Quarterly report pursuant to Section 13 or 15(d)

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

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Acquisitions - Schedule of Unaudited Pro-forma of Results of Operations (Details) - Jamestown Regional Medical Center and Jellico Community Hospital and Careplus Center [Member] - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Net revenue $ 8,387,086 $ 10,969,459 $ 17,221,565
Net income (loss) from continuing operations 43,380,783 (26,409,730) (104,817,250)
Deemed dividend from trigger of down round provision feature (123,861,587)
Net (loss) income from discontinued operations $ (146,577) $ (653,860) $ 275,216
Net income (loss) to common shareholders - basic 43,234,206 (150,925,177) (104,542,034)
Adjustments for diluted loss to common shareholders (51,446,478)
Net loss to common shareholders - diluted (8,212,272) (150,925,177) (104,542,034)
Basic continuing operations $ 26.77 $ (0.01) $ (101.24)
Diluted continuing operations (0.34) (0.01) (101.24)
Basic net income (loss) to common shareholders 26.68 (0.04) (100.97)
Diluted net income (loss) to common shareholders $ (0.35) $ (0.04) $ (100.97)