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 9 Months Ended
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Net revenue $ 8,276,112 $ 14,855,436 $ 25,499,677
Net income (loss) from continuing operations 96,879,012 (38,537,422) (8,151,239)
Deemed dividend from trigger of down round provision feature (17,942,578) (123,861,587) (17,942,578)
Net (loss) income from discontinued operations $ (159,430) $ (791,936) $ 115,787
Net income (loss) to common shareholders - basic 78,777,004 (163,190,945) (25,978,030)
Adjustments for diluted loss to common shareholders (98,678,041)
Net loss to common shareholders - diluted (19,901,037) (163,190,945) (25,978,030)
Basic continuing operations $ 17.51 $ (0.01) $ (3.20)
Diluted continuing operations (0.02) (0.01) (3.20)
Basic net income (loss) to common shareholders 14.24 (0.04) (10.18)
Diluted net loss to common shareholders $ (0.24) $ (0.04) $ (10.18)