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Investments in Other Entities - Additional Information (Details) $ / shares in Units, patient in Thousands, member in Thousands |  |  |  |  | 1 Months Ended | 3 Months Ended | 6 Months Ended |  |  |  |  |  |  |  |
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Jul. 24, 2019 USD ($) | Apr. 10, 2018 USD ($) | May 14, 2016 USD ($) | Aug. 10, 2015 USD ($) shares | May 31, 2018 USD ($) $ / shares shares | Jun. 30, 2019 USD ($) healthcare_professional | Jun. 30, 2018 USD ($) | Jun. 30, 2019 USD ($) healthcare_professional | Jun. 30, 2018 USD ($) | Jun. 30, 2019 | Jun. 30, 2019 patient | Jun. 30, 2019 medical_center | Jun. 30, 2019 USD ($) | Jun. 30, 2019 plan | Jun. 30, 2019 specialty_care_physician | Jun. 30, 2019 primary_care_physician | Jun. 30, 2019 member | Apr. 23, 2019 USD ($) | Dec. 31, 2018 USD ($) | Dec. 18, 2018 USD ($) | Sep. 21, 2018 USD ($) | Nov. 15, 2016 USD ($) | Jul. 31, 2015 USD ($) | Dec. 31, 2012 USD ($)
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  | $ (42,282) | $ 1,669,861 | $ (891,939) | $ 1,641,837 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | $ 35,903,041 |  |  |  |  |  | $ 34,876,980 |  |  |  |  |
Cash consideration paid for ownership interest |  |  |  |  |  |  |  | 2,158,000 | 16,673,840 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Dividends received from investment |  |  |  |  |  |  |  | 240,000 | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
LaSalle Medical Associates – IPA Line of Business |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 6,827,190 |  |  |  |  |  | 7,054,888 |  |  |  |  |
Universal Care, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 8,159,432 |  |  |  |  |  | 2,635,945 |  |  |  |  |
Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of medical centers | medical_center |  |  |  |  |  |  |  |  |  |  |  | 8 |  |  |  |  |  |  |  |  |  |  |  |
Number of employees (more than) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 700 | 400 |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25.00% |  |  |
Income (loss) from equity method investments |  |  |  |  |  | (3,500,000) |  | (4,300,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 665,372 |  |  |  |  |  | 4,977,957 |  |  |  |  |
Number of members of federally qualified health plans (more than) | member |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 160 |  |  |  |  |  |  |
Number federally qualified health plans | plan |  |  |  |  |  |  |  |  |  |  |  |  |  | 7 |  |  |  |  |  |  |  |  |  |
Investment balance |  |  |  |  |  |  |  |  |  |  |  |  | 700,000 |  |  |  |  |  | 5,000,000 |  |  |  |  |
Diagnostic Medical Group |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 2,434,938 |  |  |  |  |  | 2,257,346 |  |  |  |  |
Cash consideration paid for ownership interest |  |  | $ 1,600,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Pacific Ambulatory Surgery Center, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 0 |  |  |  |  |  | 285,198 |  |  |  |  |
Impairment of investments |  |  |  |  |  |  |  | 300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Pacific Medical Imaging & Oncology Center, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,200,000 |
Ownership interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 40.00% |
Income (loss) from equity method investments |  |  |  |  |  | 81,315 | $ 62,606 | $ 200,000 | $ 36,581 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 1,511,276 |  |  |  |  |  | 1,359,494 |  |  |  |  |
Impairment of investments |  |  |  |  |  | $ 300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
College Street Investment LP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  | 50.00% |  | 50.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
MWN Community Hospital LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33.30% |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 66,000 |  |  |  |  |  | 33,000 |  |  |  |  |
Initial capital contribution |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 3,000 |  |  |  |
Working capital contribution |  |  |  |  |  |  |  |  |  |  |  |  | 33,000 |  |  |  |  |  |  | $ 30,000 |  |  |  |
MediPortal LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Term of warrant |  |  |  |  | 5 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of warrants received (in shares) | shares |  |  |  |  | 480,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Term of option |  |  |  |  | 5 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Options to purchase additional membership interests (in shares) | shares |  |  |  |  | 380,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
APC LSMA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  | 40.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
APC LSMA | LaSalle Medical Associates – IPA Line of Business |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of medical centers | medical_center |  |  |  |  |  |  |  |  |  |  |  | 4 |  |  |  |  |  |  |  |  |  |  |  |
Number of employees (more than) | healthcare_professional |  |  |  |  |  | 120 |  | 120 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of patients (more than) | patient |  |  |  |  |  |  |  |  |  |  | 313 |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  |  |  |  |  |  |  |  |  |  |  |  | 2,100,000 |  |  |  |  |  |  |  |  |  |  | $ 5,000,000
Ownership interest |  |  |  |  |  |  |  |  |  | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  | 25.00%
AHMC Healthcare Inc |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,300,000 |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  |  |  | 50.00% |  |  |  |  |  |  |  | 25.00% |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 16,200,000 |  |  |  |  |  |  |  |  |  |  |
Initial capital contributions |  |  |  |  |  |  | $ 16,700,000 |  | $ 16,700,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Purchase price of real estate |  | $ 33,300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Allied Pacific of California |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  | 25.00% |  | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Initial capital contributions |  |  |  |  |  |  | $ 8,300,000 |  | $ 8,300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Allied Pacific of California | LaSalle Medical Associates – IPA Line of Business |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  | $ (1,300,000) | (600,000) | $ (2,400,000) | (1,000,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 6,800,000 |  |  |  |  |  | 7,100,000 |  |  |  |  |
Allied Pacific of California | Universal Care, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  | 4,500,000 | 1,700,000 | 5,500,000 | 1,700,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 8,200,000 |  |  |  |  |  | 2,600,000 |  |  |  |  |
Allied Pacific of California | Diagnostic Medical Group |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  | 200,000 | 400,000 | 400,000 | 700,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 2,400,000 |  |  |  |  |  | $ 2,300,000 |  |  |  |  |
Dividends received from investment |  |  |  |  |  |  |  | 300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Allied Pacific of California | Pacific Ambulatory Surgery Center, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 800,000 |  |
Ownership interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 40.00% |  |
Income (loss) from equity method investments |  |  |  |  |  |  | $ 87,407 |  | $ 100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Allied Pacific of California | MediPortal LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  | 2.80% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Shares purchased (in shares) | shares |  |  |  |  | 270,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration paid for ownership interest |  |  |  |  | $ 400,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Membership interests acquired (in dollars per share) | $ / shares |  |  |  |  | $ 1.50 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Term of warrant |  |  |  |  | 5 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of warrants received (in shares) | shares |  |  |  |  | 270,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Network Medical Management, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  | 25.00% |  | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |
Initial capital contributions |  |  |  |  |  |  | $ 8,300,000 |  | $ 8,300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
APC and NMM |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  |  |  | (34,319) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 16,200,000 |  |  |  |  |  |  |  |  |  |  |
Convertible Debt | Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loan balance converted |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,000,000 |  |  |
Convertible Debt | Allied Pacific of California |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loan balance converted |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |
Voting Common Stock A Two | Universal Care Acquisition Partners, LLC | Universal Care, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Shares purchased (in shares) | shares |  |  |  | 100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration paid for ownership interest |  |  |  | $ 10,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of voting common stock |  |  |  | 50.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ancillary Service Contract | Pacific Medical Imaging & Oncology Center, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Fees paid |  |  |  |  |  | $ 600,000 | $ 800,000 | $ 1,400,000 | $ 1,200,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ancillary Service Contract | Voting Common Stock A Two | Universal Care Acquisition Partners, LLC | Universal Care, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  | 48.90% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Pacific Ambulatory Surgery Center, LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Repayment advance classified in other assets |  |  |  |  |  |  |  |  |  |  |  |  | $ 300,000 |  |  |  |  |  |  |  |  |  |  |
Dr. Jay | Subsequent Event | Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred | $ 7,300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

X
- Definition Equity Method Investment, Membership Interest Acquired, Per Interest + References No definition available. + Details
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