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Related-Party Transactions - Additional Information (Details)
3 Months Ended 6 Months Ended
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Apr. 30, 2020
Dec. 31, 2019
USD ($)
Nov. 28, 2018
USD ($)
agreement
Jun. 28, 2018
USD ($)
Nov. 16, 2015
USD ($)
Related Party Transaction [Line Items]                  
Operating lease right-of-use assets $ 20,219,000   $ 20,219,000     $ 14,248,000      
Lease liabilities 20,768,000   20,768,000            
Recognized risk pool revenue 5,815,000 $ 15,985,000 17,607,000 $ 26,835,000          
NMM | Board Members                  
Related Party Transaction [Line Items]                  
Consulting services paid 0 27,000 100,000 100,000          
NMM | LMA                  
Related Party Transaction [Line Items]                  
Revenue from related parties 4,200,000 8,400,000 5,200,000            
APC | PMIOC | Service                  
Related Party Transaction [Line Items]                  
Payments to related parties 400,000 1,000,000.0 600,000 1,400,000          
APC | DMG | Service                  
Related Party Transaction [Line Items]                  
Payments to related parties 900,000 2,600,000 1,800,000 3,800,000          
Universal Care, Inc.                  
Related Party Transaction [Line Items]                  
Amount of subordinated note receivable agreement                 $ 5,000,000.0
Universal Care Acquisition Partners, LLC                  
Related Party Transaction [Line Items]                  
Amount of subordinated note receivable agreement             $ 5,000,000.0 $ 2,500,000  
Number of additional subordinated note receivable agreements | agreement             2    
APC Shareholders | APC | Service                  
Related Party Transaction [Line Items]                  
Payments to related parties 9,000,000.0 7,100,000 16,300,000 16,400,000          
Advance Diagnostic Surgery Center | APC | Service                  
Related Party Transaction [Line Items]                  
Payments to related parties 100,000 100,000              
APC Shareholders and Officers | APC                  
Related Party Transaction [Line Items]                  
Payments to related parties 3,000,000.0 1,900,000 4,800,000 5,100,000          
Medical Property Partners | NMM                  
Related Party Transaction [Line Items]                  
Payments to related parties 300,000 500,000 300,000 500,000          
One MSO, Inc.                  
Related Party Transaction [Line Items]                  
Operating lease right-of-use assets 10,600,000   10,600,000            
Lease liabilities 10,600,000   10,600,000            
One MSO, Inc. | NMM                  
Related Party Transaction [Line Items]                  
Payments to related parties 400,000   700,000            
Critical Quality Management Corp                  
Related Party Transaction [Line Items]                  
Payments to related parties 100,000 200,000              
Numen LLC                  
Related Party Transaction [Line Items]                  
Operating lease right-of-use assets 1,400,000   1,400,000            
Lease liabilities 1,400,000   1,400,000            
Numen LLC | SCHC                  
Related Party Transaction [Line Items]                  
Payments to related parties 100,000 200,000 100,000 200,000          
AHMC                  
Related Party Transaction [Line Items]                  
Recognized risk pool revenue 10,200,000 $ 21,000,000.0 10,200,000 $ 25,000,000.0          
Amount outstanding under agreement $ 53,700,000   $ 53,700,000     $ 40,400,000      
Universal Care, Inc.                  
Related Party Transaction [Line Items]                  
Ownership interest                 48.90%
LMA | NMM                  
Related Party Transaction [Line Items]                  
Ownership interest 25.00% 25.00% 25.00% 25.00%          
PMIOC | APC Shareholders | APC | Service                  
Related Party Transaction [Line Items]                  
Ownership interest 40.00% 40.00% 40.00% 40.00%          
DMG | APC Shareholders | APC | Service                  
Related Party Transaction [Line Items]                  
Ownership interest 40.00% 40.00% 40.00% 40.00%          
One MSO, Inc. | Dr. Sim And Dr. Lam                  
Related Party Transaction [Line Items]                  
Ownership interest 50.00%   50.00%            
APC | Universal Care, Inc. | Universal Care Acquisition Partners, LLC                  
Related Party Transaction [Line Items]                  
Ownership interest         48.90%