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Related Party Transactions - Additional Information (Details) - USD ($) | 3 Months Ended | 9 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018 | Dec. 31, 2018 | Nov. 28, 2018 | Jun. 28, 2018 | Nov. 16, 2015
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Office lease payment | $ 1,676,800 |  | $ 3,949,665 |  |  |  |  |
LMA |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Ownership interest | 25.00% |  | 25.00% |  |  |  |  |
Revenue from related parties | $ 4,400,000 | $ 6,100,000 | $ 12,900,000 | $ 16,000,000 |  |  |  |
Service | PMIOC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 700,000 | 2,100,000 | 700,000 | 1,900,000 |  |  |  |
Service | DMG |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 2,000,000 | 1,700,000 | 5,800,000 | 5,500,000 |  |  |  |
Universal Care, Inc. |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  | 48.90%
Amount of subordinated note receivable agreement |  |  |  |  |  |  |  | $ 5,000,000
Universal Care Acquisition Partners, LLC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Amount of subordinated note receivable agreement |  |  |  |  |  | $ 5,000,000 | $ 2,500,000 |
APC Shareholders | Service |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | $ 6,700,000 | 7,300,000 | $ 23,100,000 | 29,200,000 |  |  |  |
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 | $ 100,000 | 200,000 | $ 100,000 | 200,000 |  |  |  |
Shareholders And Officers |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 1,800,000 | 2,400,000 | 6,900,000 | 9,800,000 |  |  |  |
Medical Property Partners |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 300,000 | 800,000 | 300,000 | 800,000 |  |  |  |
Medical Investment Group LLC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties |  | 100,000 |  | 200,000 |  |  |  |
Critical Quality Management Corp |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 100,000 | 300,000 | 200,000 | 300,000 |  |  |  |
Numen LLC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Payments to related parties | 100,000 | 300,000 | 100,000 | 300,000 |  |  |  |
AHMC |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Revenue from related parties | 11,000,000 | $ 45,200,000 | 31,900,000 | $ 71,800,000 |  |  |  |
Amount outstanding under agreement | 34,000,000 |  | 34,000,000 |  | $ 44,200,000 |  |  |
AchievaMed, Inc. | Affiliated Entity |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |
Office lease payment | $ 300,000 |  | $ 300,000 |  |  |  |  |

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