Quarterly report pursuant to Section 13 or 15(d)

VARIABLE INTEREST ENTITY (Details Narrative)

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VARIABLE INTEREST ENTITY (Details Narrative) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended
Jan. 31, 2018
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Salaries and benefits   $ 5,440,822 $ 4,087,880 $ 14,506,047 $ 11,808,414
Other operating expenses   2,749,769 2,595,447 8,085,419 7,756,453
Operating expenses   9,923,002 8,419,805 27,403,482 24,464,202
General and administrative expenses   1,506,916 1,374,798 4,185,701 4,154,743
Other income (expense)   42,785 41,153 124,991 144,951
Crane Creek Surgery Center [Member]          
Total Revenues     1,003,781   3,442,458
Salaries and benefits     286,526   878,033
Other operating expenses     863,920   2,591,174
General and administrative expenses     123,091   427,454
Depreciation     193,853   250,147
Interest Income (expense)     1,373   2,712
Miscellaneous income     2,672   13,619
Voting Rights, Description <p style="font: 8pt Times New Roman, Times, Serif; margin: 0; text-align: justify">Pursuant to the terms of the Purchase Agreement, the Company acquired from Blue Chip 24.05 Class B Units of membership interest in the Center for cash consideration of $400,000 (the “Transaction”), representing a 25% ownership interest in the Center. As a result of the Transaction, the Company holds a 65% ownership interest in the Center.</p>        
B.A.C.K. Center [Member]          
Total Revenues   4,054,740 3,416,530 12,292,240 10,386,645
Salaries and benefits   2,354,244 1,646,473 6,187,704 5,179,937
Other operating expenses   954,733 899,722 2,816,883 2,576,227
General and administrative expenses   644,376 631,209 1,910,083 2,019,947
Depreciation   25,165 7,256 37,855 19,656
Other income (expense)   41,346 37,731 120,148 129,082
Interest Income (expense)   $ 5,350 $ 4,255 $ (15,532) $ 12,640