Investments in Other Entities - Additional Information (Details) $ / shares in Units, patient in Thousands, member in Thousands					1 Months Ended	3 Months Ended		6 Months Ended
	Jul. 24, 2019 USD ($)	Apr. 10, 2018 USD ($)	May 14, 2016 USD ($)	Aug. 10, 2015 USD ($) shares	May 31, 2018 USD ($) $ / shares shares	Jun. 30, 2019 USD ($) healthcare_professional	Jun. 30, 2018 USD ($)	Jun. 30, 2019 USD ($) healthcare_professional	Jun. 30, 2018 USD ($)	Jun. 30, 2019	Jun. 30, 2019 patient	Jun. 30, 2019 medical_center	Jun. 30, 2019 USD ($)	Jun. 30, 2019 plan	Jun. 30, 2019 specialty_care_physician	Jun. 30, 2019 primary_care_physician	Jun. 30, 2019 member	Apr. 23, 2019 USD ($)	Dec. 31, 2018 USD ($)	Dec. 18, 2018 USD ($)	Sep. 21, 2018 USD ($)	Nov. 15, 2016 USD ($)	Jul. 31, 2015 USD ($)	Dec. 31, 2012 USD ($)
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						$ (42,282)	$ 1,669,861	$ (891,939)	$ 1,641,837
Investments in other entities – equity method													$ 35,903,041						$ 34,876,980
Cash consideration paid for ownership interest								2,158,000	16,673,840
Dividends received from investment								240,000	0
LaSalle Medical Associates – IPA Line of Business
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method													6,827,190						7,054,888
Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method													8,159,432						2,635,945
Accountable Health Care
Schedule of Equity Method Investments [Line Items]
Number of medical centers | medical_center												8
Number of employees (more than)															700	400
Ownership interest																					25.00%
Income (loss) from equity method investments						(3,500,000)		(4,300,000)
Investments in other entities – equity method													665,372						4,977,957
Number of members of federally qualified health plans (more than) | member																	160
Number federally qualified health plans | plan														7
Investment balance													700,000						5,000,000
Diagnostic Medical Group
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method													2,434,938						2,257,346
Cash consideration paid for ownership interest			$ 1,600,000
Pacific Ambulatory Surgery Center, LLC
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method													0						285,198
Impairment of investments								300,000
Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																							$ 1,200,000
Ownership interest																							40.00%
Income (loss) from equity method investments						81,315	$ 62,606	$ 200,000	$ 36,581
Investments in other entities – equity method													1,511,276						1,359,494
Impairment of investments						$ 300,000
College Street Investment LP
Schedule of Equity Method Investments [Line Items]
Ownership interest							50.00%		50.00%
MWN Community Hospital LLC
Schedule of Equity Method Investments [Line Items]
Ownership interest																				33.30%
Investments in other entities – equity method													66,000						33,000
Initial capital contribution																				$ 3,000
Working capital contribution													33,000							$ 30,000
MediPortal LLC
Schedule of Equity Method Investments [Line Items]
Term of warrant					5 years
Number of warrants received (in shares) | shares					480,000
Term of option					5 years
Options to purchase additional membership interests (in shares) | shares					380,000
APC LSMA
Schedule of Equity Method Investments [Line Items]
Ownership interest			40.00%
APC LSMA | LaSalle Medical Associates – IPA Line of Business
Schedule of Equity Method Investments [Line Items]
Number of medical centers | medical_center												4
Number of employees (more than) | healthcare_professional						120		120
Number of patients (more than) | patient											313
Amount invested for interest													2,100,000											$ 5,000,000
Ownership interest										25.00%														25.00%
AHMC Healthcare Inc
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																		$ 8,300,000
Ownership interest										50.00%								25.00%
Investments in other entities – equity method													16,200,000
Initial capital contributions							$ 16,700,000		$ 16,700,000
Purchase price of real estate		$ 33,300,000
Allied Pacific of California
Schedule of Equity Method Investments [Line Items]
Ownership interest							25.00%		25.00%
Initial capital contributions							$ 8,300,000		$ 8,300,000
Allied Pacific of California | LaSalle Medical Associates – IPA Line of Business
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						$ (1,300,000)	(600,000)	$ (2,400,000)	(1,000,000)
Investments in other entities – equity method													6,800,000						7,100,000
Allied Pacific of California | Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						4,500,000	1,700,000	5,500,000	1,700,000
Investments in other entities – equity method													8,200,000						2,600,000
Allied Pacific of California | Diagnostic Medical Group
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						200,000	400,000	400,000	700,000
Investments in other entities – equity method													2,400,000						$ 2,300,000
Dividends received from investment								300,000
Allied Pacific of California | Pacific Ambulatory Surgery Center, LLC
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																						$ 800,000
Ownership interest																						40.00%
Income (loss) from equity method investments							$ 87,407		$ 100,000
Allied Pacific of California | MediPortal LLC
Schedule of Equity Method Investments [Line Items]
Ownership interest					2.80%
Shares purchased (in shares) | shares					270,000
Cash consideration paid for ownership interest					$ 400,000
Membership interests acquired (in dollars per share) | $ / shares					$ 1.50
Term of warrant					5 years
Number of warrants received (in shares) | shares					270,000
Network Medical Management, Inc.
Schedule of Equity Method Investments [Line Items]
Ownership interest							25.00%		25.00%
Investments in other entities – equity method																					$ 5,000,000
Initial capital contributions							$ 8,300,000		$ 8,300,000
APC and NMM
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								(34,319)
Investments in other entities – equity method													16,200,000
Convertible Debt | Accountable Health Care
Schedule of Equity Method Investments [Line Items]
Loan balance converted																					5,000,000
Convertible Debt | Allied Pacific of California
Schedule of Equity Method Investments [Line Items]
Loan balance converted																					$ 5,000,000
Voting Common Stock A Two | Universal Care Acquisition Partners, LLC | Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Shares purchased (in shares) | shares				100,000
Cash consideration paid for ownership interest				$ 10,000,000
Percentage of voting common stock				50.00%
Ancillary Service Contract | Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
Fees paid						$ 600,000	$ 800,000	$ 1,400,000	$ 1,200,000
Ancillary Service Contract | Voting Common Stock A Two | Universal Care Acquisition Partners, LLC | Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Ownership interest				48.90%
Pacific Ambulatory Surgery Center, LLC
Schedule of Equity Method Investments [Line Items]
Repayment advance classified in other assets													$ 300,000
Dr. Jay | Subsequent Event | Accountable Health Care
Schedule of Equity Method Investments [Line Items]
Consideration transferred	$ 7,300,000