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Investments in Other Entities (Summarized Balance Sheets and Statements of Income) (Detail) - USD ($) | 9 Months Ended |
--- | --- | ---
Sep. 30, 2018 | Sep. 30, 2017 | Dec. 31, 2017
LaSalle Medical Associates IPA [Member] |  |  |  |
Assets |  |  |  |
Cash and cash equivalents |  | $ 25,746,368 |  | $ 21,065,105
Receivables, net |  | 2,802,290 |  | 2,433,116
Other current assets |  | 2,101,110 |  | 1,565,606
Loan receivable |  | 1,250,000 |  | 1,250,000
Restricted cash |  | 667,414 |  | 662,109
Total assets |  | 32,567,182 |  | 26,975,936
Liabilities and Stockholders' Equity |  |  |  |
Current liabilities |  | 29,085,975 |  | 20,353,337
Stockholders' equity |  | 3,481,207 |  | 6,622,599
Total liabilities and stockholders' equity |  | 32,567,182 |  | 26,975,936
Statements of Operations |  |  |  |
Revenues |  | 177,696,760 | $ 147,567,476 |
Expenses |  | 180,445,655 | 145,333,637 |
Net (loss) income |  | (2,748,895) | 2,233,839 |
Universal Care Inc [Member] |  |  |  |
Assets |  |  |  |
Cash and cash equivalents |  | 24,217,764 |  | 21,872,894
Receivables, net |  | 33,462,584 |  | 18,618,760
Other current assets |  | 19,086,431 |  | 13,021,520
Other assets |  | 3,396,798 |  | 3,754,470
Property and equipment, net |  | 2,347,978 |  | 1,576,621
Total assets |  | 82,511,555 |  | 58,844,265
Liabilities and Stockholders' Equity |  |  |  |
Current liabilities |  | 79,113,015 |  | 54,421,532
Other liabilities |  | 15,029,117 |  | 10,051,952
Stockholders' equity |  | (11,630,577) |  | (5,629,219)
Total liabilities and stockholders' equity |  | 82,511,555 |  | $ 58,844,265
Statements of Operations |  |  |  |
Revenues |  | 240,633,955 | 138,189,092 |
Expenses |  | 246,765,335 | 140,664,653 |
Loss before (benefit) provision for income taxes |  | (6,131,380) | (2,475,561) |
(Benefit) provision for income taxes |  | (130,023) | 896,038 |
Net (loss) income |  | (6,001,357) | $ (3,371,599) |
Accountable Health Care IPA [Member] |  |  |  |
Assets |  |  |  |
Cash and cash equivalents |  | 5,420,001 |  |
Receivables, net |  | 8,835,000 |  |
Other current assets |  | 430,427 |  |
Other assets |  | 900,007 |  |
Property and equipment, net |  | 156,690 |  |
Total assets |  | 15,742,125 |  |
Liabilities and Stockholders' Equity |  |  |  |
Current liabilities |  | 15,657,807 |  |
Other liabilities |  | 18,500,000 |  |
Stockholders' equity |  | (18,415,682) |  |
Total liabilities and stockholders' equity |  | 15,742,125 |  |
Statements of Operations |  |  |  |
Revenues |  | 72,866,663 |  |
Expenses |  | 76,755,686 |  |
Loss before (benefit) provision for income taxes |  | (3,889,023) |  |
(Benefit) provision for income taxes |  | 800 |  |
Net (loss) income | [1] | $ (3,889,823) |  |
[1] | APC’s allocation of net loss commenced on September 21, 2018.

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