Investments in Other Entities - Summarized Balance Sheets and Statements of Income (Details) - USD ($)	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
LaSalle Medical Associates – IPA Line of Business
Assets
Cash and cash equivalents	$ 6,345,195	$ 18,444,702
Receivables, net	5,123,228	2,897,337
Other current assets	3,526,319	5,459,442
Loan receivable	2,250,000	1,250,000
Restricted cash	683,358	667,414
Total assets	17,928,100	28,718,895
Liabilities and Stockholders’ Equity
Current liabilities	23,529,745	26,837,814
Stockholders’ (deficit) equity	(5,601,645)	1,881,081
Total liabilities and stockholders’ (deficit) equity	17,928,100	28,718,895
Statements of Operations
Revenues	194,020,435	239,031,485
Expenses	205,153,162	251,738,193
Loss before income tax provision	(11,132,727)	(12,533,352)
Loss from operations	(11,132,727)	(12,706,708)
Other Income	0	173,356
Income tax benefit	0	(3,334,332)
Net loss	(11,132,727)	(9,199,020)
Universal Care, Inc.
Assets
Cash and cash equivalents	33,889,962	27,812,520
Receivables, net	63,843,009	46,978,703
Other current assets	38,280,156	18,670,350
Other assets	882,243	661,621
Property and equipment, net	4,021,341	2,786,996
Total assets	140,916,711	96,910,190
Liabilities and Stockholders’ Equity
Current liabilities	128,330,389	89,731,133
Other liabilities	33,132,948	25,024,043
Stockholders’ (deficit) equity	(20,546,626)	(17,844,986)
Total liabilities and stockholders’ (deficit) equity	140,916,711	96,910,190
Statements of Operations
Revenues	500,374,910	326,719,634
Expenses	502,566,659	335,242,582
Loss before income tax provision	(2,191,749)	(8,522,948)
Income tax benefit	257,628	3,692,818
Net loss	(2,449,377)	(12,215,766)
531 W. College, LLC
Assets
Cash and cash equivalents	139,436	158,088
Other current assets	16,500	16,137
Other assets	70,000	70,000
Property and equipment, net	33,581,438	33,394,792
Total assets	33,807,374	33,639,017
Liabilities and Stockholders’ Equity
Current liabilities	1,061,577	1,007,413
Stockholders’ (deficit) equity	32,745,797	32,631,604
Total liabilities and stockholders’ (deficit) equity	33,807,374	33,639,017
Statements of Operations
Revenues	0	0
Expenses	1,010,423	875,771
Loss from operations	(1,010,423)	(875,771)
Other Income	474,617	162,451
Net loss	$ (535,806)	$ (713,320)