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Investments in Other Entities - Additional Information (Detail) - USD ($)
1 Months Ended 3 Months Ended
Apr. 10, 2018
May 14, 2016
Jun. 30, 2018
May 31, 2018
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Dec. 18, 2018
Sep. 21, 2018
Nov. 15, 2016
Aug. 10, 2015
Jul. 01, 2015
Dec. 31, 2012
Oct. 15, 2012
Income (Loss) from Equity Method Investments         $ (849,657) $ (28,024)                
Equity Method Investments         $ 34,027,323   $ 34,876,980              
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross         45,000                  
Pacific Ambulatory Surgery Center, LLC [Member]                            
Accounts and Other Receivables, Net, Current         $ 300,000                  
Other Assets         300,000                  
LaSalle Medical Associates IPA [Member]                            
Equity Method Investments         5,980,923   7,054,888              
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         70,466 (26,025)                
Equity Method Investments         1,429,960   1,359,494              
Equity Method Investment, Other than Temporary Impairment         300,000                  
Pacific Medical Imaging and Oncology Center, Inc [Member] | Ancillary Service Contract [Member]                            
Payments for Other Fees         700,000 400,000                
Universal Care Inc [Member]                            
Equity Method Investments         3,673,132   2,635,945              
Diagnostic Medical Group [Member]                            
Income (Loss) from Equity Method Investments         200,000 300,000                
Equity Method Investments         2,481,166   2,257,346              
Payments to Acquire Equity Method Investments   $ 1,600,000                        
Pacific Ambulatory Surgery Center, LLC [Member]                            
Equity Method Investments         0   285,198              
Equity Method Investment, Other than Temporary Impairment         300,000                  
MWN Community Hospital LLC [Member]                            
Equity Method Investment, Ownership Percentage               33.30%            
Equity Method Investments         33,000   33,000              
Initial Capital Contribution               $ 3,000            
Working Capital Contribution               $ 30,000            
Accountable Health Care IPA [Member]                            
Equity Method Investment, Ownership Percentage                 25.00%          
Income (Loss) from Equity Method Investments         800,000                  
Equity Method Investments         4,202,958   4,977,957              
Investment Owned, Balance, Principal Amount         4,200,000   5,000,000              
Accountable Health Care IPA [Member] | Convertible Debt [Member]                            
Loans Payable                 $ 5,000,000          
MediPortal LLC [Member]                            
Warrant to Purchase Term       5-year warrant to purchase 270,000 membership interests                    
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.                    
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                    
College Street Investment LP [Member]                            
Equity Method Investment, Ownership Percentage     50.00%                      
Allied Pacific of California [Member]                            
Equity Method Investment, Ownership Percentage     25.00%                      
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         1,100,000 400,000                
Equity Method Investments         6,000,000   7,100,000              
Allied Pacific of California [Member] | Universal Care Inc [Member]                            
Income (Loss) from Equity Method Investments         1,000,000 (20,202)                
Equity Method Investments         3,600,000   2,600,000              
Allied Pacific of California [Member] | Diagnostic Medical Group [Member]                            
Income (Loss) from Equity Method Investments         200,000 300,000                
Equity Method Investments         2,500,000   $ 2,300,000              
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           $ 41,953                
Network Medical Management, Inc. [Member]                            
Equity Method Investment, Ownership Percentage     25.00%                      
Equity Method Investments                 $ 5,000,000          
Payments to Escrow Deposit     $ 8,300,000                      
Members' Capital     8,300,000                      
APC and NMM [Member]                            
Equity Method Investments         $ 16,200,000                  
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%      
AHMC Healthcare Inc [Member]                            
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%