Bank Loan, Lines of Credit and Loan Payable - Related Party - Additional Information (Detail) - USD ($)		1 Months Ended		9 Months Ended
	Jun. 14, 2018	Oct. 03, 2018	Sep. 05, 2018	Sep. 30, 2018	Sep. 01, 2018	Jun. 27, 2018	Dec. 31, 2017	Oct. 31, 2017	Oct. 09, 2017	Mar. 03, 2017	Dec. 31, 2010
Short-term Bank Loans and Notes Payable				$ 159,906			$ 510,391
Long-term Line of Credit				$ 5,000,000
ICC [Member]
Debt Instrument, Face Amount											$ 4,600,000
Debt Instrument, Interest Rate, Stated Percentage				5.25%			4.50%
Short-term Bank Loans and Notes Payable				$ 159,906			$ 510,391
Debt Instrument, Maturity Date				Dec. 31, 2018
APC [Member]
Long-term Line of Credit									$ 5,000,000
APC [Member] | Standby Letters of Credit [Member]
Line of Credit Facility, Maximum Borrowing Capacity				$ 305,016
NMM Business Loan Agreement [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 20,000,000
Line of Credit Facility, Interest Rate at Period End				5.375%			4.625%
Long-term Line of Credit				$ 5,000,000		$ 8,000,000		$ 5,000,000	$ 5,000,000
Line of Credit Facility, Remaining Borrowing Capacity				$ 7,300,671			$ 8,300,671
Line of Credit Facility, Description				prime rate plus 0.125%
Debt Instrument, Maturity Date Range, End	Jun. 22, 2020
APC Business Loan Agreement [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 10,000,000
Line of Credit Facility, Interest Rate at Period End				5.375%			4.625%
Line of Credit Facility, Expiration Date	Jun. 22, 2020
Line of Credit Facility, Remaining Borrowing Capacity				$ 9,694,984			$ 9,694,984
Line of Credit Facility, Description				prime rate plus 0.125%
APAACO [Member] | Standby Letters of Credit [Member]
Debt Instrument, Maturity Date				Dec. 31, 2018
Line of Credit Facility, Maximum Borrowing Capacity										$ 6,699,329
Line of Credit Facility, Description				The letter of credit expires on December 31, 2018 and deemed automatically extended without amendment for additional one - year periods from the present or any future expiration date, unless notified by the institution to terminate prior to 90 days from any expiration date.
APAACO [Member] | Standby Letters of Credit [Member] | Subsequent Event [Member]
Debt Instrument, Maturity Date		Dec. 31, 2019
Line of Credit Facility, Maximum Borrowing Capacity		$ 6,601,613
Network Medical Management [Member]
Line of Credit Facility, Maximum Borrowing Capacity			$ 20,000,000
Line of Credit Facility, Interest Rate at Period End				5.375%
Line of Credit Facility, Expiration Date			Sep. 05, 2019
Long-term Line of Credit				$ 13,000,000			$ 5,000,000
Line of Credit Facility, Remaining Borrowing Capacity				20,000,000
Line of Credit Facility, Description			prime rate plus 0.125%
Debt Instrument, Term			5 years
Network Medical Management [Member] | Minimum [Member]
Line of Credit Facility, Maximum Borrowing Capacity					$ 20,000,000
Network Medical Management [Member] | Maximum [Member]
Line of Credit Facility, Maximum Borrowing Capacity					$ 27,000,000
Accountable Health Care IPA [Member]
Payments for Advance to Affiliate				$ 5,000,000