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Consolidated Statements of Cash Flows (Parenthetical)
Dec. 31, 2018
Sep. 21, 2018
Dec. 31, 2017
APA ACO Inc [Member]      
Equity Method Investment, Ownership Percentage 50.00%    
Network Medical Management, Inc. [Member]      
Equity Method Investment, Ownership Percentage   25.00%  
Network Medical Management, Inc. [Member] | APA ACO Inc [Member]      
Equity Method Investment, Ownership Percentage 50.00%   50.00%