(1,994,000)	0
Ending Balance	$ 0	$ 1,994,000