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Related Party Transactions - Additional Information (Detail) - USD ($)
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Nov. 16, 2015
Sep. 30, 2015
LMA [Member]          
Equity Method Investment, Ownership Percentage 25.00%        
Revenue from Related Parties $ 4,600,000 $ 4,500,000      
PMIOC [Member]          
Equity Method Investment, Ownership Percentage 40.00%        
DMG [Member]          
Equity Method Investment, Ownership Percentage 40.00%        
Payment Made To Related Party $ 1,600,000 1,400,000      
Service [Member] | PMIOC [Member]          
Payment Made To Related Party 400,000 500,000      
Service [Member] | AMG, Inc [Member]          
Payment Made To Related Party 700,000 800,000      
Rob Mikitarian [Member] | Notes Receivable [Member]          
Debt Instrument, Face Amount         $ 150,000
Debt Instrument, Interest Rate, Effective Percentage         3.00%
Accounts and Other Receivables, Net, Current 150,000   $ 150,000    
Universal Care Inc [Member]          
Accounts and Other Receivables, Net, Current       $ 5,000,000  
Equity Method Investment, Ownership Percentage       48.90%  
Advance Diagnostic Surgery Center [Member] | Service [Member]          
Payment Made To Related Party 22,000 34,000      
Medical Property Partners [Member] | Service [Member]          
Payment Made To Related Party 300,000 300,000      
Medical Investment Group LLC [Member]          
Payment Made To Related Party 90,000 90,000      
APC Shareholders [Member]          
Payment Made To Related Party 9,200,000 12,800,000      
Shareholders And Officers [Member]          
Payment Made To Related Party $ 2,300,000 $ 5,400,000