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Basis of Presentation - Additional Information (Details)
 6 Months Ended 8 Months Ended
Oct. 01, 2018
USD ($)
Jun. 30, 2019
USD ($)
segment
unit
Jun. 30, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jan. 01, 2019
USD ($)
Dec. 31, 2018
USD ($)
Summary Of Significant Accounting Policies [Line Items]            
Number of operating segments | segment   1        
Number of reportable segments | segment   1        
Amount deposit accounts exceeded FDIC insured limit   $ 80,700,000        
Amount of short-term marketable securities   1,149,828       $ 1,127,102
Allowance for doubtful accounts   2,900,000       4,300,000
Impairment of finite-lived intangible assets   0 $ 0      
Impairment of long-lived assets   $ 0 0      
Number of main reporting units | unit   3        
Impairment of goodwill   $ 0 0      
Impairment of indefinite-lived intangible assets   $ 0 $ 0      
Expected period of payment upon termination of agreement   30 days        
Payments received $ 5,500,000 $ 8,300,000   $ 7,300,000    
AIPBP payments $ 5,500,000          
Accrued contract liability recognized   500,000        
Contract liability balance   $ 15,500,000       9,100,000
Voting rights held (more than)   50.00%        
Right-of-use assets   $ 14,319,371     $ 14,300,000 $ 0
Lease liabilities   14,252,760     $ 14,300,000  
Pacific Ambulatory Surgery Center, LLC            
Summary Of Significant Accounting Policies [Line Items]            
Impairment of investments   300,000        
Accounts Payable and Accrued Expenses            
Summary Of Significant Accounting Policies [Line Items]            
Payments received   24,800,000        
Accrued contract liability recognized   17,800,000        
Other Receivables            
Summary Of Significant Accounting Policies [Line Items]            
Recoverable claims paid   $ 11,600,000        
PMPM Managed Care Contract            
Summary Of Significant Accounting Policies [Line Items]            
General term of contracts   1 year        
Participation Agreement            
Summary Of Significant Accounting Policies [Line Items]            
General term of contracts   2 years       2 years
Management Fee Income Contract            
Summary Of Significant Accounting Policies [Line Items]            
General term of contracts   10 years        
CMS            
Summary Of Significant Accounting Policies [Line Items]            
Expected period of payment upon termination of agreement   30 days