Annual report pursuant to Section 13 and 15(d)

Debt - Schedule of Maturities of Long-term Debt (Details)

v3.19.1
Debt - Schedule of Maturities of Long-term Debt (Details)
Dec. 31, 2018
USD ($)
Debt Instrument [Line Items]  
2019 $ 277,776
2020 149,475
2021 55,413
2022 12,857
2023 4,655
Total 500,176
Vehicle Financing Notes [Member]  
Debt Instrument [Line Items]  
2019 71,750
2020 65,475
2021 29,413
2022 12,857
2023 4,655
Total 184,150
Insurance Financing [Member]  
Debt Instrument [Line Items]  
2019 122,026
2020
2021
2022
2023
Total 122,026
Payable to Managed Practices [Member]  
Debt Instrument [Line Items]  
2019 84,000
2020 84,000
2021 26,000
2022
2023
Total $ 194,000