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Investments in Other Entities - Additional Information (Detail) - USD ($) |  | 1 Months Ended | 12 Months Ended |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Apr. 10, 2018 | Jun. 27, 2018 | May 31, 2018 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 18, 2018 | Sep. 21, 2018 | Jun. 30, 2018 | Aug. 10, 2015 | Jul. 01, 2015 | Dec. 31, 2012
Income (Loss) from Equity Method Investments |  |  |  | $ (8,125,285) | $ (1,112,541) |  |  |  |  |  |
Proceeds from Equity Method Investment, Distribution, Return of Capital |  |  |  | 607,411 | 1,240,000 |  |  |  |  |  |
Equity Method Investments |  |  |  | 34,876,980 | 21,903,524 |  |  |  |  |  |
Warrant Term |  |  | 5-year warrant to purchase 270,000 membership interests. A 5-year |  |  |  |  |  |  |  |
Cost Method Investment Description |  |  | In May 2018, APC purchased 270,000 membership interests of MediPortal LLC, a New York limited liability company, for $0.4 million or $1.50 per membership interest, which represented approximately 2.8% ownership. |  |  |  |  |  |  |  |
Gain (Loss) on Investments |  |  |  | 0 | 13,697,018 |  |  |  |  |  |
Dividends |  |  |  | 1,975,010 | 19,697,923 |  |  |  |  |  |
WCollege LLC [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  | 200,000 |  |  |  |  |  |  |
Convertible Debt [Member] |  |  |  |  |  |  |  |  |  |  |
Loans Payable |  |  |  |  |  |  | $ 5,000,000 |  |  |  |
LaSalle Medical Associates IPA [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  | 7,054,888 | 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 |  |  |  | 41,199 | 100,000 |  |  |  |  |  |
Equity Method Investments |  |  |  | 1,359,494 | 1,400,693 |  |  |  |  |  |
Pacific Medical Imaging and Oncology Center, Inc [Member] | Ancillary Service Contract [Member] |  |  |  |  |  |  |  |  |  |  |
Payments for Other Fees |  |  |  | 2,500,000 | 2,300,000 |  |  |  |  |  |
Universal Care Inc [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  | $ 2,635,945 | 8,609,455 |  |  |  |  |  |
Diagnostic Medical Group [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  | 40.00% |  |  |  |  |  |  |
Equity Method Investments |  |  |  | $ 2,257,346 | 1,847,411 |  |  |  |  |  |
Dividends |  |  |  | 600,000 | 200,000 |  |  |  |  |  |
Pacific Ambulatory Surgery Center, LLC [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  | 285,198 | 593,198 |  |  |  |  |  |
MWN Community Hospital LLC [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  | 33.30% |  |  |  |  |
Equity Method Investments |  |  |  | 33,000 |  |  |  |  |  |  |
Initial Capital Contribution |  |  |  |  |  | $ 3,000 |  |  |  |  |
Working Capital Contribution |  |  |  |  |  | $ 30,000 |  |  |  |  |
Accountable Health Care IPA [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investments |  |  |  | 4,977,957 | 0 |  |  |  |  |  |
Gain (Loss) on Investments |  |  |  | 22,043 |  |  |  |  |  |  |
Investment Owned, Balance, Principal Amount |  |  |  | 5,000,000 |  |  |  |  |  |  |
MediPortal LLC [Member] |  |  |  |  |  |  |  |  |  |  |
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% |  |  |  |  |  |  |  |
Allied Pacific of California [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  | 25.00% |  |  |
Income (Loss) from Equity Method Investments |  |  |  | 1,000,000 | 400,000 |  |  |  |  |  |
Equity Method Investments |  |  |  | 2,300,000 | 1,800,000 |  |  |  |  |  |
Payments to Escrow Deposit |  | $ 8,300,000 |  |  |  |  |  |  |  |  |
Members' Capital |  |  |  |  |  |  |  | $ 8,300,000 |  |  |
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 |  |  |  | 2,400,000 | 900,000 |  |  |  |  |  |
Proceeds from Equity Method Investment, Distribution, Return of Capital |  |  |  |  | 1,000,000 |  |  |  |  |  |
Equity Method Investments |  |  |  | 7,100,000 | 9,500,000 |  |  |  |  |  |
Allied Pacific of California [Member] | Universal Care Inc [Member] |  |  |  |  |  |  |  |  |  |  |
Income (Loss) from Equity Method Investments |  |  |  | 6,000,000 | 2,300,000 |  |  |  |  |  |
Equity Method Investments |  |  |  | 2,600,000 | 8,600,000 |  |  |  |  |  |
Allied Pacific of California [Member] | Diagnostic Medical Group [Member] |  |  |  |  |  |  |  |  |  |  |
Income (Loss) from Equity Method Investments |  |  |  | 300,000 | $ 200,000 |  |  |  |  |  |
Proceeds from Equity Method Investment, Distribution, Return of Capital |  |  |  | 300,000 |  |  |  |  |  |  |
Equity Method Investments |  |  |  | $ 600,000 |  |  |  |  |  |  |
Allied Pacific of California [Member] | Pacific Ambulatory Surgery Center, LLC [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  | 40.00% |  |  |  |  |  |  |
Network Medical Management, Inc. [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  | 25.00% |  |  |
Equity Method Investments |  |  |  | $ 16,300,000 |  |  | $ 5,000,000 |  |  |  |
Payments to Escrow Deposit |  | 8,300,000 |  |  |  |  |  |  |  |  |
Members' Capital |  |  |  |  |  |  |  | $ 8,300,000 |  |  |
Network Medical Management, Inc. [Member] | Ancillary Service Contract [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  | 25.00% |  |  |  |
APC LSMA [Member] | LaSalle Medical Associates IPA [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  |  |  |  | 25.00%
Equity Method Investment, Aggregate Cost |  |  |  |  |  |  |  |  |  |  | $ 5,000,000
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% |  |
AHMC Healthcare Inc [Member] |  |  |  |  |  |  |  |  |  |  |
Equity Method Investment, Ownership Percentage |  |  |  |  |  |  |  | 50.00% |  |  |
Payments to Acquire Real Estate | $ 33,300,000 |  |  |  |  |  |  |  |  |  |
Payments to Escrow Deposit |  | $ 16,700,000 |  |  |  |  |  |  |  |  |
Members' Capital |  |  |  |  |  |  |  | $ 16,700,000 |  |  |
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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