Mezzanine and Shareholders' Equity - Shareholders' Equity (Details) - USD ($)						1 Months Ended	11 Months Ended	12 Months Ended
	Mar. 21, 2018	Dec. 08, 2017	Dec. 07, 2017	Mar. 30, 2016	Oct. 14, 2015	Dec. 31, 2017	Dec. 06, 2017	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Class of Stock [Line Items]
Number of shares purchased by related party (in shares)	600,000
Consideration transferred		$ 86,394,383
Gain (loss) on investments								$ 0	$ 0	$ 13,697,018
Shares issued for cash and exercise of options										2,059,533
Shares issued for exercise of options and warrants (in shares)								241,214	488,464
Shares issued price per share (in dollars per share)	$ 16.80
Common stock shares subscribed but unissued (in shares)			508,133
Share-based compensation						$ 800,000		$ 1,546,861	$ 1,441,089	$ 2,743,116
Business acquisition share price (in dollars per share)						$ 10.00				$ 10.00
Proceeds from common stock offering								$ 754,998	$ 200,000	$ 2,160,736
Stock repurchased										1,652,286
Number of shares holdback percentage		10.00%
Stock issued during period share conversion of notes (in shares)		520,081
Stock issued during period value conversion of notes		$ 5,400,000
Effect of share exchange in Merger (in shares)								535,392
Stock issued during period and issued for services (in shares)	37,593
Series A Preferred Stock
Class of Stock [Line Items]
Consideration transferred					$ 12,700,000
Expected term					2 years
Expected volatility rate					37.90%
Risk-free interest rate					1.80%
Series B Preferred Stock
Class of Stock [Line Items]
Number of shares purchased by related party (in shares)				555,555
Exercise price per share (in dollars per share)				$ 10.00
Stock issued during period new issues (in shares)				$ 5,000,000
Consideration transferred				$ 6,400,000
Expected term				2 years
Expected volatility rate				37.90%
Risk-free interest rate				1.80%
Gain (loss) on investments										8,600,000
Private Placement
Class of Stock [Line Items]
Number of shares purchased by related party (in shares)					1,111,111
Exercise price per share (in dollars per share)				$ 10.00	$ 9.00
Stock issued during period new issues (in shares)					$ 10,000,000
Network Medical Management, Inc 'NMM'
Class of Stock [Line Items]
Shares issued for exercise of options and warrants (in shares)			102,641
Business acquisition share price (in dollars per share)			$ 1.46
Proceeds from common stock offering			$ 200,000
Sale of stock number of shares issued in transaction (in shares)			129,651
Sale of stock price per share (in dollars per share)			$ 14.61
Sale of stock consideration received per transaction			$ 1,900,000
Stock repurchased during period (in shares)		30,397,489
Number of shares holdback percentage								10.00%
Number of shares held back (in shares)		3,039,749
Common Stock
Class of Stock [Line Items]
Shares issued for cash and exercise of options										$ 233
Shares issued for exercise of options and warrants (in shares)										232,254
Stock repurchased during period (in shares)										132,752
Stock repurchased										$ 133
Effect of share exchange in Merger (in shares)										6,109,205
Common Stock | Network Medical Management, Inc 'NMM'
Class of Stock [Line Items]
Shares issued for cash and exercise of options							$ 300,000
Shares issued for exercise of options and warrants (in shares)							102,199
Shares issued price per share (in dollars per share)			$ 2.44
Common stock share subscribed but unissued subscriptions receivable			$ 1,200,000
First Repurchase | Network Medical Management, Inc 'NMM'
Class of Stock [Line Items]
Stock repurchased during period (in shares)			109,123
Stock repurchased			$ 1,600,000
Second Repurchase | Network Medical Management, Inc 'NMM'
Class of Stock [Line Items]
Business acquisition share price (in dollars per share)			$ 2.44
Stock repurchased during period (in shares)			23,628
Stock repurchased			$ 100,000
Warrant 1
Class of Stock [Line Items]
Exercise price per share (in dollars per share)		$ 11.00
Number of warrants (in shares)		850,000
Warrant 2
Class of Stock [Line Items]
Exercise price per share (in dollars per share)		$ 10.00
Number of warrants (in shares)		900,000
Tranche one
Class of Stock [Line Items]
Share-based compensation arrangement by based payment award outstanding (in shares)								1,511,380	1,519,805
Former Shareholders of NMM
Class of Stock [Line Items]
Shares issued (in shares)								25,675,630