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Investments in Other Entities - Equity Method - Additional Information (Details) $ / shares in Units, patient in Thousands, member in Thousands |  |  |  |  |  |  | 1 Months Ended | 3 Months Ended | 9 Months Ended |  |  |  |  |  |  |  |  |  |
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Aug. 30, 2019 USD ($) | Jul. 01, 2019 USD ($) | Mar. 31, 2019 USD ($) | Jun. 29, 2018 USD ($) | May 14, 2016 USD ($) | Aug. 10, 2015 USD ($) shares | May 31, 2018 USD ($) $ / shares shares | Sep. 30, 2019 USD ($) | Sep. 30, 2018 USD ($) | Sep. 30, 2019 USD ($) | Sep. 30, 2018 USD ($) | Sep. 30, 2019 medical_center | Sep. 30, 2019 USD ($) | Sep. 30, 2019 plan | Sep. 30, 2019 specialty_care_physician | Sep. 30, 2019 primary_care_physician | Sep. 30, 2019 member | Sep. 30, 2019 patient | Sep. 30, 2019 healthcare_professional | Jun. 30, 2019 USD ($) | Apr. 23, 2019 USD ($) | Dec. 31, 2018 USD ($) | Dec. 18, 2018 USD ($) | Sep. 21, 2018 USD ($) | Jun. 30, 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 |  |  |  |  |  |  |  | $ 2,053,730 | $ (4,215,056) | $ 1,161,791 | $ (2,573,219) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | $ 35,840,105 |  |  |  |  |  |  |  |  | $ 34,876,980 |  |  |  |  |  |
Cash consideration paid for ownership interest |  |  |  |  |  |  |  |  |  | 2,949,000 | 16,673,840 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Dividends received from investment |  |  |  |  |  |  |  |  |  | 240,000 | 207,410 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
LaSalle Medical Associates – IPA Line of Business |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 6,426,903 |  |  |  |  |  |  |  |  | 7,054,888 |  |  |  |  |  |
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 |  |  |  |  |  |  |  | $ 31,230 | 4,990 | 200,000 | 41,571 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 1,542,506 |  |  |  |  |  |  |  |  | 1,359,494 |  |  |  |  |  |
Impairment of investments |  |  |  |  |  |  |  |  |  | $ 300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Universal Care, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 8,794,659 |  |  |  |  |  |  |  |  | 2,635,945 |  |  |  |  |  |
Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of medical centers | medical_center |  |  |  |  |  |  |  |  |  |  |  | 5 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of employees (more than) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 700 | 400 |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  | 100.00% |  | 100.00% |  |  |  |  |  |  |  |  |  |  |  |  |  | 25.00% |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  | 4,977,957 |  |  |  |  |  |
Number of members of federally qualified health plans (more than) | member |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 89 |  |  |  |  |  |  |  |  |  |  |
Number federally qualified health plans | plan |  |  |  |  |  |  |  |  |  |  |  |  |  | 3 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest acquired | 75.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Diagnostic Medical Group |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 2,714,008 |  |  |  |  |  |  |  |  | 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 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
College Street Investment LP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 50.00% |  |  |
Five Three One W. College LLC [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 16,139,073 |  |  |  |  |  |  |  |  | 16,273,152 |  |  |  |  |  |
MWN Community Hospital LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33.30% |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  |  |  | $ (100,000) |  | $ (100,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 200,000 |  |  |  |  |  |  |  |  | 33,000 |  |  |  |  |  |
Initial capital contribution |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 3,000 |  |  |  |  |
Working capital contribution |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 300,000 |  |  | $ 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 |  |  |  |  |  |  |  |  |
Number of patients (more than) | patient |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 319 |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  |  |  |  |  |  |  |  |  |  |  |  | 2,100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000,000
Ownership interest |  |  |  |  |  |  |  | 25.00% |  | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 25.00%
Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
AHMC Healthcare Inc |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,300,000 |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  | 50.00% |  | 50.00% |  |  |  |  |  |  |  |  |  |  | 25.00% |  |  |  |  |  |  |
Initial capital contributions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 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% |  |  |
Initial capital contributions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 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 |  |  |  |  |  |  |  | $ (400,000) | 200,000 | $ (2,800,000) | (800,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 6,400,000 |  |  |  |  |  |  |  |  | 7,100,000 |  |  |  |  |  |
Allied Pacific of California | Universal Care, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  |  |  | 600,000 | (4,600,000) | 6,200,000 | (2,900,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 8,800,000 |  |  |  |  |  |  |  |  | 2,600,000 |  |  |  |  |  |
Allied Pacific of California | Diagnostic Medical Group |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  |  |  | 300,000 | 200,000 | 700,000 | 900,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 2,700,000 |  |  |  |  |  |  |  |  | $ 2,300,000 |  |  |  |  |  |
Dividends received from investment |  |  |  |  |  |  |  |  |  | 200,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  |  | 100,000 |  | 300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
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% |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000,000 |  |  |  |
Initial capital contributions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,300,000 |  |  |
Network Medical Management, Inc. | AchievaMed, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested for interest |  | $ 500,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest |  | 10.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | 500,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of voting common stock |  | 50.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Duration of investment |  | 5 years |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
APC and NMM |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments |  |  |  |  |  |  |  | (100,000) |  | (100,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investments in other entities – equity method |  |  |  |  |  |  |  |  |  |  |  |  | $ 16,100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  | $ 700,000 | $ 700,000 | $ 2,100,000 | $ 1,900,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
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% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred | $ 25,100,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Dr. Jay | Accountable Health Care |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Schedule of Equity Method Investments [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income (loss) from equity method investments | $ 1,800,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest acquired | 75.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred | $ 7,300,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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