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Related-Party Transactions - Additional Information (Details) $ in Thousands | 3 Months Ended | 9 Months Ended |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | ---
Sep. 30, 2020 USD ($) | Sep. 30, 2019 USD ($) | Sep. 30, 2020 USD ($) | Sep. 30, 2019 USD ($) | Apr. 30, 2020 | Dec. 31, 2019 USD ($) | Nov. 28, 2018 USD ($) agreement | Jun. 28, 2018 USD ($) | Nov. 16, 2015 USD ($)
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Operating lease right-of-use assets | $ 19,298 |  | $ 19,298 |  |  | $ 14,248 |  |  |
Lease liabilities | 19,906 |  | 19,906 |  |  |  |  |  |
Recognized risk pool revenue | 5,474 | $ 10,979 | 23,081 | $ 37,858 |  |  |  |  |
NMM | Board Members |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Consulting services paid | 0 | 27 | 100 | 200 |  |  |  |  |
NMM | LMA |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Revenue from related parties | 4,200 | 12,600 | 4,400 | 12,900 |  |  |  |  |
APC | PMIOC | Service |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 500 | 1,500 | 700 | 2,100 |  |  |  |  |
APC | DMG | Service |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 1,200 | 3,800 | 2,000 | 5,800 |  |  |  |  |
Universal Care, Inc. |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Amount of subordinated note receivable agreement |  |  |  |  |  |  |  |  | $ 5,000
Universal Care Acquisition Partners, LLC |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Amount of subordinated note receivable agreement |  |  |  |  |  |  | $ 5,000 | $ 2,500 |
Number of additional subordinated note receivable agreements | agreement |  |  |  |  |  |  | 2 |  |
APC Shareholders | APC | Service |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 7,100 | 6,700 | 23,400 | 23,100 |  |  |  |  |
Advance Diagnostic Surgery Center | APC | Service |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 100 | 200 | 100 | 200 |  |  |  |  |
APC Shareholders and Officers | APC |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 1,700 | 1,800 | 6,500 | 6,900 |  |  |  |  |
Medical Property Partners | NMM |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 300 | 800 | 300 | 800 |  |  |  |  |
One MSO, Inc. |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Operating lease right-of-use assets | 10,400 |  | 10,400 |  |  |  |  |  |
Lease liabilities | 10,400 |  | 10,400 |  |  |  |  |  |
One MSO, Inc. | NMM |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 400 |  | 1,100 |  |  |  |  |  |
Critical Quality Management Corp |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 39 | 100 | 300 | 300 |  |  |  |  |
Numen LLC |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Operating lease right-of-use assets | 1,400 |  | 1,400 |  |  |  |  |  |
Lease liabilities | 1,400 |  | 1,400 |  |  |  |  |  |
Numen LLC | SCHC |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Payments to related parties | 100 | 300 | 100 | 300 |  |  |  |  |
AHMC |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Recognized risk pool revenue | 10,500 | $ 31,500 | 11,000 | $ 31,900 |  |  |  |  |
Amount outstanding under agreement | $ 36,900 |  | $ 36,900 |  |  | $ 40,400 |  |  |
Universal Care, Inc. |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  |  |  |  |  | 48.90%
Universal Care, Inc. | APC | Universal Care Acquisition Partners, LLC |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Ownership interest |  |  |  |  | 48.90% |  |  |  |
LMA | NMM |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Ownership interest | 25.00% | 25.00% | 25.00% | 25.00% |  |  |  |  |
PMIOC | APC Shareholders | APC | Service |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Ownership interest | 40.00% | 40.00% | 40.00% | 40.00% |  |  |  |  |
DMG | APC Shareholders | APC | Service |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Ownership interest | 40.00% | 40.00% | 40.00% | 40.00% |  |  |  |  |
One MSO, Inc. | Dr. Sim And Dr. Lam |  |  |  |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |  |  |  |
Ownership interest | 50.00% |  | 50.00% |  |  |  |  |  |

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