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Related Party Transactions - Additional Information (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | ---
Jun. 30, 2019 | Jun. 30, 2018 | Jun. 30, 2019 | Jun. 30, 2018 | Dec. 31, 2018 | Nov. 28, 2018 | Jun. 28, 2018 | Nov. 16, 2015
LMA |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Ownership interest | 25.00% |  | 25.00% |  |  |  |  |
Revenue from related parties | $ 5.2 | $ 5.2 | $ 8.4 | $ 9.9 |  |  |  |
Service | PMIOC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 0.6 | 0.8 | 1.4 | 1.2 |  |  |  |
Service | DMG |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 1.8 | 2.1 | 3.8 | 3.7 |  |  |  |
Service | AMG, Inc |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 0.7 | 1.2 | 2.0 | 1.9 |  |  |  |
Universal Care, Inc. |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  | 48.90%
Amount of subordinated note receivable agreement |  |  |  |  |  |  |  | $ 5.0
Universal Care Acquisition Partners, LLC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Amount of subordinated note receivable agreement |  |  |  |  |  | $ 5.0 | $ 2.5 |
APC Shareholders | Service |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | $ 7.1 | 11.6 | $ 16.4 | 20.8 |  |  |  |
APC Shareholders | Service | PMIOC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Ownership interest | 40.00% |  | 40.00% |  |  |  |  |
APC Shareholders | Service | DMG |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Ownership interest | 40.00% |  | 40.00% |  |  |  |  |
Advance Diagnostic Surgery Center | Service |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | $ 0.1 | 0.1 | $ 0.1 | 0.2 |  |  |  |
Shareholders And Officers |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 1.9 | 3.9 | 5.1 | 6.1 |  |  |  |
Medical Property Partners |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 0.3 | 0.3 | 0.5 | 0.5 |  |  |  |
Medical Investment Group LLC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties |  | 0.1 |  | 0.2 |  |  |  |
Critical Quality Management Corp |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 0.1 | 0.1 | 0.2 | 0.1 |  |  |  |
Numen LLC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 0.1 | 0.1 | 0.2 | 0.2 |  |  |  |
AHMC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Revenue from related parties | 10.2 | $ 8.2 | 25.0 | $ 31.8 |  |  |  |
Amount outstanding under agreement | $ 51.9 |  | $ 51.9 |  | $ 44.2 |  |  |

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