Investments in Other Entities — Equity Method - Additional Information (Details) patient in Thousands |
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1 Months Ended |
3 Months Ended |
6 Months Ended |
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Apr. 30, 2020
USD ($)
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Jul. 01, 2019
USD ($)
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Jun. 30, 2018
USD ($)
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May 31, 2018
USD ($)
shares
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Aug. 31, 2015
USD ($)
shares
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Jun. 30, 2020
USD ($)
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Jun. 30, 2019
USD ($)
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Jun. 30, 2020
USD ($)
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Jun. 30, 2019
USD ($)
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Jun. 30, 2020 |
Jun. 30, 2020
primary_care_physician
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Jun. 30, 2020
specialty_care_physician
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Jun. 30, 2020
medical_center
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Jun. 30, 2020
provider
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Jun. 30, 2020
patient
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Dec. 31, 2019
USD ($)
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Aug. 31, 2019
USD ($)
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Apr. 23, 2019
USD ($)
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Dec. 31, 2018
USD ($)
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May 14, 2016 |
Nov. 16, 2015 |
Jul. 31, 2015
USD ($)
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Dec. 31, 2012
USD ($)
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Schedule of Equity Method Investments [Line Items] |
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Income (loss) from equity method investments |
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$ 834,000
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$ (42,000)
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$ 2,888,000
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$ (892,000)
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Investments in other entities – equity method |
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26,817,000
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26,817,000
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$ 28,427,000
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Cash consideration paid for ownership interest |
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500,000
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2,158,000
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Proceeds from sale of equity method investment |
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52,743,000
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0
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Investments in privately held entities |
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37,075,000
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37,075,000
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896,000
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Contribution |
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500,000
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APC | MediPortal LLC |
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Schedule of Equity Method Investments [Line Items] |
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Membership interests purchased (in shares) | shares |
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270,000
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Payments to purchase membership interests |
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$ 400,000
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Membership interests acquired (in dollars per share) | shares |
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1.50
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Ownership percentage |
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2.80%
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Term of warrant |
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5 years
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Number of warrants received (in shares) | shares |
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270,000
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Term of option |
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5 years
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Options to purchase additional membership interests (in shares) | shares |
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380,000
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Number of warrants available to purchase, contingent upon the portal completion date (in shares) | shares |
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480,000
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Accountable Health Care |
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Schedule of Equity Method Investments [Line Items] |
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Number of medical centers | medical_center |
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4
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Number of employees (more than) |
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400
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700
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Network Medical Management, Inc. | AchievaMed, Inc. |
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Schedule of Equity Method Investments [Line Items] |
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Ownership percentage |
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10.00%
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Percentage of voting common stock, within five years |
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50.00%
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Duration of investment |
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5 years
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Investment amount |
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$ 500,000
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Related investment balance |
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500,000
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500,000
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Pacific6 Enterprises |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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33.30%
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Health Source MSO Inc. |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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33.30%
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LaSalle Medical Associates |
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Schedule of Equity Method Investments [Line Items] |
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Number of medical centers | medical_center |
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6
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Number of employees (more than) | provider |
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2,300
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Number of patients | patient |
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290
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Income (loss) from equity method investments |
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(428,000)
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Investments in other entities – equity method |
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5,969,000
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5,969,000
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6,397,000
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Contribution |
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0
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LaSalle Medical Associates | APC LSMA |
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Schedule of Equity Method Investments [Line Items] |
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Amount invested for interest |
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$ 5,000,000.0
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Ownership interest |
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25.00%
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LaSalle Medical Associates | APC |
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Schedule of Equity Method Investments [Line Items] |
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Income (loss) from equity method investments |
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200,000
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(1,300,000)
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(400,000)
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(2,400,000)
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Pacific Medical Imaging & Oncology Center, Inc. |
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Schedule of Equity Method Investments [Line Items] |
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Income (loss) from equity method investments |
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77,000
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Investments in other entities – equity method |
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1,473,000
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1,473,000
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1,396,000
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Contribution |
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0
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Pacific Medical Imaging & Oncology Center, Inc. | APC LSMA |
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Schedule of Equity Method Investments [Line Items] |
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Amount invested for interest |
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$ 1,200,000
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Ownership interest |
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40.00%
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Pacific Medical Imaging & Oncology Center, Inc. | APC |
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Schedule of Equity Method Investments [Line Items] |
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Income (loss) from equity method investments |
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(10,200)
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100,000
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100,000
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200,000
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Investments in other entities – equity method |
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1,500,000
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1,500,000
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1,400,000
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Pacific Medical Imaging & Oncology Center, Inc. | APC | Ancillary Service Contract |
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Schedule of Equity Method Investments [Line Items] |
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Fees paid |
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400,000
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600,000
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1,000,000.0
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1,400,000
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Universal Care, Inc. |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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48.90%
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Income (loss) from equity method investments |
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|
900,000
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4,500,000
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3,560,000
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5,500,000
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Investments in other entities – equity method |
$ 4,998,000
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0
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0
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1,438,000
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Proceeds from sale of equity method investment |
52,743,000
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Additional cash and non-cash consideration entitled to be received |
15,723,000
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Contribution |
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0
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Universal Care, Inc. | Preferred Stock | Bright |
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Schedule of Equity Method Investments [Line Items] |
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Investments in privately held entities |
$ 36,179,000
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Universal Care, Inc. | APC |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest disposed |
48.90%
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Proceeds from sale of equity method investment |
$ 69,200,000
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Repayment of indebtedness received |
16,500,000
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Additional cash and non-cash consideration entitled to be received |
15,700,000
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15,700,000
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Universal Care, Inc. | APC | Preferred Stock | Bright |
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Schedule of Equity Method Investments [Line Items] |
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Investments in privately held entities |
|
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36,200,000
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36,200,000
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Universal Care, Inc. | Universal Care Acquisition Partners, LLC |
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Schedule of Equity Method Investments [Line Items] |
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Contingent consideration, cash held in escrow |
15,600,000
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Contingent consideration, preferred shares |
6,400,000
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Contingent consideration, fair value |
$ 22,000,000.0
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Universal Care, Inc. | Universal Care Acquisition Partners, LLC | APC |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
48.90%
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Repayment of indebtedness received |
$ 16,500,000
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Universal Care, Inc. | Universal Care Acquisition Partners, LLC | Bright |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest disposed |
48.90%
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Proceeds from sale of equity method investment |
$ 69,200,000
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Universal Care, Inc. | Universal Care Acquisition Partners, LLC | Voting Common Stock A Two |
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|
Schedule of Equity Method Investments [Line Items] |
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Shares purchased (in shares) | shares |
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100,000
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Cash consideration paid for ownership interest |
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$ 10,000,000.0
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Percentage of voting common stock |
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50.00%
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Universal Care, Inc. | Universal Care Acquisition Partners, LLC | Ancillary Service Contract | Voting Common Stock A Two |
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|
Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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48.90%
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Diagnostic Medical Group |
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Schedule of Equity Method Investments [Line Items] |
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Income (loss) from equity method investments |
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(102,000)
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Investments in other entities – equity method |
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2,232,000
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2,232,000
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2,334,000
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Contribution |
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0
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Diagnostic Medical Group | APC |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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40.00%
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|
Income (loss) from equity method investments |
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|
(100,000)
|
200,000
|
(100,000)
|
400,000
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513 W. College LLC |
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Schedule of Equity Method Investments [Line Items] |
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|
Income (loss) from equity method investments |
|
|
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|
(231,000)
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Investments in other entities – equity method |
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|
16,967,000
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|
16,967,000
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16,698,000
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Purchase price of real estate |
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$ 33,300,000
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Contribution |
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|
500,000
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513 W. College LLC | APC |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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|
25.00%
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50.00%
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|
Income (loss) from equity method investments |
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|
(100,000)
|
$ 12,649
|
(200,000)
|
$ (34,319)
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Initial capital contributions |
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|
$ 8,300,000
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513 W. College LLC | College Street Investment LP |
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
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|
50.00%
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Initial capital contributions |
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|
$ 16,700,000
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513 W. College LLC | Network Medical Management, Inc. |
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Schedule of Equity Method Investments [Line Items] |
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Amount invested for interest |
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|
$ 8,300,000
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|
Ownership interest |
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|
25.00%
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|
25.00%
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|
Initial capital contributions |
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|
$ 8,300,000
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MWN, LLC – related party |
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Schedule of Equity Method Investments [Line Items] |
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|
Income (loss) from equity method investments |
|
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|
12,000
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|
Investments in other entities – equity method |
|
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|
176,000
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|
176,000
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|
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|
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|
164,000
|
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|
Contribution |
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0
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MWN, LLC – related party | Network Medical Management, Inc. |
|
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Schedule of Equity Method Investments [Line Items] |
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Ownership interest |
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
33.30%
|
|
|
|
|
Income (loss) from equity method investments |
|
|
|
|
|
(43,000)
|
|
12,000
|
|
|
|
|
|
|
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|
Investments in other entities – equity method |
|
|
|
|
|
$ 200,000
|
|
$ 200,000
|
|
|
|
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|
$ 200,000
|
|
|
|
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|
Initial capital contributions |
|
|
|
|
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|
|
|
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|
$ 3,000
|
|
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|
Working capital contribution |
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|
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|
|
|
|
|
|
$ 300,000
|
|
30,000
|
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|
MWN, LLC – related party | Pacific6 Enterprises |
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Schedule of Equity Method Investments [Line Items] |
|
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|
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|
Initial capital contributions |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,000
|
|
|
|
|
Working capital contribution |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
30,000
|
|
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|
MWN, LLC – related party | Health Source MSO Inc. |
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|
Schedule of Equity Method Investments [Line Items] |
|
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|
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|
Initial capital contributions |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,000
|
|
|
|
|
Working capital contribution |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ 30,000
|
|
|
|
|