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Accounts Receivable (Tables)
12 Months Ended
Dec. 31, 2018
Receivables [Abstract]  
Schedule of Accounts Receivable

Accounts receivable at December 31, 2018 and 2017 consisted of the following:

 

   December 31, 
   2018   2017 
Accounts receivable - Clinical Laboratory Operations  $622,009   $1,478,451 
Accounts receivable - Hospital Operations   31,607,644    8,593,747 
Total accounts receivable   32,229,653    10,072,198 
Less:          
Allowance for discounts - Clinical Laboratory Operations   (573,584)   (1,177,054)
Allowance for discounts - Hospital Operations   (25,066,799)   (6,936,429)
Allowance for bad debts   (2,777,521)   (987,403)
Accounts receivable, net  $3,811,749   $971,312