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Investments in Other Entities - Additional Information (Detail) - USD ($) |  |  | 1 Months Ended | 3 Months Ended | 9 Months Ended | 12 Months Ended |  |  |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Apr. 10, 2018 | May 14, 2016 | Jun. 29, 2018 | Jun. 27, 2018 | May 31, 2018 | Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017 | Dec. 31, 2015 | Sep. 21, 2018 | Jun. 30, 2018 | Dec. 31, 2017 | Nov. 15, 2016 | Aug. 10, 2015 | Jul. 01, 2015 | Dec. 31, 2012 | Oct. 15, 2012
Income (Loss) from Equity Method Investments |  |  |  |  |  | $ (4,215,056) | $ (1,461,096) | $ (2,573,219) | $ (28,936) |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 24,122,895 |  | 24,122,895 |  |  |  |  | $ 21,903,524 |  |  |  |  |
Due from Related Parties, Noncurrent |  |  |  |  |  | 7,500,000 |  | 7,500,000 |  |  |  |  | 5,000,000 |  |  |  |  |
Convertible Debt [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loans Payable |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |  |  |  |  |
LaSalle Medical Associates IPA [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 8,667,419 |  | 8,667,419 |  |  |  |  | 9,452,767 |  |  |  |  |
Pacific Medical Imaging and Oncology Center, Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 40.00% |  |
Equity Method Investment, Aggregate Cost |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,200,000 |  |
Income (Loss) from Equity Method Investments |  |  |  |  |  | 4,990 | 52,157 | 41,571 | 161,776 |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 1,442,264 |  | 1,442,264 |  |  |  |  | 1,400,693 |  |  |  |  |
Pacific Medical Imaging and Oncology Center, Inc [Member] | Ancillary Service Contract [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments for Other Fees |  |  |  |  |  | 700,000 | 600,000 | 1,900,000 | 1,700,000 |  |  |  |  |  |  |  |  |
Universal Care Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | $ 5,674,791 |  | $ 5,674,791 |  |  |  |  | 8,609,455 |  |  |  |  |
Payments for Advance to Affiliate |  |  | $ 2,500,000 |  |  |  |  |  |  | $ 5,000,000 |  |  |  |  |  |  |  |
Loans Receivable, Basis Spread on Variable Rate |  |  |  |  |  | 1.00% |  | 1.00% |  |  |  |  |  |  |  |  |  |
Due from Related Parties, Noncurrent |  |  |  |  |  | $ 7,500,000 |  | $ 7,500,000 |  |  |  |  | $ 5,000,000 |  |  |  |  |
Loans Receivable, Interest Rate |  |  |  |  |  | 6.25% |  | 6.25% |  |  |  |  | 5.50% |  |  |  |  |
Repayments of Long-term Debt |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |  |  |  |  |  |
Diagnostic Medical Group [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | $ 2,537,929 |  | $ 2,537,929 |  |  |  |  | $ 1,847,411 |  |  |  |  |
Payments to Acquire Equity Method Investments |  | $ 1,600,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Pacific Ambulatory Surgery Center, LLC [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 853,243 |  | 853,243 |  |  |  |  | 593,198 |  |  |  |  |
Accountable Health Care IPA [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 4,947,249 |  | 4,947,249 |  |  |  |  | 0 |  |  |  |  |
Gain (Loss) on Investments |  |  |  |  |  | 52,751 |  | 52,751 |  |  |  |  |  |  |  |  |  |
Investment Owned, Balance, Principal Amount |  |  |  |  |  | 4,947,249 |  | 4,947,249 |  |  |  |  |  |  |  |  |  |
Allied Pacific of California [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to Escrow Deposit |  |  |  | $ 8,336,920 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Members' Capital |  |  |  |  |  |  |  |  |  |  |  | $ 8,336,920 |  |  |  |  |  |
Allied Pacific of California [Member] | Convertible Debt [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loans Payable |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |  |  |  |  |
Allied Pacific of California [Member] | LaSalle Medical Associates IPA [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (Loss) from Equity Method Investments |  |  |  |  |  | 171,136 | 44,906 | (785,348) | 558,460 |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 8,667,419 |  | 8,667,419 |  |  |  |  | 9,452,767 |  |  |  |  |
Allied Pacific of California [Member] | Universal Care Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (Loss) from Equity Method Investments |  |  |  |  |  | 4,646,389 | 1,891,302 | 2,934,664 | 1,648,711 |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 5,674,791 |  | 5,674,791 |  |  |  |  | 8,609,455 |  |  |  |  |
Allied Pacific of California [Member] | Diagnostic Medical Group [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (Loss) from Equity Method Investments |  |  |  |  |  | 177,273 | 317,921 | 897,928 | 878,325 |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  | 2,537,929 |  | 2,537,929 |  |  |  |  | $ 1,847,411 |  |  |  |  |
Allied Pacific of California [Member] | Pacific Ambulatory Surgery Center, LLC [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  |  |  |  | 40.00% |  |  |  |
Equity Method Investment, Aggregate Cost |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 800,000 |  |  |  |
Income (Loss) from Equity Method Investments |  |  |  |  |  | $ 130,685 | $ 5,389 | $ 260,045 | $ 11,381 |  |  |  |  |  |  |  |  |
Allied Pacific of California [Member] | MediPortal LLC [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cost Method Investment Description |  |  |  |  | In May 2018, APC purchased 270,000 membership interests of MediPortal LLC, a New York limited liability company, for $405,000 or $1.50 per membership interest, which represented approximately 2.8% ownership. |  |  |  |  |  |  |  |  |  |  |  |  |
Warrant Term |  |  |  |  | 5-year warrant to purchase 270,000 membership interests. A 5-year |  |  |  |  |  |  |  |  |  |  |  |  |
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross |  |  |  |  | 380,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Class of Warrant or Right, Number of Securities Called by Warrants or Rights |  |  |  |  | 480,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Cost Method Investment Ownership Percentage |  |  |  |  | 2.80% |  |  |  |  |  |  |  |  |  |  |  |  |
Network Medical Management, Inc. [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  | 25.00% |  |  |  |  |  |  |
Equity Method Investments |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |  |  |  |  |
Payments to Escrow Deposit |  |  |  | 8,336,920 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Members' Capital |  |  |  |  |  |  |  |  |  |  |  | 8,336,920 |  |  |  |  |  |
AHMC Healthcare Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to Acquire Real Estate | $ 33,347,679 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to Escrow Deposit |  |  |  | $ 16,673,839 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Members' Capital |  |  |  |  |  |  |  |  |  |  |  | $ 16,673,839 |  |  |  |  |  |
APC LSMA [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  | 40.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
APC LSMA [Member] | LaSalle Medical Associates IPA [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25.00% |
Equity Method Investment, Aggregate Cost |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |
APC LSMA [Member] | Allied Pacific of California [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100.00%
Universal Care Acquisition Partners, LLC [Member] | Universal Care Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Aggregate Cost |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 10,000,000 |  |  |
Universal Care Acquisition Partners, LLC [Member] | Allied Pacific of California [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100.00% |  |  |
Voting Common Stock A Two [Member] | Universal Care Acquisition Partners, LLC [Member] | Universal Care Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments, Purchase of Shares |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 |  |  |
Equity Method Investments, Proportion of Ownership Interest in Voting Common Stock |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 50.00% |  |  |
Voting Common Stock A Two [Member] | Universal Care Acquisition Partners, LLC [Member] | Universal Care Inc [Member] | Ancillary Service Contract [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48.90% |  |  |

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- Definition The percentage points (also referred to as 'margin') added to the reference rate as stated in the loan agreement and used to compute the variable rate on the loans receivable. For instance, the loan agreement might state that the interest rate the borrower is obligated to pay is the London Interbank Offered Rate (LIBOR) plus three quarters (3/4) of a percentage point adjusted quarterly (each three months). LIBOR in this example is the index or reference rate, 3/4 percentage point is the margin, the reference rate plus the margin is the fully indexed rate. This element would be used to report separately the margin. + References No definition available. + Details
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- Definition Amount of member capital in limited liability company (LLC). + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 272 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6373374&loc=d3e70434-108055 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 272 -SubTopic 10 -Section 50 -Paragraph 3 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6373374&loc=d3e70478-108055 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.3-04) -URI http://asc.fasb.org/extlink&oid=27012166&loc=d3e187085-122770 + Details
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- Definition The cash outflow from advancing money to an affiliate (an entity that is related but not strictly controlled by the entity). + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition Amount of cash outflow for fees classified as other. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3536-108585 + Details
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- Definition The cash outflow associated with the purchase of or advances to an equity method investments, which are investments in joint ventures and entities in which the entity has an equity ownership interest normally of 20 to 50 percent and exercises significant influence. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow from the acquisition of a piece of land, anything permanently fixed to it, including buildings, structures on it and so forth; includes real estate intended to generate income for the owner; excludes real estate acquired for use by the owner. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585 + Details
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- Definition The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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