Related Parties (Details) - USD ($) |
3 Months Ended | 9 Months Ended | 12 Months Ended | |||
|---|---|---|---|---|---|---|
Sep. 30, 2021 |
Sep. 30, 2020 |
Sep. 30, 2021 |
Sep. 30, 2020 |
Dec. 31, 2020 |
Dec. 31, 2019 |
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| Related Party Transaction [Line Items] | ||||||
| Balance at Beginning of Year | $ 19,625,091 | $ 14,399,768 | $ 14,399,768 | $ 5,533,097 | ||
| Advanced Made During Year | 3,167,858 | 8,001,957 | ||||
| Accrued Interest | 2,057,465 | 864,714 | ||||
| Balance at End of Year | $ 19,625,091 | 14,399,768 | ||||
| Bacchus Wakefield Kahan, PC | ||||||
| Related Party Transaction [Line Items] | ||||||
| Agreed percentage of pay, if net revenues exceed expenses | 100.00% | 100.00% | ||||
| Balance at Beginning of Year | $ 17,307,627 | 13,535,053 | $ 13,535,053 | |||
| Advanced Made During Year | 4,350,621 | 2,440,816 | ||||
| Accrued Interest | 3,197,822 | 864,982 | ||||
| Balance at End of Year | $ 24,856,071 | $ 16,840,852 | $ 24,856,071 | 16,840,852 | $ 17,307,627 | $ 13,535,053 |
| Bacchus Wakefield Kahan, PC | Prime rate | ||||||
| Related Party Transaction [Line Items] | ||||||
| Spread on variable interest rate | 2.00% | 2.00% | ||||
| Atrio | ||||||
| Related Party Transaction [Line Items] | ||||||
| Capitation revenue | 35,867,712 | 35,281,596 | $ 112,571,916 | 105,589,970 | $ 140,037,791 | |
| Management fees | 549,472 | 557,172 | 1,658,944 | 1,675,380 | 2,230,984 | |
| Claims paid | $ 39,949,769 | $ 35,470,842 | $ 116,863,741 | $ 104,231,320 | $ 148,905,784 | |
| X | ||||||||||
- Definition The agreed percentage of pay, if net revenues exceed expenses. No definition available.
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- Definition Amount of management fees with related party. No definition available.
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- Definition Amount of claims paid to related party. No definition available.
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- Definition Percentage points added to the reference rate to compute the variable rate on the debt instrument. No definition available.
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- Definition For an unclassified balance sheet, reflects the carrying amount of unpaid loan amounts due from related parties at the balance sheet date. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Reflects the amount of new advances made to related parties in the form of loan and lease receivables. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of increase (decrease) in loans and leases receivable due from related parties. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. No definition available.
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- Definition Amount of revenue, fees and commissions earned from transactions between (a) a parent company and its subsidiaries; (b) subsidiaries of a common parent; (c) an entity and trusts for the benefit of employees, for example, but not limited to, pension and profit-sharing trusts that are managed by or under the trusteeship of the entity's management; (d) an entity and its principal, owners, management, or members of their immediate families; and (e) affiliates. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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