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Loans Receivable and Loans Receivable - Related Parties - Additional Information (Details) - USD ($)
12 Months Ended
Aug. 30, 2019
Dec. 08, 2017
Dec. 31, 2019
Jun. 28, 2019
Dec. 31, 2018
Nov. 28, 2018
Jun. 29, 2018
Dec. 31, 2015
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Interest acquired   18.00%            
Consideration transferred   $ 86,394,383            
Accountable Health Care IPA                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Consideration transferred $ 25,100,000              
Liabilities assumed $ 15,400,000              
Dr. Jay | Accountable Health Care IPA                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Interest acquired 75.00%              
Consideration transferred $ 7,250,000              
Liabilities assumed 5,000,000              
Gain on acquisition $ 2,300,000              
Financing Receivable | Universal Care, Inc.                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Interest rate on loan receivable     5.75%          
Working capital advanced               $ 5,000,000
Additional advances     $ 4,000,000     $ 5,000,000 $ 2,500,000  
Amount of loan     $ 16,500,000   $ 12,500,000      
Financing Receivable | LMA | APC                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Ownership upon conversion of finance receivable       46.25%        
Financing Receivable | Prime Rate | Universal Care, Inc.                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Basis spread on variable rate     1.00%          
Financing Receivable | Dr. Arteaga                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Amount of loan       $ 6,400,000        
Interest rate on loan receivable     5.75%          
Percentage of outstanding stock convertible       21.25%        
Financing Receivable | Dr. Arteaga | LMA                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Ownership upon conversion of finance receivable       53.75%        
Financing Receivable | Dr. Arteaga | Prime Rate                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Basis spread on variable rate     1.00%          
Financing Receivable | Dr. Jay Loan                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Interest rate on loan receivable         6.50%