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Related Party Transactions - Additional Information (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Nov. 28, 2018
Jun. 28, 2018
Nov. 16, 2015
Related Party Transaction [Line Items]                
Office lease payment $ 1,676,800   $ 3,949,665          
LMA                
Related Party Transaction [Line Items]                
Ownership interest 25.00%   25.00%          
Revenue from related parties $ 4,400,000 $ 6,100,000 $ 12,900,000 $ 16,000,000        
Service | PMIOC                
Related Party Transaction [Line Items]                
Payments to related parties 700,000 2,100,000 700,000 1,900,000        
Service | DMG                
Related Party Transaction [Line Items]                
Payments to related parties 2,000,000 1,700,000 5,800,000 5,500,000        
Universal Care, Inc.                
Related Party Transaction [Line Items]                
Ownership interest               48.90%
Amount of subordinated note receivable agreement               $ 5,000,000
Universal Care Acquisition Partners, LLC                
Related Party Transaction [Line Items]                
Amount of subordinated note receivable agreement           $ 5,000,000 $ 2,500,000  
APC Shareholders | Service                
Related Party Transaction [Line Items]                
Payments to related parties $ 6,700,000 7,300,000 $ 23,100,000 29,200,000        
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 $ 100,000 200,000 $ 100,000 200,000        
Shareholders And Officers                
Related Party Transaction [Line Items]                
Payments to related parties 1,800,000 2,400,000 6,900,000 9,800,000        
Medical Property Partners                
Related Party Transaction [Line Items]                
Payments to related parties 300,000 800,000 300,000 800,000        
Medical Investment Group LLC                
Related Party Transaction [Line Items]                
Payments to related parties   100,000   200,000        
Critical Quality Management Corp                
Related Party Transaction [Line Items]                
Payments to related parties 100,000 300,000 200,000 300,000        
Numen LLC                
Related Party Transaction [Line Items]                
Payments to related parties 100,000 300,000 100,000 300,000        
AHMC                
Related Party Transaction [Line Items]                
Revenue from related parties 11,000,000 $ 45,200,000 31,900,000 $ 71,800,000        
Amount outstanding under agreement 34,000,000   34,000,000   $ 44,200,000      
AchievaMed, Inc. | Affiliated Entity                
Related Party Transaction [Line Items]                
Office lease payment $ 300,000   $ 300,000