Investments in Other Entities - Additional Information (Details)						1 Months Ended		12 Months Ended
	Aug. 30, 2019 USD ($)	Jul. 01, 2019 USD ($)	Jun. 29, 2018 USD ($)	Dec. 08, 2017 USD ($)	Aug. 10, 2015 USD ($) shares	Jun. 27, 2018 USD ($)	May 31, 2018 USD ($) $ / shares shares	Dec. 31, 2019 USD ($) medical_center	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2019	Dec. 31, 2019 USD ($)	Dec. 31, 2019 plan	Dec. 31, 2019 specialty_care_physician	Dec. 31, 2019 primary_care_physician	Dec. 31, 2019 member	Dec. 31, 2019 provider	Dec. 31, 2019 patient	Apr. 23, 2019 USD ($)	Dec. 18, 2018 USD ($)	Sep. 21, 2018 USD ($)	Jun. 30, 2018 USD ($)	Jul. 01, 2015 USD ($)	Dec. 31, 2012 USD ($)
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								$ (6,900,859)	$ (8,125,285)	$ (1,112,541)
Investments in other entities – equity method									34,876,980			$ 28,427,455
Proceeds from equity method investment								240,000	607,411	1,240,000
Payments to acquire equity method investments								$ 3,108,000	16,706,152	$ 0
Interest acquired				18.00%
Consideration transferred				$ 86,394,383
Accountable Health Care IPA
Schedule of Equity Method Investments [Line Items]
Consideration transferred	$ 25,100,000
Accountable Health Care IPA | Dr. Jay
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments	$ 1,800,000
Interest acquired	75.00%
Consideration transferred	$ 7,250,000
APC | Accountable Health Care IPA
Schedule of Equity Method Investments [Line Items]
Interest acquired	25.00%
APC | MediPortal LLC
Schedule of Equity Method Investments [Line Items]
Shares purchased (in shares) | shares							270,000
Payments to acquire equity method investments							$ 400,000
Membership interest acquired (in dollars per share) | $ / shares							$ 1.50
Ownership percentage							2.80%
Equity method investment options issued term							5 years
Term of warrant							5 years
Number of warrants (in shares) | shares							270,000
Equity method investment purchase additional interests | shares							380,000
Equity method investment purchase additional interests, contingent upon the portal completion date | shares							480,000
NMM | AchievaMed, Inc.
Schedule of Equity Method Investments [Line Items]
Amount invested for interest		$ 500,000
Ownership interest		10.00%
Percentage of voting common stock, within five years		50.00%
Duration of investment		5 years
APC LSMA | Accountable Health Care IPA
Schedule of Equity Method Investments [Line Items]
Interest acquired	75.00%
Accountable Health Care IPA
Schedule of Equity Method Investments [Line Items]
Number of medical centers | medical_center								5
Number of employees (more than)														700	400
Number of members of federally qualified health plans (more than) | member																84,000
Number federally qualified health plans | plan													3
Pacific6
Schedule of Equity Method Investments [Line Items]
Ownership interest																				33.30%
HSMSO
Schedule of Equity Method Investments [Line Items]
Ownership interest																				33.30%
LaSalle Medical Associates – IPA Line of Business
Schedule of Equity Method Investments [Line Items]
Number of medical centers | medical_center								6
Number of employees (more than) | provider																	2,300
Number of patients (more than) | patient																		310,000
Ownership interest											25.00%
Investments in other entities – equity method									7,054,888			6,396,706
Initial capital contributions												2,100,000
LaSalle Medical Associates – IPA Line of Business | APC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								$ (2,800,000)	(2,400,000)
LaSalle Medical Associates – IPA Line of Business | APC LSMA
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																								$ 5,000,000
Ownership interest																								25.00%
Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method									1,359,494			1,395,878
Pacific Medical Imaging & Oncology Center, Inc. | APC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								36,384	(41,199)
Investments in other entities – equity method									1,400,000			1,400,000
Pacific Medical Imaging & Oncology Center, Inc. | APC | Ancillary Service Contract
Schedule of Equity Method Investments [Line Items]
Fees paid								2,700,000	2,500,000
Pacific Medical Imaging & Oncology Center, Inc. | APC LSMA
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																							$ 1,200,000
Ownership interest											40.00%
Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method									2,635,945			1,438,199
Universal Care, Inc. | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest					100.00%
Income (loss) from equity method investments								(1,200,000)	(6,000,000)
Investments in other entities – equity method									2,600,000			1,400,000
Universal Care, Inc. | APC | A-2 Voting Common Stock
Schedule of Equity Method Investments [Line Items]
Shares purchased (in shares) | shares					100,000
Percentage of voting common stock					50.00%
Payments to acquire equity method investments					$ 10,000,000
Universal Care, Inc. | APC | A-2 Voting Common Stock | Ancillary Service Contract
Schedule of Equity Method Investments [Line Items]
Ownership interest					48.90%
Diagnostic Medical Group
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method									2,257,346			2,334,083
Diagnostic Medical Group | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest											40.00%
Income (loss) from equity method investments								300,000	1,000,000
Investments in other entities – equity method									2,300,000			2,300,000
Proceeds from equity method investment								200,000	600,000
Pacific Ambulatory Surgery Center, LLC
Schedule of Equity Method Investments [Line Items]
Ownership interest											40.00%
Investments in other entities – equity method									285,198			0
Impairment of investments								300,000
Pacific Ambulatory Surgery Center, LLC | APC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments									(300,000)
Investments in other entities – equity method									300,000
Accountable Health Care IPA
Schedule of Equity Method Investments [Line Items]
Ownership interest	25.00%
Investments in other entities – equity method									4,977,957			0
Accountable Health Care IPA | NMM and APC | Convertible Debt
Schedule of Equity Method Investments [Line Items]
Loan balance converted																					$ 5,000,000
Accountable Health Care IPA | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest																					25.00%
Accountable Health Care IPA | APC | Convertible Debt
Schedule of Equity Method Investments [Line Items]
Loan balance converted																					$ 5,000,000
Accountable Health Care IPA | NMM
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method																					$ 5,000,000
531 W. College, LLC
Schedule of Equity Method Investments [Line Items]
Ownership interest											50.00%
Investments in other entities – equity method									16,273,152			16,697,898
531 W. College, LLC | AHMC Healthcare Inc
Schedule of Equity Method Investments [Line Items]
Payments to acquire real estate			$ 33,300,000
531 W. College, LLC | NMM and APC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								$ (200,000)	(400,000)
531 W. College, LLC | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest																			50.00%			25.00%
Investments in other entities – equity method									16,300,000			16,700,000							$ 16,100,000
Initial capital contributions												700,000										$ 8,300,000
Payments to escrow deposit						$ 8,300,000
531 W. College, LLC | NMM
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																			$ 8,300,000
Ownership interest																			25.00%			25.00%
Initial capital contributions																						$ 8,300,000
Payments to escrow deposit						8,300,000
531 W. College, LLC | College Street Investment LP
Schedule of Equity Method Investments [Line Items]
Ownership interest																						50.00%
Initial capital contributions																						$ 16,700,000
531 W. College, LLC | AHMC Healthcare Inc
Schedule of Equity Method Investments [Line Items]
Payments to escrow deposit						$ 16,700,000
MWN, LLC
Schedule of Equity Method Investments [Line Items]
Investments in other entities – equity method									33,000			164,691
MWN, LLC | NMM
Schedule of Equity Method Investments [Line Items]
Ownership interest											33.30%									33.30%
Investments in other entities – equity method									$ 33,000			200,000
Initial capital contribution																				$ 3,000
Working capital contribution																				30,000
Additional working capital contribution												$ 300,000
MWN, LLC | Pacific6
Schedule of Equity Method Investments [Line Items]
Initial capital contribution																				3,000
Working capital contribution																				30,000
MWN, LLC | HSMSO
Schedule of Equity Method Investments [Line Items]
Initial capital contribution																				3,000
Working capital contribution																				$ 30,000