Quarterly report pursuant to Section 13 or 15(d)

Acquisitions (Details Narrative)

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Acquisitions (Details Narrative) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Mar. 05, 2019
Jun. 02, 2018
Sep. 30, 2019
Dec. 31, 2018
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Jun. 02, 2019
Gain on bargain purchase       $ 250,000 $ 7,732,302    
Fair value of intangible assets acquired   $ 259,443              
Jamestown Regional Medical Center [Member]                  
Purchase price paid   635,096              
Closing costs of acquisition   35,735              
Legal costs   115,000              
Fair value of assets acquired and liabilities assumed   8,201,766              
Gain on bargain purchase   7,566,670 [1]   $ 7,732,302          
Fair value of intangible assets acquired   $ 504,806              
Jamestown Regional Medical Center [Member] | Non Compete Intangible [Member]                  
Fair value of intangible assets acquired                 $ 245,363
Remaining amortization period               2 years  
Impairment of intangible assets               $ 200,000  
Jellico Community Hospital and CarePlus Center [Member]                  
Purchase price paid $ 658,537                
Fair value of assets acquired and liabilities assumed 908,537                
Gain on bargain purchase 250,000                
Total cost of acquisition 908,537                
Diligence, legal and other costs $ 250,000                
[1] Gain was adjusted in the fourth quarter of 2018 from $7,732,302 to $7,566,670 to reflect an adjustment of the value of the property and equipment acquired.