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v3.19.1

Consolidated Statements of Cash Flows (Parenthetical) | Dec. 31, 2018 | Sep. 21, 2018 | Dec. 31, 2017
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APA ACO Inc [Member] |  |  |
Equity Method Investment, Ownership Percentage | 50.00% |  |
Network Medical Management, Inc. [Member] |  |  |
Equity Method Investment, Ownership Percentage |  | 25.00% |
Network Medical Management, Inc. [Member] | APA ACO Inc [Member] |  |  |
Equity Method Investment, Ownership Percentage | 50.00% |  | 50.00%

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