Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details)			1 Months Ended	5 Months Ended	12 Months Ended
	Oct. 01, 2018 USD ($)	Dec. 08, 2017 USD ($)	Jan. 31, 2018 USD ($)	Aug. 30, 2019 USD ($)	Dec. 31, 2019 USD ($) segment unit	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Sep. 01, 2019 USD ($)	Jan. 01, 2019 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of operating segments | segment					1
Number of reportable segments | segment					1
Amount deposit accounts exceeded FDIC insured limit					$ 226,500,000	$ 118,600,000
Amount of short-term marketable securities					116,538,673	1,127,102
Restricted cash					100,000	0
Allowance for doubtful accounts					2,900,000	4,300,000
Impairment of finite-lived intangible assets					0	0
Impairment of goodwill and intangible assets					$ 1,994,000	3,798,866	$ 2,431,791
Number of main reporting units | unit					3
Impairment of goodwill and intangible assets					$ 3,800,000	3,798,866
Billing in excess of costs						7,800,000	34,500,000
Risk pool settlement						900,000	$ 5,900,000
Payment of revenue			$ 7,300,000	$ 8,300,000
Payment of revenue reduce	$ 5,500,000
AIPBP payments								$ 3,700,000
Accrued contract liability recognized					56,100,000
Contract liability balance					$ 8,900,000	$ 9,100,000
Voting rights held (more than)					50.00%
Operating lease right-of-use assets					$ 14,247,727				$ 9,000,000
Operating lease liabilities					14,363,283				$ 8,900,000
Other Receivables, Related to IBNR
Summary Of Significant Accounting Policies [Line Items]
Recoverable claims paid					8,500,000
Other Receivables, Final Settlement 2017 Performance Year
Summary Of Significant Accounting Policies [Line Items]
Recoverable claims paid					3,000,000
Other Receivables, Risk Earnings, 2018 Performance Year
Summary Of Significant Accounting Policies [Line Items]
Recoverable claims paid					900,000
Accounts Payable and Accrued Expenses
Summary Of Significant Accounting Policies [Line Items]
Payment of revenue					56,100,000
Accrued contract liability recognized					500,000
Other Receivables
Summary Of Significant Accounting Policies [Line Items]
Recoverable claims paid					$ 6,500,000
CMS
Summary Of Significant Accounting Policies [Line Items]
Expected period of payment upon termination of agreement					30 days
PMPM
Summary Of Significant Accounting Policies [Line Items]
Contract term					P1Y
Management contracts
Summary Of Significant Accounting Policies [Line Items]
Contract term					P10Y
APAACO
Summary Of Significant Accounting Policies [Line Items]
Estimated revenue percentage							100.00%
PASC
Summary Of Significant Accounting Policies [Line Items]
Impairment of investments					$ 300,000
Medicare licenses
Summary Of Significant Accounting Policies [Line Items]
Indefinite-lived Intangible Assets, Written off Related to Sale of Business Unit		$ 2,000,000			$ 2,000,000
Minimum
Summary Of Significant Accounting Policies [Line Items]
Property, plant and equipment, useful life					3 years
Maximum
Summary Of Significant Accounting Policies [Line Items]
Property, plant and equipment, useful life					10 years