Quarterly report pursuant to Section 13 or 15(d)

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

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Acquisitions - Schedule of Assets Acquired and Liabilities Assumed (Details) (Parenthetical) - USD ($)
3 Months Ended 9 Months Ended
Jun. 02, 2018
[1]
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]            
Gain on bargain purchase $ 7,566,670   $ 7,732,302      
[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.