Quarterly report pursuant to Section 13 or 15(d)

Acquisitions - Schedule of Assets Acquired and Liabilities Assumed (Details)

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Acquisitions - Schedule of Assets Acquired and Liabilities Assumed (Details) - USD ($)
3 Months Ended 9 Months Ended
Mar. 05, 2019
Jun. 02, 2018
Sep. 30, 2019
Dec. 31, 2018
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Gain on bargain purchase       $ 250,000 $ 7,732,302
Jamestown Regional Medical Center [Member]              
Total purchase price   $ 635,096          
Cash   375          
Inventories   450,682          
Prepaids and deposits   310,385          
Property and equipment   7,129,484          
Intangible Assets - certificate of need   504,806          
Accrued expenses   (193,966)          
Net tangible and intangible assets acquired   8,201,766          
Gain on bargain purchase   $ 7,566,670 [1]   $ 7,732,302      
Jellico Community Hospital and CarePlus Center [Member]              
Total purchase price $ 658,537            
Inventories 317,427            
Property and equipment 500,000            
Intangible Assets - certificate of need 250,000            
Accrued expenses (158,890)            
Net tangible and intangible assets acquired 908,537            
Gain on bargain purchase $ 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.