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