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Related Party Transactions - Additional Information (Detail) - USD ($) | 12 Months Ended |  |
--- | --- | --- | ---
Dec. 31, 2017 | Dec. 31, 2016 | Nov. 16, 2015 | Sep. 30, 2015
LMA [Member] |  |  |  |
Equity Method Investment, Ownership Percentage | 25.00% |  |  |
Revenue from Related Parties | $ 17,600,000 | $ 17,200,000 |  |
PMIOC [Member] |  |  |  |
Equity Method Investment, Ownership Percentage | 40.00% |  |  |
DMG [Member] |  |  |  |
Payment Made To Related Party | $ 6,100,000 | 5,300,000 |  |
Service [Member] | PMIOC [Member] |  |  |  |
Payment Made To Related Party | 2,300,000 | 1,800,000 |  |
Service [Member] | AMG, Inc [Member] |  |  |  |
Payment Made To Related Party | 2,100,000 | 2,200,000 |  |
Rob Mikitarian [Member] | Notes Receivable [Member] |  |  |  |
Debt Instrument, Face Amount |  |  |  | $ 150,000
Debt Instrument, Interest Rate, Effective Percentage |  |  |  | 3.00%
Accounts and Other Receivables, Net, Current | 150,000 |  |  |
Universal Care Inc [Member] |  |  |  |
Accounts and Other Receivables, Net, Current |  |  | $ 5,000,000 |
Equity Method Investment, Ownership Percentage |  |  | 48.90% |
Advance Diagnostic Surgery Center [Member] | Service [Member] |  |  |  |
Payment Made To Related Party | 250,000 | 265,000 |  |
Medical Property Partners [Member] | Service [Member] |  |  |  |
Payment Made To Related Party | 1,000,000 | 1,000,000 |  |
Medical Investment Group LLC [Member] |  |  |  |
Payment Made To Related Party | 400,000 | 200,000 |  |
APC Shareholders [Member] |  |  |  |
Payment Made To Related Party | 41,500,000 | 40,700,000 |  |
Shareholders And Officers [Member] |  |  |  |
Payment Made To Related Party | $ 14,100,000 | $ 14,000,000 |  |

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