Income Taxes - Deferred Tax Assets (Liabilities) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Deferred tax assets (liabilities)
State taxes	$ 1,110,659	$ 1,886,010
Stock options	1,293,164	1,660,664
Accrued payroll and related cost	277,682	238,633
Accrued hospital pool deficit	188,075	168,413
Allowance for bad debts	544,028	1,124,917
Investment in other entities	2,977,431	884,922
Net operating loss carryforward	13,849,685	6,414,256
Lease liability	3,567,302
Property and equipment	(927,011)	(1,286,087)
Acquired intangible assets	(29,195,045)	(24,084,892)
Right-of-use assets	(3,544,315)
Risk Pool Receivable	(1,623,049)	(2,434,573)
Other	1,403,446
Other		(792,781)
Net deferred tax liabilities before valuation allowance	(10,077,948)	(16,220,518)
Valuation allowance	(8,191,500)	(3,395,417)
Net deferred tax liabilities	(18,269,448)	(19,615,935)
Deferred Tax Asset
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Beginning balance	3,395,417	3,224,517
Charged (credited) to tax expense	1,085,842	170,900
Charged to goodwill	3,710,241	0
Ending balance	$ 8,191,500	$ 3,395,417