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Related Party Transactions - Additional Information (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Nov. 28, 2018
Jun. 28, 2018
Nov. 16, 2015
LMA                
Related Party Transaction [Line Items]                
Ownership interest 25.00%   25.00%          
Revenue from related parties $ 5.2 $ 5.2 $ 8.4 $ 9.9        
Service | PMIOC                
Related Party Transaction [Line Items]                
Payments to related parties 0.6 0.8 1.4 1.2        
Service | DMG                
Related Party Transaction [Line Items]                
Payments to related parties 1.8 2.1 3.8 3.7        
Service | AMG, Inc                
Related Party Transaction [Line Items]                
Payments to related parties 0.7 1.2 2.0 1.9        
Universal Care, Inc.                
Related Party Transaction [Line Items]                
Ownership interest               48.90%
Amount of subordinated note receivable agreement               $ 5.0
Universal Care Acquisition Partners, LLC                
Related Party Transaction [Line Items]                
Amount of subordinated note receivable agreement           $ 5.0 $ 2.5  
APC Shareholders | Service                
Related Party Transaction [Line Items]                
Payments to related parties $ 7.1 11.6 $ 16.4 20.8        
APC Shareholders | Service | PMIOC                
Related Party Transaction [Line Items]                
Ownership interest 40.00%   40.00%          
APC Shareholders | Service | DMG                
Related Party Transaction [Line Items]                
Ownership interest 40.00%   40.00%          
Advance Diagnostic Surgery Center | Service                
Related Party Transaction [Line Items]                
Payments to related parties $ 0.1 0.1 $ 0.1 0.2        
Shareholders And Officers                
Related Party Transaction [Line Items]                
Payments to related parties 1.9 3.9 5.1 6.1        
Medical Property Partners                
Related Party Transaction [Line Items]                
Payments to related parties 0.3 0.3 0.5 0.5        
Medical Investment Group LLC                
Related Party Transaction [Line Items]                
Payments to related parties   0.1   0.2        
Critical Quality Management Corp                
Related Party Transaction [Line Items]                
Payments to related parties 0.1 0.1 0.2 0.1        
Numen LLC                
Related Party Transaction [Line Items]                
Payments to related parties 0.1 0.1 0.2 0.2        
AHMC                
Related Party Transaction [Line Items]                
Revenue from related parties 10.2 $ 8.2 25.0 $ 31.8        
Amount outstanding under agreement $ 51.9   $ 51.9   $ 44.2