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Related Party Transactions - Additional Information (Detail) - USD ($) | 3 Months Ended | 6 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017 | Jun. 28, 2018 | Dec. 31, 2017 | Nov. 16, 2015 | Sep. 30, 2015
Payment Made To Related Party | $ 0 | $ 600,000 | $ 500,000 |  |  |  |  |
Revenue from Related Parties |  | 0 |  |  |  |  |  |
LMA [Member] |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage | 25.00% |  | 25.00% |  |  |  |  |
Revenue from Related Parties | $ 5,200,000 | 4,400,000 | $ 9,900,000 | $ 8,900,000 |  |  |  |
PMIOC [Member] |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage | 40.00% |  | 40.00% |  |  |  |  |
DMG [Member] |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage | 40.00% |  | 40.00% |  |  |  |  |
Payment Made To Related Party | $ 2,100,000 | 1,600,000 | $ 3,700,000 | 3,000,000 |  |  |  |
Service [Member] | PMIOC [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 800,000 |  | 1,200,000 | 1,100,000 |  |  |  |
Service [Member] | AMG, Inc [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 1,200,000 | 500,000 | 1,900,000 | 1,300,000 |  |  |  |
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 |  | 150,000 |  |  | $ 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 | 146,301 | 62,000 | 168,270 | 96,000 |  |  |  |
Medical Property Partners [Member] | Service [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 300,000 | 300,000 |  | 600,000 |  |  |  |
Medical Investment Group LLC [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 90,000 | 90,000 | 180,000 | 180,000 |  |  |  |
APC Shareholders [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 11,600,000 | 10,100,000 | 20,800,000 | 22,900,000 |  |  |  |
Shareholders And Officers [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | $ 3,900,000 | $ 3,900,000 | $ 6,100,000 | $ 9,300,000 |  |  |  |
Universal Care Acquisition Partners, LLC [Member] |  |  |  |  |  |  |  |
Accounts and Other Receivables, Net, Current |  |  |  |  | $ 2,500,000 |  |  |

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