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 ($)
Sep. 30, 2018
Dec. 31, 2017
Property and equipment, gross $ 12,958,272 $ 9,798,914
Less accumulated depreciation (3,821,278) (7,103,474)
Property and equipment, net 9,136,994 2,695,440
Medical Equipment [Member]    
Property and equipment, gross 2,196,358 696,195
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 742,745 4,686,736
Furniture [Member]    
Property and equipment, gross 244,828 222,824
Leasehold Improvements [Member]    
Property and equipment, gross 1,303,131 1,303,131
Vehicles [Member]    
Property and equipment, gross 56,624 196,534
Computer Equipment [Member]    
Property and equipment, gross 224,447 226,441
Software [Member]    
Property and equipment, gross $ 724,126 $ 631,033