Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($)	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Medical Liabilities, Current
Balance, beginning of year	$ 33,641,701	$ 63,972,318
Acquired (see Note 3)	27,474,440	0
Claims paid for previous year	(33,396,932)	(36,549,348)
Claims paid on acquired liabilities	(25,236,286)	0
Incurred health care costs	274,670,676	209,002,961
Claims paid for current year	(218,564,072)	(167,537,480)
Payment to CMS	0	(34,464,826)
Adjustments	135,155	(781,924)
Balance, end of year	$ 58,724,682	$ 33,641,701