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Investments in Other Entities - Additional Information (Detail) - USD ($)
1 Months Ended 12 Months Ended
May 14, 2016
Jul. 31, 2016
Jun. 01, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 07, 2017
Nov. 15, 2016
Apr. 30, 2016
Aug. 10, 2015
Jul. 01, 2015
Dec. 31, 2012
Income (Loss) from Equity Method Investments       $ (1,112,541) $ 4,748,542              
Proceeds from Equity Method Investment, Distribution, Return of Capital       1,240,000 2,000,000              
Equity Method Investments       21,903,524 24,256,065              
Payments to Acquire Equity Method Investments       0 2,440,000              
Due from Related Parties, Noncurrent       5,000,000 5,200,000              
Asset Impairment Charges         7,697              
Proceeds from Stock Options Exercised       164,797 260,000              
LaSalle Medical Associates IPA [Member]                        
Equity Method Investments       9,452,767 9,503,875              
Pacific Medical Imaging and Oncology Center, Inc [Member]                        
Equity Method Investment, Ownership Percentage                     40.00%  
Equity Method Investment, Aggregate Cost                     $ 1,200,000  
Income (Loss) from Equity Method Investments       54,265 19,722              
Equity Method Investments       1,400,693 1,346,428              
Pacific Medical Imaging and Oncology Center, Inc [Member] | Ancillary Service Contract [Member]                        
Payments for Other Fees       2,286,888 1,797,064              
Universal Care Inc [Member]                        
Equity Method Investments       $ 8,609,455 10,942,360              
Payments for Advance to Affiliate           $ 5,000,000            
Loans Receivable, Basis Spread on Variable Rate       1.00%                
Due from Related Parties, Noncurrent       $ 5,000,000 $ 5,000,000              
Loans Receivable, Interest Rate       5.50% 4.75%              
Diagnostic Medical Group [Member]                        
Equity Method Investments       $ 1,847,411 $ 1,683,698              
Payments to Acquire Equity Method Investments $ 1,600,000                      
Pacific Ambulatory Surgery Center, LLC [Member]                        
Equity Method Investments       593,198 $ 779,704              
Allied Pacific of California [Member]                        
Payments for Advance to Affiliate   $ 200,000                    
Loans Receivable, Interest Rate   3.50%                    
Share Price         $ 1.00              
Allied Pacific of California [Member] | LaSalle Medical Associates IPA [Member]                        
Income (Loss) from Equity Method Investments       948,892 $ 3,857,391              
Proceeds from Equity Method Investment, Distribution, Return of Capital       1,000,000 2,000,000              
Equity Method Investments       9,452,767 9,503,875              
Allied Pacific of California [Member] | Pacific Medical Imaging and Oncology Center, Inc [Member]                        
Payments to Acquire Equity Method Investments     $ 564,000                  
Equity Method Investments, Payment Due                     $ 600,000  
Allied Pacific of California [Member] | Universal Care Inc [Member]                        
Income (Loss) from Equity Method Investments       (2,332,905) 848,027              
Equity Method Investments       8,609,455 $ 10,942,360              
Allied Pacific of California [Member] | Diagnostic Medical Group [Member]                        
Equity Method Investment, Ownership Percentage         40.00%              
Equity Method Investment, Aggregate Cost         $ 40,000              
Income (Loss) from Equity Method Investments       403,713 43,698              
Proceeds from Equity Method Investment, Distribution, Return of Capital       240,000                
Equity Method Investments       1,847,411 1,683,698              
Proceeds from Collection of Long-term Loans to Related Parties       200,000                
Allied Pacific of California [Member] | Pacific Ambulatory Surgery Center, LLC [Member]                        
Equity Method Investment, Ownership Percentage               40.00%        
Equity Method Investment, Aggregate Cost               $ 800,000        
Income (Loss) from Equity Method Investments       186,506 20,296              
Equity Method Investments       $ 593,198 $ 779,704              
APCN-ACO AP-ACO [Member] | Pacific Medical Imaging and Oncology Center, Inc [Member]                        
Payments to Acquire Equity Method Investments     $ 36,000                  
Network Medical Management, Inc. [Member]                        
Equity Method Investment, Ownership Percentage             6.29%          
Share Price         $ 1.00              
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period       102,199 0              
APC LSMA [Member]                        
Equity Method Investment, Ownership Percentage                 40.00%      
Proceeds from Stock Options Exercised         $ 10,000              
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period         60,000              
APC LSMA [Member] | LaSalle Medical Associates IPA [Member]                        
Equity Method Investment, Ownership Percentage                       25.00%
Equity Method Investment, Aggregate Cost                       $ 5,000,000
APC LSMA [Member] | Allied Pacific of California [Member]                        
Equity Method Investments, Purchase of Shares 100                      
Universal Care Acquisition Partners, LLC [Member] | Universal Care Inc [Member]                        
Equity Method Investment, Aggregate Cost                   $ 10,000,000    
Universal Care Acquisition Partners, LLC [Member] | Allied Pacific of California [Member]                        
Equity Method Investment, Ownership Percentage                   100.00%    
Voting Common Stock A Two [Member] | Universal Care Acquisition Partners, LLC [Member] | Universal Care Inc [Member]                        
Equity Method Investments, Purchase of Shares                   100,000    
Equity Method Investments, Proportion of Ownership Interest in Voting Common Stock                   50.00%    
Voting Common Stock A Two [Member] | Universal Care Acquisition Partners, LLC [Member] | Universal Care Inc [Member] | Ancillary Service Contract [Member]                        
Equity Method Investment, Ownership Percentage                   48.90%