Quarterly report pursuant to Section 13 or 15(d)

Property and Equipment - Schedule of Property and Equipment (Details)

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Property and Equipment - Schedule of Property and Equipment (Details) - USD ($)
Jun. 30, 2018
Dec. 31, 2017
Property and equipment, gross $ 16,445,782 $ 9,798,914
Less accumulated depreciation (7,008,958) (7,103,474)
Property and equipment, net 9,436,824 2,695,440
Medical Equipment [Member]    
Property and equipment, gross 2,173,488 696,195
Land [Member]    
Property and equipment, gross 550,700
Building [Member]    
Property and equipment, gross 6,478,284 1,359,472
Equipment [Member]    
Property and equipment, gross 437,029 476,548
Equipment under Capital Leases [Member]    
Property and equipment, gross 4,253,123 4,686,736
Furniture [Member]    
Property and equipment, gross 244,829 222,824
Leasehold Improvements [Member]    
Property and equipment, gross 1,303,131 1,303,131
Vehicles [Member]    
Property and equipment, gross 56,625 196,534
Computer Equipment [Member]    
Property and equipment, gross 224,447 226,441
Software [Member]    
Property and equipment, gross $ 724,126 $ 631,033