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Loan Receivable - Related Parties (Details) - USD ($) $ in Millions |  | 9 Months Ended |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | ---
Aug. 30, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Jun. 28, 2019 | Dec. 31, 2018 | Nov. 28, 2018 | Jun. 29, 2018 | Dec. 31, 2015
Financing Receivable | Universal Care, Inc. |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Amount of loan |  | $ 12.5 |  |  |  |  |  | $ 5.0
Interest rate on loan receivable |  | 6.00% |  |  |  |  |  |
Additional advances |  |  |  |  |  | $ 5.0 | $ 2.5 |
Financing Receivable | Dr. Arteaga Loan |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Amount of loan |  |  | $ 6.4 | $ 6.4 |  |  |  |
Interest rate on loan receivable |  | 6.00% |  |  |  |  |  |
Percentage of outstanding stock convertible |  |  |  | 21.25% |  |  |  |
Financing Receivable | Dr. Jay Loan |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest rate on loan receivable |  |  |  |  | 6.50% |  |  |
Financing Receivable | Prime Rate | Universal Care, Inc. |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate |  | 1.00% |  |  |  |  |  |
Financing Receivable | Prime Rate | Dr. Arteaga Loan |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Basis spread on variable rate |  | 1.00% |  |  |  |  |  |
LMA | Financing Receivable | APC |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Ownership upon conversion of finance receivable |  |  |  | 46.25% |  |  |  |
LMA | Financing Receivable | Dr. Arteaga Loan |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Ownership upon conversion of finance receivable |  |  |  | 53.75% |  |  |  |
Accountable Health Care - related party |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Consideration transferred | $ 25.1 |  |  |  |  |  |  |
Liabilities assumed | $ 15.4 |  |  |  |  |  |  |
Accountable Health Care - related party | APC |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest acquired | 25.00% |  |  |  |  |  |  |
Accountable Health Care - related party | Dr. Jay |  |  |  |  |  |  |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |  |  |  |  |  |  |
Interest acquired | 75.00% |  |  |  |  |  |  |
Consideration transferred | $ 7.3 |  |  |  |  |  |  |
Liabilities assumed | 5.0 |  |  |  |  |  |  |
Receivable acquired | 7.3 |  |  |  |  |  |  |
Gain on acquisition | $ 2.3 |  |  |  |  |  |  |

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