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Investments in Other Entities - Additional Information (Detail) - USD ($)
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Apr. 10, 2018
May 14, 2016
Jun. 29, 2018
Jun. 27, 2018
May 31, 2018
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2015
Sep. 21, 2018
Jun. 30, 2018
Dec. 31, 2017
Nov. 15, 2016
Aug. 10, 2015
Jul. 01, 2015
Dec. 31, 2012
Oct. 15, 2012
Income (Loss) from Equity Method Investments           $ (4,215,056) $ (1,461,096) $ (2,573,219) $ (28,936)                  
Equity Method Investments           24,122,895   24,122,895         $ 21,903,524          
Due from Related Parties, Noncurrent           7,500,000   7,500,000         5,000,000          
Convertible Debt [Member]                                    
Loans Payable                     $ 5,000,000              
LaSalle Medical Associates IPA [Member]                                    
Equity Method Investments           8,667,419   8,667,419         9,452,767          
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           4,990 52,157 41,571 161,776                  
Equity Method Investments           1,442,264   1,442,264         1,400,693          
Pacific Medical Imaging and Oncology Center, Inc [Member] | Ancillary Service Contract [Member]                                    
Payments for Other Fees           700,000 600,000 1,900,000 1,700,000                  
Universal Care Inc [Member]                                    
Equity Method Investments           $ 5,674,791   $ 5,674,791         8,609,455          
Payments for Advance to Affiliate     $ 2,500,000             $ 5,000,000                
Loans Receivable, Basis Spread on Variable Rate           1.00%   1.00%                    
Due from Related Parties, Noncurrent           $ 7,500,000   $ 7,500,000         $ 5,000,000          
Loans Receivable, Interest Rate           6.25%   6.25%         5.50%          
Repayments of Long-term Debt                   $ 5,000,000                
Diagnostic Medical Group [Member]                                    
Equity Method Investments           $ 2,537,929   $ 2,537,929         $ 1,847,411          
Payments to Acquire Equity Method Investments   $ 1,600,000                                
Pacific Ambulatory Surgery Center, LLC [Member]                                    
Equity Method Investments           853,243   853,243         593,198          
Accountable Health Care IPA [Member]                                    
Equity Method Investments           4,947,249   4,947,249         0          
Gain (Loss) on Investments           52,751   52,751                    
Investment Owned, Balance, Principal Amount           4,947,249   4,947,249                    
Allied Pacific of California [Member]                                    
Payments to Escrow Deposit       $ 8,336,920                            
Members' Capital                       $ 8,336,920            
Allied Pacific of California [Member] | Convertible Debt [Member]                                    
Loans Payable                     $ 5,000,000              
Allied Pacific of California [Member] | LaSalle Medical Associates IPA [Member]                                    
Income (Loss) from Equity Method Investments           171,136 44,906 (785,348) 558,460                  
Equity Method Investments           8,667,419   8,667,419         9,452,767          
Allied Pacific of California [Member] | Universal Care Inc [Member]                                    
Income (Loss) from Equity Method Investments           4,646,389 1,891,302 2,934,664 1,648,711                  
Equity Method Investments           5,674,791   5,674,791         8,609,455          
Allied Pacific of California [Member] | Diagnostic Medical Group [Member]                                    
Income (Loss) from Equity Method Investments           177,273 317,921 897,928 878,325                  
Equity Method Investments           2,537,929   2,537,929         $ 1,847,411          
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           $ 130,685 $ 5,389 $ 260,045 $ 11,381                  
Allied Pacific of California [Member] | MediPortal LLC [Member]                                    
Cost Method Investment Description         In May 2018, APC purchased 270,000 membership interests of MediPortal LLC, a New York limited liability company, for $405,000 or $1.50 per membership interest, which represented approximately 2.8% ownership.                          
Warrant Term         5-year warrant to purchase 270,000 membership interests. A 5-year                          
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross         380,000                          
Class of Warrant or Right, Number of Securities Called by Warrants or Rights         480,000                          
Cost Method Investment Ownership Percentage         2.80%                          
Network Medical Management, Inc. [Member]                                    
Equity Method Investment, Ownership Percentage                     25.00%              
Equity Method Investments                     $ 5,000,000              
Payments to Escrow Deposit       8,336,920                            
Members' Capital                       8,336,920            
AHMC Healthcare Inc [Member]                                    
Payments to Acquire Real Estate $ 33,347,679                                  
Payments to Escrow Deposit       $ 16,673,839                            
Members' Capital                       $ 16,673,839            
APC LSMA [Member]                                    
Equity Method Investment, Ownership Percentage   40.00%                                
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 Investment, Ownership Percentage                                   100.00%
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%