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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Detail) - USD ($) |  |  | 1 Months Ended | 12 Months Ended |  |  |
--- | --- | --- | --- | --- | --- | --- | ---
Oct. 01, 2018 | Dec. 07, 2017 | Jan. 31, 2018 | Dec. 31, 2018 | Dec. 31, 2017 | Mar. 31, 2019 | Jan. 01, 2017 | Dec. 31, 2016
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Expected term |  |  |  | 9 months |  |  |  |
Cash, Uninsured Amount |  |  |  | $ 118,600,000 | $ 135,300,000 |  |  |
Restricted Cash |  |  |  | 0 | 18,000,000 |  |  |
Increase in Restricted Cash |  |  |  |  | 18,000,000 |  |  |
Marketable Securities, Current |  |  |  | 1,127,102 | 1,143,095 |  |  |
Allowance for Doubtful Accounts Receivable, Current |  |  |  | 4,300,000 | 400,000 |  |  |
Goodwill and Intangible Asset Impairment, Total |  |  |  | $ 3,798,866 | 2,431,791 |  |  |
Equity Method Investment, Significant Influence Description |  |  |  | Significant influence is generally deemed to exist if the Company has an ownership interest in the voting stock of the investee of between 20% and 50%, although other factors, such as representation on the investee’s board of directors, are considered in determining whether the equity method of accounting is appropriate. |  |  |  |
Payment Of Revenue | $ 8,300,000 |  | $ 7,300,000 |  |  |  |  |
Restricted Cash, Noncurrent |  |  |  | $ 745,470 | 745,235 |  |  |
All-Inclusive Population-Based Payments to be Received | 5,500,000 |  |  |  |  |  |  |
Deferred Revenue, Current |  |  |  | 9,100,000 | 300,000 |  |  |
Lessee, Operating Lease, Liability, Payments, Due |  |  |  | 7,100,000 |  |  |  |
Billing In Excess Of Costs |  |  |  | 34,500,000 |  |  |  |
Contract with Customer, Liability, Revenue Recognized |  |  |  | 200,000 |  |  |  |
Payment of revenue reduce | $ 5,500,000 |  |  |  |  |  |  |
Prior Period Reclassification Adjustment |  |  |  | 1,300,000 |  |  |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents |  |  |  | 107,636,973 | 118,500,095 |  |  | $ 54,925,712
Net Cash Provided by (Used in) Investing Activities |  |  |  | (25,182,818) | 26,716,009 |  |  |
Risk Pool Settlement |  |  |  | $ 5,900,000 |  |  |  |
Description Of Percentage On Medical Liabilities Program Recorded |  |  |  | as APAACO’s NGACO program was new and sufficient claims history was not available, the medical liabilities for the NGACO program were estimated and recorded at 100​​​​​​​% of the revenue less actual claims processed for or paid to in-network providers. |  |  |  |
Restatement Adjustment [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents |  |  |  |  | 99,700,000 |  | $ 54,900,000 |
Net Cash Provided by (Used in) Investing Activities |  |  |  |  | 26,700,000 |  |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect |  |  |  |  | 63,600,000 |  |  |
Previously Reported [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents |  |  |  |  | 118,500,000 |  | $ 44,900,000 |
Net Cash Provided by (Used in) Investing Activities |  |  |  |  | 8,000,000 |  |  |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect |  |  |  |  | $ 44,900,000 |  |  |
Warrant Liability [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Risk free interest rate |  | 1.90% |  |  |  |  |  |
Share Price |  | $ 9.99 |  |  |  |  |  |
Percentage For Down round financing |  | 0.00% |  |  |  |  |  |
Derivative Asset, Noncurrent |  | $ 5,300,000 |  |  |  |  |  |
Maximum |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Expected term |  |  |  |  | 1 year 9 months |  |  |
Risk free interest rate |  |  |  | 1.86% | 1.86% |  |  |
Expected volatility rate |  |  |  | 41.60% | 41.60% |  |  |
Share Price |  |  |  | $ 0.76 | $ 0.76 |  |  |
Restricted Cash Interest Rate |  |  |  | 0.10% |  |  |  |
Maximum | Scenario, Forecast [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Operating Lease, Right-of-Use Asset |  |  |  |  |  | $ 9,000,000 |  |
Maximum | Warrant Liability [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Expected term |  |  |  | 3 years 3 months 22 days |  |  |  |
Expected volatility rate |  | 40.26% |  |  |  |  |  |
Minimum |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Expected term |  |  |  |  | 11 months 5 days |  |  |
Risk free interest rate |  |  |  | 1.64% | 1.64% |  |  |
Expected volatility rate |  |  |  | 38.10% | 38.10% |  |  |
Share Price |  |  |  | $ 0.52 | $ 0.52 |  |  |
Restricted Cash Interest Rate |  |  |  | 0.05% |  |  |  |
Minimum | Scenario, Forecast [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Operating Lease, Right-of-Use Asset |  |  |  |  |  | $ 7,000,000 |  |
Minimum | Warrant Liability [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Expected term |  |  |  | 2 years 10 months 6 days |  |  |  |
Expected volatility rate |  | 39.24% |  |  |  |  |  |
Network Medical Management, Inc. [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Dividends Paid |  |  |  | $ 18,000,000 |  |  |  |
APCN [Member] |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Restricted Cash, Noncurrent |  |  |  | $ 4,200,000 |  |  |  |

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