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Loan Receivable - Related Parties (Details) - Financing Receivable - USD ($)
6 Months Ended
Oct. 09, 2017
Jun. 30, 2019
Jun. 28, 2019
Dec. 31, 2018
Nov. 28, 2018
Sep. 21, 2018
Jun. 29, 2018
Dec. 31, 2015
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Additional line of credit principal amount   $ 8,000,000            
Universal Care, Inc.                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Amount of loan   $ 12,500,000   $ 12,500,000       $ 5,000,000
Interest rate on loan receivable   6.50%   6.50%        
Additional advances         $ 5,000,000   $ 2,500,000  
APC                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Amount of loan $ 5,000,000.0              
Amount funded           $ 5,000,000    
Period threshold of option to convert 3 years              
Payments to acquire loan receivable $ 5,000,000.0              
NMM Business Loan Agreement                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Amount funded 5,000,000.0         5,000,000    
APC and NMM                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Loan balance converted           $ 5,000,000    
Network Medical Management, Inc.                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Ownership interest           25.00%    
Dr. Arteaga Loan                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Amount of loan 6,400,000.0 $ 6,400,000            
Interest rate on loan receivable   6.50%            
Percentage of outstanding stock convertible     21.25%          
Dr. Jay Loan                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Amount of loan $ 10,000,000.0 $ 5,000,000   $ 5,000,000        
Interest rate on loan receivable   6.50%   6.50%        
Term of receivable 3 years              
Period threshold of option to convert 1 year              
Prime Rate | Universal Care, Inc.                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Basis spread on variable rate   1.00%            
Prime Rate | Dr. Arteaga Loan                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Basis spread on variable rate   1.00%            
Prime Rate | Dr. Jay Loan                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Basis spread on variable rate   1.00%            
LMA | APC                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Ownership upon conversion of finance receivable     46.25%          
LMA | Dr. Arteaga Loan                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Ownership upon conversion of finance receivable     53.75%