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Bank Loan, Lines of Credit and Loan Payable - Related Party - Additional Information (Detail) - USD ($)
6 Months Ended
Jun. 14, 2018
Jun. 30, 2018
Jun. 27, 2018
Dec. 31, 2017
Oct. 31, 2017
Mar. 03, 2017
Dec. 31, 2010
Short-term Bank Loans and Notes Payable   $ 278,017   $ 510,391      
Long-term Line of Credit   $ 5,000,000          
ICC [Member]              
Debt Instrument, Face Amount             $ 4,600,000
Debt Instrument, Interest Rate, Stated Percentage   5.00%   4.50%      
Short-term Bank Loans and Notes Payable   $ 394,783   $ 510,391      
Debt Instrument, Maturity Date   Dec. 31, 2018          
APC [Member]              
Line of Credit Facility, Expiration Date Jun. 22, 2020            
Long-term Line of Credit   $ 5,000,000   $ 5,000,000      
Line of Credit Facility, Description   prime rate plus 0.125%          
APC [Member] | Standby Letters of Credit [Member]              
Line of Credit Facility, Maximum Borrowing Capacity           $ 305,016  
NMM Business Loan Agreement [Member]              
Line of Credit Facility, Maximum Borrowing Capacity $ 20,000,000            
Line of Credit Facility, Interest Rate at Period End   5.125%   4.625%      
Long-term Line of Credit   $ 5,000,000 $ 8,000,000 $ 5,000,000 $ 5,000,000    
Line of Credit Facility, Remaining Borrowing Capacity   $ 300,671   $ 8,300,671      
Debt Instrument, Maturity Date Range, End Jun. 22, 2020            
APC Business Loan Agreement [Member]              
Line of Credit Facility, Maximum Borrowing Capacity $ 10,000,000            
Line of Credit Facility, Interest Rate at Period End   5.125%   4.625%      
Line of Credit Facility, Remaining Borrowing Capacity   $ 9,694,984   $ 9,694,984      
Line of Credit Facility, Description   prime rate plus 0.125%          
APAACO [Member] | Standby Letters of Credit [Member]              
Debt Instrument, Maturity Date   Dec. 31, 2018          
Line of Credit Facility, Maximum Borrowing Capacity           $ 6,699,329  
Line of Credit Facility, Description   The letter of credit expires on December 31, 2018 and deemed automatically extended without amendment for additional one - year periods from the present or any future expiration date, unless notified by the institution to terminate prior to 90 days from any expiration date.          
Network Medical Management [Member]              
Long-term Line of Credit   $ 13,000,000   $ 5,000,000      
Accountable Health Care IPA [Member]              
Payments for Advance to Affiliate   $ 5,000,000