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Related Party Transactions - Additional Information (Detail) - USD ($) | 3 Months Ended | 9 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | ---
Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017 | Jun. 28, 2018 | Dec. 31, 2017 | Nov. 16, 2015 | Sep. 30, 2015
LMA [Member] |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage | 25.00% |  | 25.00% |  |  |  |  |
Revenue from Related Parties | $ 6,100,000 | $ 4,500,000 | $ 16,000,000 | $ 13,400,000 |  |  |  |
Service [Member] | PMIOC [Member] |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage | 40.00% |  | 40.00% |  |  |  |  |
Payment Made To Related Party | $ 700,000 | 600,000 | $ 1,900,000 | 1,700,000 |  |  |  |
Service [Member] | AMG, Inc [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | $ 800,000 | 600,000 | $ 2,600,000 | 1,900,000 |  |  |  |
Service [Member] | DMG [Member] |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage | 40.00% |  | 40.00% |  |  |  |  |
Payment Made To Related Party | $ 1,700,000 | 1,700,000 | $ 5,500,000 | 4,700,000 |  |  |  |
Rob Mikitarian [Member] |  |  |  |  |  |  |  |
Business Combination, Contingent Consideration, Liability | 145,000 |  | 145,000 |  |  | $ 145,000 |  |
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 | 76,000 | 77,000 | 244,000 | 174,000 |  |  |  |
Medical Property Partners [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 300,000 | 300,000 | 800,000 | 800,000 |  |  |  |
Medical Investment Group LLC [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 60,000 | 90,000 | 240,000 | 270,000 |  |  |  |
APC Shareholders [Member] | Service [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | 7,300,000 | 9,200,000 | 29,200,000 | 32,200,000 |  |  |  |
Shareholders And Officers [Member] |  |  |  |  |  |  |  |
Payment Made To Related Party | $ 2,400,000 | $ 2,800,000 | $ 9,800,000 | $ 12,200,000 |  |  |  |
Universal Care Acquisition Partners, LLC [Member] |  |  |  |  |  |  |  |
Accounts and Other Receivables, Net, Current |  |  |  |  | $ 2,500,000 |  |  |

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