Annual report pursuant to Section 13 and 15(d)

Subsequent Events (Details Narrative)

Subsequent Events (Details Narrative)													3 Months Ended	4 Months Ended	8 Months Ended	9 Months Ended	12 Months Ended
Subsequent Events (Details Narrative)	Oct. 12, 2019	Sep. 27, 2019 USD ($)	Aug. 17, 2019	Jun. 24, 2019 USD ($)	Jun. 13, 2019 USD ($)	Jun. 07, 2019 USD ($)	Jun. 05, 2019 USD ($)	May 12, 2019 USD ($)	Mar. 27, 2019 USD ($)	Mar. 05, 2019 USD ($)	Feb. 24, 2019 USD ($)	Mar. 21, 2017 USD ($)	Mar. 31, 2019 USD ($)	Jun. 24, 2019 USD ($)	Sep. 10, 2019 USD ($) Integer shares	Sep. 19, 2019 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Jun. 21, 2019 USD ($)	Nov. 03, 2016 USD ($)
Net revenues																	$ 14,548,690	$ 3,088,216
Loan payable																	800,000
Debt instrument principal amount																				$ 341,612
Proceeds from debt																	9,000,000	$ 15,742,500
The June 2019 Debentures [Member] \| Forecast [Member]
Debt interest rate increasing percentage	5.00%
March Debentures [Member]
Debt instrument principal amount												$ 1,984,000
Debt instrument maturity date												Mar. 21, 2019
Debt instrument default interest rate												18.00%
Debentures [Member]
Debt instrument principal amount																	$ 17,050,000
Debt instrument maturity date																	Sep. 19, 2019
Debt instrument default interest rate																	18.00%
Default penalty amount																	$ 5,100,000
Subsequent Event [Member]
Number of shares converted \| shares															7,380,369,502
Subsequent Event [Member] \| Series B Warrants [Member]
Warrants expiration, description									The expiration date of the Series B warrants issued in March 2017 and September 2017 were extended from June 2019 to September 2019.
Subsequent Event [Member] \| Warrants [Member]
Warrants expiration, date								Mar. 31, 2022
Fair value of warrants								$ 9,500,000
Subsequent Event [Member] \| 2019 Debenture Offerings [Member]
Proceeds from debt														$ 3,800,000
Subsequent Event [Member] \| The June 2019 Debentures [Member]
Debt interest rate per month			2.50%
Debt instrument, interest rate terms			All overdue accrued and unpaid interest shall entail a late fee equal to the lesser of 24% per annum or the maximum rate permitted by applicable law.
Subsequent Event [Member] \| March Debentures [Member]
Default penalty amount													$ 600,000
Subsequent Event [Member] \| Accounts Receivable Factoring Arrangements [Member]
Number of accounts receivable factoring arrangement \| Integer															5
Accounts receivable sold on non-recourse basis															$ 3,900,000
Non-recourse debt purchase price															2,700,000
Origination fees, amount															100,000
Non-recourse debt outstanding amount															$ 1,700,000
Subsequent Event [Member] \| JChristopher Diamantis [Member] \| 2019 Debenture Offerings [Member]
Debt instrument principal amount						$ 200,000	$ 125,000	$ 500,000	$ 300,000		$ 300,000
Debt instrument maturity date						Jul. 20, 2019	Jul. 20, 2019	Jun. 03, 2019	Jun. 03, 2019		Jun. 03, 2019
Subsequent Event [Member] \| JChristopher Diamantis [Member] \| Prepaid Forward Purchase Contract [Member]
Due to related parties																$ 9,900,000
Loan payable																6,500,000
Payment for fees and expenses incurred																1,900,000
Incurred interest																1,500,000
Repayments of accrued interest																1,500,000
Subsequent Event [Member] \| Institutional Investors [Member] \| Bridge Debenture Agreement [Member] \| 2019 Debenture Offerings [Member]
Debt instrument principal amount					$ 1,250,000
Proceeds from debt					1,250,000
Subsequent Event [Member] \| Investors [Member] \| 2019 Debenture Offerings [Member]
Debt instrument principal amount				$ 1,020,000										$ 1,020,000					$ 250,000
Subsequent Event [Member] \| Investors [Member] \| June 21,2019 and June 24, 2019 Debenture Offerings [Member]
Proceeds from debt				$ 1,270,000
Subsequent Event [Member] \| Investors [Member] \| June 13 Agreement [Member] \| 2019 Debenture Offerings [Member]
Debt instrument principal amount					$ 1,250,000
Debt instrument maturity date, description					Under the June 13 Agreement, the maturity date of the debentures issued on February 24, 2019, March 27, 2019, May 12, 2019, June 5, 2019 and June 7, 2019 were extended to December 31, 2019 and the terms were changed such that they have the same interest terms as contained in the June 13, 2019 debentures
Subsequent Event [Member] \| Lender [Member] \| Promissoy Note [Member]
Debt instrument principal amount		$ 1,900,000
Proceeds from debt		1,600,000
Periodic principal paymnent		$ 1,000,000
Due date		Nov. 08, 2019
Remaining periodic principal paymnent		$ 900,000
Remaining periodic principal paymnent, due date		Dec. 26, 2019
Subsequent Event [Member] \| Jellico Community Hospital and CarePlus Center [Member] \| JChristopher Diamantis [Member]
Business acquisition purchase price										$ 658,537
Diligence, legal and other costs										250,000
Cost of acquisition										908,000
Subsequent Event [Member] \| Jellico Community Hospital and CarePlus Center [Member] \| Government Payors [Member]
Net revenues										$ 12,000,000
Percentage for annual net revenues										70.00%
Subsequent Event [Member] \| Jellico Community Hospital [Member] \| JChristopher Diamantis [Member] \| Prepaid Forward Purchase Contract [Member]
Business acquisition purchase price																$ 700,000