Annual report pursuant to Section 13 and 15(d)

Acquisitions - Schedule of Unaudited Pro-forma of Results of Operations (Details)

v3.19.3
Acquisitions - Schedule of Unaudited Pro-forma of Results of Operations (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Deemed dividend from trigger of down round provision feature $ (231,843,826) $ (53,341,619)
Jamestown Regional Medical Center [Member]    
Net revenue 19,983,266 19,446,732
Net loss from continuing operations (15,720,672) (55,305,325)
Net loss (16,155,515) (59,582,243)
Deemed dividend from trigger of down round provision feature (231,843,826) (53,341,619)
Net loss to common stockholders $ (247,999,341) $ (112,923,862)
Basic and diluted continuing operations $ (24.70) $ (23,537.03)
Basic and diluted net loss to common stockholders $ (24.75) $ (24,463.57)