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Investments in Other Entities - Additional Information (Detail) - USD ($)		1 Months Ended		12 Months Ended
	Apr. 10, 2018	Jun. 27, 2018	May 31, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 18, 2018	Sep. 21, 2018	Jun. 30, 2018	Aug. 10, 2015	Jul. 01, 2015	Dec. 31, 2012
Income (Loss) from Equity Method Investments				$ (8,125,285)	$ (1,112,541)
Proceeds from Equity Method Investment, Distribution, Return of Capital				607,411	1,240,000
Equity Method Investments				34,876,980	21,903,524
Warrant Term			5-year warrant to purchase 270,000 membership interests. A 5-year
Cost Method Investment Description			In May 2018, APC purchased 270,000 membership interests of MediPortal LLC, a New York limited liability company, for $0.4 million or $1.50 per membership interest, which represented approximately 2.8% ownership.
Gain (Loss) on Investments				0	13,697,018
Dividends				1,975,010	19,697,923
WCollege LLC [Member]
Equity Method Investments				200,000
Convertible Debt [Member]
Loans Payable							$ 5,000,000
LaSalle Medical Associates IPA [Member]
Equity Method Investments				7,054,888	9,452,767
Pacific Medical Imaging and Oncology Center, Inc [Member]
Equity Method Investment, Ownership Percentage										40.00%
Equity Method Investment, Aggregate Cost										$ 1,200,000
Income (Loss) from Equity Method Investments				41,199	100,000
Equity Method Investments				1,359,494	1,400,693
Pacific Medical Imaging and Oncology Center, Inc [Member] \| Ancillary Service Contract [Member]
Payments for Other Fees				2,500,000	2,300,000
Universal Care Inc [Member]
Equity Method Investments				$ 2,635,945	8,609,455
Diagnostic Medical Group [Member]
Equity Method Investment, Ownership Percentage				40.00%
Equity Method Investments				$ 2,257,346	1,847,411
Dividends				600,000	200,000
Pacific Ambulatory Surgery Center, LLC [Member]
Equity Method Investments				285,198	593,198
MWN Community Hospital LLC [Member]
Equity Method Investment, Ownership Percentage						33.30%
Equity Method Investments				33,000
Initial Capital Contribution						$ 3,000
Working Capital Contribution						$ 30,000
Accountable Health Care IPA [Member]
Equity Method Investments				4,977,957	0
Gain (Loss) on Investments				22,043
Investment Owned, Balance, Principal Amount				5,000,000
MediPortal LLC [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross			380,000
Class of Warrant or Right, Number of Securities Called by Warrants or Rights			480,000
Cost Method Investment Ownership Percentage			2.80%
Allied Pacific of California [Member]
Equity Method Investment, Ownership Percentage								25.00%
Income (Loss) from Equity Method Investments				1,000,000	400,000
Equity Method Investments				2,300,000	1,800,000
Payments to Escrow Deposit		$ 8,300,000
Members' Capital								$ 8,300,000
Allied Pacific of California [Member] \| Convertible Debt [Member]
Loans Payable							5,000,000
Allied Pacific of California [Member] \| LaSalle Medical Associates IPA [Member]
Income (Loss) from Equity Method Investments				2,400,000	900,000
Proceeds from Equity Method Investment, Distribution, Return of Capital					1,000,000
Equity Method Investments				7,100,000	9,500,000
Allied Pacific of California [Member] \| Universal Care Inc [Member]
Income (Loss) from Equity Method Investments				6,000,000	2,300,000
Equity Method Investments				2,600,000	8,600,000
Allied Pacific of California [Member] \| Diagnostic Medical Group [Member]
Income (Loss) from Equity Method Investments				300,000	$ 200,000
Proceeds from Equity Method Investment, Distribution, Return of Capital				300,000
Equity Method Investments				$ 600,000
Allied Pacific of California [Member] \| Pacific Ambulatory Surgery Center, LLC [Member]
Equity Method Investment, Ownership Percentage				40.00%
Network Medical Management, Inc. [Member]
Equity Method Investment, Ownership Percentage								25.00%
Equity Method Investments				$ 16,300,000			$ 5,000,000
Payments to Escrow Deposit		8,300,000
Members' Capital								$ 8,300,000
Network Medical Management, Inc. [Member] \| Ancillary Service Contract [Member]
Equity Method Investment, Ownership Percentage							25.00%
APC LSMA [Member] \| LaSalle Medical Associates IPA [Member]
Equity Method Investment, Ownership Percentage											25.00%
Equity Method Investment, Aggregate Cost											$ 5,000,000
Universal Care Acquisition Partners, LLC [Member] \| Universal Care Inc [Member]
Equity Method Investment, Aggregate Cost									$ 10,000,000
Universal Care Acquisition Partners, LLC [Member] \| Allied Pacific of California [Member]
Equity Method Investment, Ownership Percentage									100.00%
AHMC Healthcare Inc [Member]
Equity Method Investment, Ownership Percentage								50.00%
Payments to Acquire Real Estate	$ 33,300,000
Payments to Escrow Deposit		$ 16,700,000
Members' Capital								$ 16,700,000
Voting Common Stock A Two [Member] \| Universal Care Acquisition Partners, LLC [Member] \| Universal Care Inc [Member]
Equity Method Investments, Purchase of Shares									100,000
Equity Method Investments, Proportion of Ownership Interest in Voting Common Stock									50.00%
Voting Common Stock A Two [Member] \| Universal Care Acquisition Partners, LLC [Member] \| Universal Care Inc [Member] \| Ancillary Service Contract [Member]
Equity Method Investment, Ownership Percentage									48.90%