Astrana Health (ASTH) 10-Q 10 Aug 20 2020 Q2 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	6 Months Ended
	Jun. 30, 2020	Aug. 03, 2020
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2020
Document Transition Report	false
Entity File Number	001-37392
Entity Registrant Name	Apollo Medical Holdings, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	95-4472349
Entity Address, Address Line One	1668 S. Garfield Avenue
Entity Address, Address Line Two	2nd Floor
Entity Address, City or Town	Alhambra
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	91801
City Area Code	626
Local Phone Number	282-0288
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Title of 12(b) Security	Common Stock, $0.001 par value per share
Trading Symbol	AMEH
Entity Common Stock, Shares Outstanding (in shares)		53,513,655
Amendment Flag	false
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q2
Entity Central Index Key	0001083446
Current Fiscal Year End Date	--12-31

CONSOLIDATED BALANCE SHEETS (UN

CONSOLIDATED BALANCE SHEETS (UNAUDITED) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Current assets
Cash and cash equivalents	$ 152,441	$ 103,189
Restricted cash	0	75
Investment in marketable securities	117,656	116,539
Receivables, net	17,588	11,004
Receivables, net – related parties	59,328	48,136
Other receivables	15,919	16,885
Prepaid expenses and other current assets	11,188	10,315
Loans receivable	6,425	6,425
Loans receivable – related parties	0	16,500
Total current assets	380,545	329,068
Noncurrent assets
Restricted cash	746	746
Land, property and equipment, net	11,485	12,130
Intangible assets, net	94,790	103,012
Goodwill	239,053	238,505
Investment in other entities – equity method	26,817	28,427
Investments in privately held entities	37,075	896
Operating lease right-of-use assets	20,219	14,248
Other assets	22,487	1,681
Total noncurrent assets	452,672	399,645
Total assets	833,217	728,713
Current liabilities
Accounts payable and accrued expenses	24,788	27,279
Fiduciary accounts payable	1,853	2,027
Medical liabilities	70,273	58,725
Income taxes payable	42,210	4,529
Dividend payable	431	271
Finance lease liabilities	102	102
Operating lease liabilities	3,350	2,990
Current portion of long-term debt	9,500	9,500
Total current liabilities	152,507	105,423
Noncurrent liabilities
Deferred tax liability	13,654	18,269
Finance lease liabilities, net of current portion	355	416
Operating lease liabilities, net of current portion	17,418	11,373
Long-term debt, net of current portion and deferred financing costs	230,455	232,172
Total noncurrent liabilities	261,882	262,230
Total liabilities	414,389	367,653
Commitments and contingencies (Note 11)
Mezzanine equity
Noncontrolling interest in Allied Physicians of California, a Professional Medical Corporation	210,980	168,725
Stockholders’ equity
Common stock, $0.001 par value per share; 100,000,000 shares authorized, 36,309,513 and 35,908,057 shares outstanding, excluding 17,475,707 and 17,458,810 treasury shares, at June 30, 2020, and December 31, 2019, respectively	36	36
Additional paid-in capital	163,986	159,608
Retained earnings	43,001	31,905
Retained earnings	207,023	191,549
Noncontrolling interest	825	786
Total stockholders’ equity	207,848	192,335
Total liabilities, mezzanine equity and stockholders’ equity	833,217	728,713
Series A Preferred Stock
Stockholders’ equity
Preferred stock	0	0
Series B Preferred Stock
Stockholders’ equity
Preferred stock	$ 0	$ 0

CONSOLIDATED BALANCE SHEETS (_2

CONSOLIDATED BALANCE SHEETS (UNAUDITED) (Parenthetical) - $ / shares	Jun. 30, 2020	Dec. 31, 2019
Common Stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized (in shares)	100,000,000	100,000,000
Common stock, shares outstanding (in shares)	36,309,513	35,908,057
Treasury shares (in shares)	17,475,707	17,458,810
Series A Preferred Stock
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized (in shares)	5,000,000	5,000,000
Preferred stock, shares issued (in shares)	1,111,111	1,111,111
Preferred stock, shares outstanding (in shares)	0	0
Series B Preferred Stock
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized (in shares)	5,000,000	5,000,000
Preferred stock, shares issued (in shares)	555,555	555,555
Preferred stock, shares outstanding (in shares)	0	0

CONSOLIDATED STATEMENTS OF INCO

CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Revenue
Total revenue	$ 165,169	$ 130,050	$ 330,274	$ 225,806
Operating expenses
Cost of services	136,079	101,363	280,283	184,795
General and administrative expenses	11,556	11,818	23,390	22,081
Depreciation and amortization	4,628	4,455	9,330	8,872
Provision for doubtful accounts	0	(2,314)	0	(1,363)
Total expenses	152,263	115,322	313,003	214,385
Income from operations	12,906	14,728	17,271	11,421
Other income (expense)
Income (loss) from equity method investments	834	(42)	2,888	(892)
Gain on sale of equity method investment	99,647	0	99,647	0
Interest expense	(2,673)	(311)	(5,541)	(522)
Interest income	863	474	1,792	797
Other income	1,282	24	1,384	211
Total other income (expense), net	99,953	145	100,170	(406)
Income before provision for income taxes	112,859	14,873	117,441	11,015
Provision for income taxes	31,858	4,209	33,453	2,801
Net income	81,001	10,664	83,988	8,214
Net income attributable to noncontrolling interests	73,957	7,119	72,892	4,529
Net income attributable to Apollo Medical Holdings, Inc.	$ 7,044	$ 3,545	$ 11,096	$ 3,685
Earnings per share – basic (in dollars per share)	$ 0.20	$ 0.10	$ 0.31	$ 0.11
Earnings per share – diluted (in dollars per share)	$ 0.19	$ 0.09	$ 0.30	$ 0.10
Capitation, net
Revenue
Total revenue	$ 140,949	$ 103,224	$ 281,370	$ 174,740
Risk pool settlements and incentives
Revenue
Total revenue	12,003	11,191	23,239	21,285
Management fee income
Revenue
Total revenue	8,690	10,353	17,505	19,349
Fee-for-service, net
Revenue
Total revenue	2,270	3,878	5,697	7,959
Other income
Revenue
Total revenue	$ 1,257	$ 1,404	$ 2,463	$ 2,473

CONSOLIDATED STATEMENTS OF MEZZ

CONSOLIDATED STATEMENTS OF MEZZANINE AND STOCKHOLDERS' EQUITY (UNAUDITED) - USD ($) $ in Thousands	Total	Common Stock Outstanding	Additional Paid-in Capital	Retained Earnings	Noncontrolling Interest	Noncontrolling InterestMezzanine
Equity, beginning balance at Dec. 31, 2018	$ 181,544	$ 35	$ 162,723	$ 17,788	$ 998	$ 225,117
Equity, beginning balance (in shares) at Dec. 31, 2018		34,578,040
Net (loss) income	550			140	410	(3,000)
Purchase of treasury shares	0					(40)
Purchase of treasury shares (in shares)		(93,451)
Shares issued for exercise of options and warrants	140		140			155
Shares issued for exercise of options and warrants (in shares)		17,516
Share-based compensation	143		143			202
Share-based compensation (in shares)		1,599
Dividends	0					(10,000)
Equity, ending balance at Mar. 31, 2019	182,377	$ 35	163,006	17,928	1,408	212,434
Equity, ending balance (in shares) at Mar. 31, 2019		34,503,704
Net (loss) income	3,768			3,545	223	6,896
Shares issued for exercise of options and warrants	758		758			50
Shares issued for exercise of options and warrants (in shares)		135,108
Share-based compensation	128		128			203
Dividends	(942)				(942)
Equity, ending balance at Jun. 30, 2019	186,089	$ 35	163,892	21,473	689	219,583
Equity, ending balance (in shares) at Jun. 30, 2019		34,638,812
Equity, beginning balance at Dec. 31, 2019	192,335	$ 36	159,608	31,905	786	168,725
Equity, beginning balance (in shares) at Dec. 31, 2019		35,908,057
Net (loss) income	4,147			4,052	95	(1,161)
Purchase of treasury shares	(301)		(301)
Purchase of treasury shares (in shares)		(16,897)
Purchase of noncontrolling interest	0					(125)
Shares issued for exercise of options and warrants	722		722
Shares issued for exercise of options and warrants (in shares)		151,601
Share-based compensation	1,058		1,058
Dividends	0					(10,000)
Equity, ending balance at Mar. 31, 2020	197,961	$ 36	161,087	35,957	881	157,439
Equity, ending balance (in shares) at Mar. 31, 2020		36,042,761
Net (loss) income	7,335			7,044	291	73,667
Purchase of noncontrolling interest	0					(126)
Shares issued for vesting of restricted stock awards (in shares)		24,453
Shares issued for vesting of restricted stock awards	0
Shares issued for exercise of options and warrants	2,283		2,283
Shares issued for exercise of options and warrants (in shares)		242,299
Share-based compensation	852		852
Cancellation of restricted stock awards	(236)		(236)
Dividends	(347)				(347)	(20,000)
Equity, ending balance at Jun. 30, 2020	$ 207,848	$ 36	$ 163,986	$ 43,001	$ 825	$ 210,980
Equity, ending balance (in shares) at Jun. 30, 2020		36,309,513

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Cash flows from operating activities
Net income	$ 83,988	$ 8,214
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Depreciation and amortization	9,330	8,872
Amortization of debt issuance costs	658	0
Provision for doubtful accounts	0	(1,363)
Share-based compensation	1,910	676
Unrealized loss (gain) from investment in equity securities	25	(15)
(Income) loss from equity method investments	(2,888)	892
Gain on sale of equity method investments	(99,647)	0
Deferred tax	(4,473)	(549)
Changes in operating assets and liabilities, net of business combinations:
Receivables, net	(6,284)	588
Receivables, net – related parties	(11,191)	(12,665)
Other receivables	966	(11,897)
Prepaid expenses and other current assets	(873)	(2,740)
Right-of-use assets	1,680	1,098
Other assets	(5,095)	(243)
Accounts payable and accrued expenses	(3,043)	3,340
Fiduciary accounts payable	(174)	260
Medical liabilities	11,252	(3,819)
Income taxes payable	37,681	(11,622)
Operating lease liabilities	(1,247)	(1,044)
Net cash provided by (used in) operating activities	12,575	(22,017)
Cash flows from investing activities
Payments for business acquisition, net of cash acquired	0	(41,518)
Proceeds from repayment of loans receivable – related parties	16,500	0
Advances on loans receivable	0	(6,425)
Purchases of marketable securities	(1,142)	(8)
Purchases of investment – equity method	(500)	(2,158)
Proceeds from sale of equity method investment	52,743	0
Purchases of property and equipment	(451)	(378)
Dividend received	0	240
Net cash provided by (used in) investing activities	67,150	(50,247)
Cash flows from financing activities
Repayment of bank loan and lines of credit	0	(8,040)
Dividends paid	(30,187)	(10,942)
Repayment of term loan	(2,375)	0
Payment of finance lease obligations	(61)	(50)
Proceeds from the exercise of stock options and warrants	2,863	898
Repurchase of shares	(788)	(40)
Borrowings on line of credit	0	39,600
Proceeds from common stock offering	0	205
Net cash (used in) provided by financing activities	(30,548)	21,631
Net increase (decrease) in cash, cash equivalents and restricted cash	49,177	(50,633)
Cash, cash equivalents and restricted cash, beginning of period	104,010	107,637
Cash, cash equivalents and restricted cash, end of period	153,187	57,004
Supplementary disclosures of cash flow information:
Cash paid for income taxes	0	16,700
Cash paid for interest	2,623	439
Supplemental disclosures of non-cash investing and financing activities
Deferred tax liability adjustment to goodwill	0	8,355
Preferred shares received from sale of equity method investment	36,179	0
Reconciliation of cash, cash equivalents, and restricted cash
Cash and cash equivalents	152,441	52,726
Restricted cash – non-current	746	4,278
Total cash, cash equivalents, and restricted cash shown in the statement of cash flows	$ 153,187	$ 57,004

Description of Business

Description of Business	6 Months Ended
	Jun. 30, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Description of Business	Description of Business Overview Apollo Medical Holdings, Inc. (“ApolloMed”), together with its affiliated physician groups and consolidated entities (collectively, the “Company”) is a physician-centric integrated population health management company working to provide coordinated, outcome-based medical care in a cost-effective manner to patients in California, the majority of whom are covered by private or public insurance such as Medicare, Medicaid and health maintenance organization (“HMO”) plans, with a portion of the Company’s revenue coming from non-insured patients. The Company provides care coordination services to each major constituent of the healthcare delivery system, including patients, families, primary care physicians, specialists, acute care hospitals, alternative sites of inpatient care, physician groups and health plans. The Company’s physician network consists of primary care physicians, specialist physicians, and hospitalists. The Company operates primarily through the following subsidiaries of ApolloMed: Network Medical Management, Inc. (“NMM”), Apollo Medical Management, Inc. (“AMM”), APA ACO, Inc. ("APAACO"), Apollo Care Connect, Inc. (“Apollo Care Connect”), and their consolidated entities. NMM was formed in 1994 as a management service organization (“MSO”) for the purposes of providing management services to medical companies and independent practice associations (“IPAs”). The management services primarily include billing, collection, accounting, administration, quality assurance, marketing, compliance, and education. Following a business combination, NMM became a wholly-owned subsidiary of ApolloMed in December 2017. Allied Physicians of California IPA, a Professional Medical Corporation d.b.a. Allied Pacific of California IPA (“APC”) was incorporated in 1992, for the purpose of arranging healthcare services as an IPA. APC has contracts with various HMOs and other licensed healthcare service plans as defined in the California Knox-Keene Health Care Service Plan Act of 1975. Each HMO negotiates a fixed amount per member per month (“PMPM”) that is to be paid to APC. In return, APC arranges for the delivery of healthcare services by contracting with physicians or professional medical corporations for primary care and specialty care services. APC assumes the financial risk of the cost of delivering healthcare services in excess of the fixed amounts received. Some of the risk is transferred to the contracted physicians or professional corporations. The risk is also minimized by stop-loss provisions in contracts with HMOs. In July 1999, APC entered into an amended and restated management and administrative services agreement with NMM (the initial management services agreement was entered into in 1997) for an initial fixed term of 30 years. In accordance with relevant accounting guidance, APC is determined to be a variable interest entity ("VIE") of the Company as NMM is the primary beneficiary with the ability to direct the activities (excluding clinical decisions) that most significantly affect APC’s economic performance through its majority representation on the APC Joint Planning Board; therefore APC is consolidated by NMM. AP-AMH Medical Corporation (“AP-AMH”) was formed in May 2019, as a designated shareholder professional corporation. Dr. Thomas Lam, a shareholder, and the Chief Executive Officer and Chief Financial Officer of APC and Co-Chief Executive Officer of ApolloMed, is the sole shareholder of AP-AMH. ApolloMed makes all the decisions on behalf of AP-AMH and funds and receives all the distributions from its operations. ApolloMed has the rights to receive benefits from the operations of AP-AMH and has the option, but not the obligation, to cover losses. Therefore, AP-AMH is controlled and consolidated by ApolloMed as the primary beneficiary of this VIE. In September 2019, ApolloMed completed the following series of transactions with its affiliates, AP-AMH and APC; 1. ApolloMed loaned AP-AMH $545.0 million pursuant to a 10-year secured loan agreement (the “AP-AMH Loan”). The loan bears interest at a rate of 10% per annum simple interest, is not prepayable (except in certain limited circumstances), requires quarterly payments of interest only in arrears, and is secured by a first priority security interest in all of AP-AMH ’ s assets, including the shares of APC Series A Preferred Stock purchased by AP-AMH, as described below. To the extent that AP-AMH is unable to make any interest payment when due because it has received dividends on the APC Series A Preferred Stock insufficient to pay in full such interest payment, then the outstanding principal amount of the loan will be increased by the amount of any such accrued but unpaid interest, and any such increased principal amounts will bear interest at the rate of 10.75% per annum simple interest. 2. AP-AMH purchased 1,000,000 shares of APC Series A Preferred Stock for aggregate consideration of $545.0 million in a private placement. Under the terms of the APC Certificate of Determination of Preferences of Series A Preferred Stock (the “Certificate of Determination”), AP-AMH is entitled to receive preferential, cumulative dividends that accrue on a daily basis and that are equal to the sum of (i) APC’s net income from healthcare services (as defined in the Certificate of Determination), plus (ii) any dividends received by APC from certain of APC’s affiliated entities, less (iii) any Retained Amounts (as defined in the Certificate of Determination). 3. APC purchased 15,015,015 shares of ApolloMed’s common stock for total consideration of $300.0 million in private placement. In connection therewith, ApolloMed granted APC certain registration rights with respect to ApolloMed’s common stock that APC purchased, and APC agreed that APC votes in excess of 9.99% of ApolloMed’s then outstanding shares will be voted by proxy given to ApolloMed’s management, and that those proxy holders will cast the excess votes in the same proportion as all other votes cast on any specific proposal coming before ApolloMed’s stockholders. 4. ApolloMed licensed to AP-AMH the right to use certain trade names for certain specified purposes for a fee equal to a percentage of the aggregate gross revenues of AP-AMH. The license fee is payable out of any Series A Preferred Stock dividends received by AP-AMH from APC. 5. Through its subsidiary, NMM, the Company agreed to provide certain administrative services to AP-AMH for a fee equal to a percentage of the aggregate gross revenues of AP-AMH. The administrative fee also is payable out of any APC Series A Preferred Stock dividends received by AP-AMH from APC. APC's ownership in ApolloMed was 32.28% at June 30, 2020 and 32.50% at December 31, 2019. Concourse Diagnostic Surgery Center, LLC (“CDSC”) was formed in March 2010 in the state of California. CDSC is an ambulatory surgery center in City of Industry, California organized by a group of highly qualified physicians, which utilizes some of the most advanced equipment in the eastern part of Los Angeles County and the San Gabriel Valley. The facility is Medicare certified and accredited by the Accreditation Association for Ambulatory Healthcare, Inc. As of June 30, 2020, APC owned 45.01% of CDSC ’ s capital stock. CDSC is determined to be a VIE and APC is determined to be the primary beneficiary. APC has the ability to direct the activities that most significantly affect CDSC’s economic performance and receives the most economic benefits; therefore CDSC is consolidated by APC. APC-LSMA Designated Shareholder Medical Corporation (“APC-LSMA”) was formed in October 2012 as a designated shareholder professional corporation. Dr. Thomas Lam, a stockholder and the Chief Executive Officer and Chief Financial Officer of APC and Co-Chief Executive Officer of ApolloMed, is a nominee shareholder of APC. APC makes all investment decisions on behalf of APC-LSMA, funds all investments and receives all distributions from the investments. APC has the obligation to absorb losses and right to receive benefits from all investments made by APC-LSMA. APC-LSMA’s sole function is to act as the nominee shareholder for APC in other California medical professional corporations. Therefore, APC-LSMA is controlled and consolidated by APC as the primary beneficiary of this VIE. The only activity of APC-LSMA is to hold the investments in medical corporations, including the IPA lines of business of LaSalle Medical Associates (“LMA”), Pacific Medical Imaging and Oncology Center, Inc. (“PMIOC”), Diagnostic Medical Group (“DMG”) and AHMC International Cancer Center, a Medical Corporation (“ICC”). APC-LSMA also holds a 100% ownership interest in Maverick Medical Group, Inc. (“MMG”), Alpha Care Medical Group, Inc. (“Alpha Care”), Accountable Health Care IPA, a Professional Medical Corporation (“Accountable Health Care”), and AMG, a Professional Medical Corporation (“AMG”). Alpha Care, an IPA acquired by the Company in May 2019, has been operating in California since 1993 as a risk bearing organization engaged in providing professional services under capitation arrangements with its contracted health plans through a provider network consisting of primary care and specialty care physicians. Alpha Care specializes in delivering high-quality healthcare to approximately 170,000 enrollees, as of June 30, 2020, and focuses on Medi-Cal/Medicaid, Commercial, and Medicare and Dual Eligible members in the Riverside and San Bernardino counties of Southern California. Accountable Health Care is a California-based IPA that has served the local community in the greater Los Angeles County area through a network of physicians and health care providers for more than 20 years. Accountable Health Care currently has a network of over 400 primary care physicians and 700 specialty care physicians, and four community and regional hospital medical centers that provide quality health care services to approximately 80,000 members of three federally qualified health plans and multiple product lines, including Medi-Cal, Commercial, Medicare and the California Healthy Families program. In August 2019, APC and APC-LSMA acquired the remaining outstanding shares of Accountable Health Care’s capital stock that they did not already own (comprising 75%) for $7.3 million in cash (see Note 3). AMG is a network of family practice clinics operating out of three main locations in Southern California. AMG provides professional and post-acute care services to Medicare, Medi-Cal/Medicaid, and Commercial patients through its network of doctors and nurse practitioners. In September 2019, APC-LSMA purchased 100% of the shares of capital stock of AMG for $1.2 million in cash and $0.4 million of APC common stock (see Note 3). Universal Care Acquisition Partners, LLC (“UCAP”), a 100% owned subsidiary of APC, was formed in June 2014, for the purpose of holding an investment in Universal Care, Inc. (“UCI”). On April 30, 2020, UCAP completed the sale of its 48.9% ownership interest in UCI to Bright Health Company of California, Inc. ("Bright") for approximately $69.2 million in cash proceeds (including $16.5 million as repayment of indebtedness owed to APC), plus non-cash consideration consisting of shares of Bright Health, Inc.'s preferred stock having an estimated fair value of approximately $36.2 million on the date of sale. In addition, pursuant to the terms of the stock purchase agreement, APC has a beneficial interest in the equity method investment sold. The estimated fair value of such interest on April 30, 2020 was $15.7 million (see Note 5). As set forth in the Company’s definitive proxy statement filed with the SEC on July 31, 2019 (the “Proxy Statement”), the 48.9% interest in UCI is an “Excluded Asset” that remains solely for the benefit of APC and its shareholders. As such, any proceeds or gain on the sale of APC’s indirect ownership interest in UCI has no impact on the Series A Dividend payable by APC to AP-AMH Medical Corporation as described in the Proxy Statement and consequently the sale did not affect net income attributable to ApolloMed. APAACO, jointly owned by NMM and AMM, began participating in the Next Generation Accountable Care Organization (“NGACO") Model of the Centers for Medicare & Medicaid Services (“CMS”) in January 2017. The NGACO Model is a CMS program that allows provider groups to assume higher levels of financial risk and potentially achieve a higher reward from participating in this new attribution-based risk sharing model. AMM, a wholly-owned subsidiary of ApolloMed, manages affiliated medical groups, ApolloMed Hospitalists, a Medical Corporation (“AMH”) and Southern California Heart Centers, a Medical Corporation (“SCHC”). AMH provides hospitalist, intensivist, and physician advisory services. SCHC is a specialty clinic that focuses on cardiac care and diagnostic testing. Apollo Care Connect, Inc. ("Apollo Care Connect"), a wholly-owned subsidiary of ApolloMed, provides a cloud and mobile-based population health management platform that includes digital care plans, a case management module, connectivity with multiple healthcare tracking devices and the ability to integrate with multiple electronic health records to capture clinical data.

Basis of Presentation and Summa

Basis of Presentation and Summary of Significant Accounting Policies	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Basis of Presentation and Summary of Significant Accounting Policies	Basis of Presentation and Summary of Significant Accounting Policies Basis of Presentation The accompanying consolidated balance sheets at December 31, 2019, has been derived from the Company’s audited consolidated financial statements, but does not include all disclosures required by generally accepted accounting principles in the United States of America (“U.S. GAAP”). The accompanying unaudited consolidated financial statements as of June 30, 2020, and for the three and six months ended June 30, 2020 and 2019, have been prepared in accordance with U.S. GAAP for interim financial information and with the instructions to Form 10-Q and Article 8 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements, and should be read in conjunction with the audited consolidated financial statements and related notes to the financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019 as filed with the SEC on March 16, 2020. In the opinion of management, all material adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been made to make the consolidated financial statements not misleading as required by Regulation S-X, Rule 10-01. Operating results for the three and six months ended June 30, 2020, are not necessarily indicative of the results that may be expected for the year ending December 31, 2020, or any future periods. Principles of Consolidation The consolidated balance sheets as of June 30, 2020 and December 31, 2019, and the consolidated statements of income for the three and six months ended June 30, 2020 and 2019, include the accounts of ApolloMed, its consolidated subsidiaries, NMM, AMM, APAACO, and Apollo Care Connect, its consolidated VIE, AP-AMH, NMM's consolidated subsidiaries, and consolidated VIE, APC, APC’s subsidiary, UCAP, and APC’s consolidated VIEs, CDSC, APC-LSMA, ICC, and APC-LSMA’s consolidated subsidiaries Alpha Care and Accountable Health Care. All material intercompany balances and transactions have been eliminated in consolidation. Use of Estimates The preparation of the consolidated financial statements and related disclosures in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates and assumptions include collectability of receivables, recoverability of long-lived and intangible assets, business combination and goodwill valuation and impairment, accrual of medical liabilities (incurred, but not reported (“IBNR”) claims), determination of full-risk and shared-risk revenue and receivables (including constraints and completion factors, including historical medical loss ratios (“MLR”)), income taxes, valuation of share-based compensation and right-of-use ("ROU") assets and lease liabilities. Management evaluates its estimates and assumptions on an ongoing basis using historical experience and other factors, including the current economic environment, and makes adjustments when facts and circumstances dictate. As future events and their effects cannot be determined with precision, actual results could differ materially from those estimates and assumptions. Reportable Segments The Company operates as one reportable segment, the healthcare delivery segment, and implements and operates innovative health care models to create a patient-centered, physician-centric experience. The Company reports its consolidated financial statements in the aggregate, including all activities in one reportable segment. Cash and Cash Equivalents The Company’s cash and cash equivalents primarily consist of money market funds and certificates of deposit. The Company considers all highly liquid investments that are both readily convertible into known amounts of cash and mature within 90 days from their date of purchase to be cash equivalents. The Company maintains its cash in deposit accounts with several banks, which at times may exceed the insured limits of the Federal Deposit Insurance Corporation (“FDIC”). The Company believes it is not exposed to any significant credit risk with respect to its cash, cash equivalents and restricted cash. As of June 30, 2020, the Company’s deposit accounts with banks exceeded the FDIC’s insured limit by approximately $290.9 million, including approximately $117.6 million in certificates of deposit that were recognized as investments in marketable securities. The Company has not experienced any losses to date and performs ongoing evaluations of these financial institutions to limit the Company’s concentration of risk exposure. Restricted Cash Restricted cash consists of cash held as collateral to secure standby letters of credits as required by certain contracts. Investments in Marketable Securities The appropriate classification of investments is determined at the time of purchase and such designation is reevaluated at each balance sheet date. As of June 30, 2020 and December 31, 2019, investments in marketable securities amounted to approximately $117.7 million and $116.5 million, respectively, and consisted of equity securities and certificates of deposit with various financial institutions, reported at par value, plus accrued interest, with maturity dates from four months to 24 months (see fair value measurements of financial instruments below). Investments in certificates of deposits are classified as Level 1 investments in the fair value hierarchy. Receivables and Receivables – Related Parties The Company’s receivables are comprised of accounts receivable, capitation and claims receivable, risk pool settlements and incentive receivables, management fee income and other receivables. Accounts receivable are recorded and stated at the amount expected to be collected. The Company’s receivables – related parties are comprised of risk pool settlements, management fee income and incentive receivables, and other receivables. Receivables – related parties are recorded and stated at the amount expected to be collected. Capitation and claims receivable relate to each health plan’s capitation and is received by the Company in the month following the month of service. Risk pool settlements and incentive receivables mainly consist of the Company’s full risk pool receivable that is recorded quarterly based on reports received from the Company’s hospital partners and management’s estimate of the Company’s portion of the estimated risk pool surplus for open performance years. Settlement of risk pool surplus or deficits occurs approximately 18 months after the risk pool performance year is completed. Other receivables consists of recoverable claims paid related to the 2019 APAACO performance year to be administered following instructions from CMS, fee-for- services (“FFS”) reimbursement for patient care, certain expense reimbursements, transportation reimbursements from the hospitals, and stop loss insurance premium reimbursements. The Company maintains reserves for potential credit losses on accounts receivable. Management reviews the composition of accounts receivable and analyzes historical bad debts, customer concentrations, customer credit worthiness, current economic trends and changes in customer payment patterns to evaluate the adequacy of these reserves. The Company also regularly analyzes the ultimate collectability of accounts receivable after certain stages of the collection cycle using a look-back analysis to determine the amount of receivables subsequently collected and adjustments are recorded when necessary. Reserves are recorded primarily on a specific identification basis. Receivables are recorded when the Company is able to determine amounts receivable under applicable contracts and agreements based on information provided and collection is reasonably likely to occur. In regards to the credit loss standard, the Company continuously monitors its collections of receivables and our expectation is that the historical credit loss experienced across our receivable portfolio is materially similar to any current expected credit losses that would be estimated under the current expected credit losses (CECL) model. As of June 30, 2020 and December 31, 2019 the Company had $1.3 million and $2.9 million of allowance for doubtful accounts, respectively. Concentrations of Risks The Company disaggregates revenue from contracts by service type and payor type. This level of detail provides useful information pertaining to how the Company generates revenue by significant revenue stream and by type of direct contracts. The consolidated statements of income present disaggregated revenue by service type. The following table presents disaggregated revenue generated by payor type for the three and six months ended June 30, 2020 and 2019 (in thousands): For the Three Months Ended June 30, 2020 2019 Commercial $ 25,479 $ 25,365 Medicare 62,038 57,965 Medicaid 68,450 36,277 Other third parties 9,202 10,443 Revenue $ 165,169 $ 130,050 For the Six Months Ended June 30, 2020 2019 Commercial $ 50,192 $ 50,383 Medicare 126,918 95,063 Medicaid 134,897 61,647 Other third parties 18,267 18,713 Revenue $ 330,274 $ 225,806 The Company had major payors that contributed the following percentages of net revenue: For the Three Months Ended 2020 2019 Payor A 11.9 % 13.7 % Payor B 10.3 % 12.6 % Payor C * 10.5 % Payor D 17.5 % 13.7 % Payor E 12.4 % * Payor F 10.1 % * For the Six Months Ended June 30, 2020 2019 Payor A 11.9 % 15.8 % Payor B 10.3 % 14.3 % Payor C * 11.7 % Payor D 17.5 % * Payor E 12.9 % * Payor F 10.3 % * * Less than 10% of total net revenues The Company had major payors that contributed to the following percentages of receivables and receivables – related parties: As of June 30, As of December 31, Payor D 12.4 % * Payor G 33.5 % 30.4 % Payor H 35.1 % 36.0 % * Less than 10% of total receivables and receivables — related parties, net Fair Value Measurements of Financial Instruments The Company’s financial instruments consist of cash and cash equivalents, fiduciary cash, restricted cash, investment in marketable securities, receivables, loans receivable, accounts payable, certain accrued expenses, finance lease obligations, and long-term debt. The carrying values of the financial instruments classified as current in the accompanying consolidated balance sheets are considered to be at their fair values, due to the short maturity of these instruments. The carrying amounts of finance lease obligations and long-term debt approximate fair value as they bear interest at rates that approximate current market rates for debt with similar maturities and credit quality. Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 820, Fair Value Measurement (“ASC 820”), applies to all financial assets and financial liabilities that are measured and reported on a fair value basis and requires disclosure that establishes a framework for measuring fair value and expands disclosure about fair value measurements. ASC 820 establishes a fair value hierarchy for disclosure of the inputs to valuations used to measure fair value. This hierarchy prioritizes the inputs into three broad levels as follows: Level 1 — Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that can be accessed at the measurement date. Level 2 — Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates and yield curves), and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs). Level 3 — Unobservable inputs that reflect assumptions about what market participants would use in pricing the asset or liability. These inputs would be based on the best information available, including the Company’s own data. The carrying amounts and fair values of the Company’s financial instruments as of June 30, 2020, are presented below (in thousands): Fair Value Measurements Level 1 Level 2 Level 3 Total Assets Money market funds* $ 108,195 $ — $ — $ 108,195 Marketable securities – certificates of deposit 117,611 — — 117,611 Marketable securities – equity securities 45 — 45 Total $ 225,851 $ — $ — $ 225,851 The carrying amounts and fair values of the Company’s financial instruments as of December 31, 2019, are presented below (in thousands): Fair Value Measurements Level 1 Level 2 Level 3 Total Assets Money market funds* $ 50,731 $ — $ — $ 50,731 Marketable securities – certificates of deposit 116,469 — — 116,469 Marketable securities – equity securities 70 — — 70 Total $ 167,270 $ — $ — $ 167,270 * Included in cash and cash equivalents There have been no changes in Level 1, Level 2, or Level 3 classification and no changes in valuation techniques for these assets for the six months ended June 30, 2020. Intangible Assets and Long-Lived Assets Intangible assets with finite lives include network-payor relationships, management contracts and member relationships and are stated at cost, less accumulated amortization and impairment losses. These intangible assets are amortized on the accelerated method using the discounted cash flow rate. Intangible assets with finite lives also include a patient management platform, as well as trade names and trademarks, whose valuations were determined using the cost to recreate method and the relief from royalty method, respectively. These assets are stated at cost, less accumulated amortization and impairment losses, and are amortized using the straight-line method. Finite-lived intangibles and long-lived assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. If the expected future cash flows from the use of such assets (undiscounted and without interest charges) are less than the carrying value, a write-down would be recorded to reduce the carrying value of the asset to its estimated fair value. Fair value is determined based on appropriate valuation techniques. The Company determined that there was no impairment of its finite-lived intangible or long-lived assets during the six months ended June 30, 2020 and 2019. Goodwill and Indefinite-Lived Intangible Assets Under ASC 350, Intangibles – Goodwill and Other , goodwill and indefinite-lived intangible assets are reviewed at least annually for impairment. At least annually, at the Company’s fiscal year-end, or sooner if events or changes in circumstances indicate that an impairment has occurred, the Company performs a qualitative assessment to determine whether it is more likely than not that the fair value of each reporting unit is less than its carrying amount as a basis for determining whether it is necessary to complete quantitative impairment assessments for each of the Company’s three main reporting units (1) management services, (2) IPAs, and (3) ACOs. The Company is required to perform a quantitative goodwill impairment test only if the conclusion from the qualitative assessment is that it is more likely than not that a reporting unit’s fair value is less than the carrying value of its assets. Should this be the case, a quantitative analysis is performed to identify whether a potential impairment exists by comparing the estimated fair values of the reporting units with their respective carrying values, including goodwill. An impairment loss is recognized if the implied fair value of the asset being tested is less than its carrying value. In this event, the asset is written down accordingly. The fair values of goodwill are determined using valuation techniques based on estimates, judgments and assumptions management believes are appropriate in the circumstances. At least annually, indefinite-lived intangible assets are tested for impairment. Impairment for intangible assets with indefinite lives exists if the carrying value of the intangible asset exceeds its fair value. The fair values of indefinite-lived intangible assets are determined using valuation techniques based on estimates, judgments and assumptions management believes are appropriate in the circumstances. The Company had no impairment of its goodwill or indefinite-lived intangible assets during the six months ended June 30, 2020 and 2019. Investments in Other Entities — Equity Method The Company accounts for certain investments using the equity method of accounting when it is determined that the investment provides the Company with the ability to exercise significant influence, but not control, over the investee. Significant influence is generally deemed to exist if the Company has an ownership interest in the voting stock of the investee of between 20% and 50%, although other factors, such as representation on the investee’s board of directors, are considered in determining whether the equity method of accounting is appropriate. Under the equity method of accounting, the investment, originally recorded at cost, is adjusted to recognize the Company’s share of net earnings or losses of the investee and is recognized in the accompanying consolidated statements of income under “Income (loss) from equity method investments” and also is adjusted by contributions to and distributions from the investee. Equity method investments are subject to impairment evaluation. Investments in Privately Held Entities The Company accounts for certain investments using the cost method of accounting when it is determined that the investment provides the Company with little or no influence over the investee. Under the cost method of accounting, the investment is measured at cost, adjusted for observable price changes and impairments, with changes recognized in net income. The investments in privately held entities that do not report NAV are subject to qualitative assessment for indicators of impairments. Medical Liabilities APC, Alpha Care, Accountable Health Care, APAACO and MMG are responsible for integrated care that the associated physicians and contracted hospitals provide to their enrollees. APC, Alpha Care, Accountable Health Care, APAACO and MMG provide integrated care to HMOs, Medicare and Medi-Cal enrollees through a network of contracted providers under sub-capitation and direct patient service arrangements. Medical costs for professional and institutional services rendered by contracted providers are recorded as cost of services expenses in the accompanying consolidated statements of income. An estimate of amounts due to contracted physicians, hospitals, and other professional providers is included in medical liabilities in the accompanying consolidated balance sheets. Medical liabilities include claims reported as of the balance sheet date and estimates IBNR claims. Such estimates are developed using actuarial methods and are based on numerous variables, including the utilization of health care services, historical payment patterns, cost trends, product mix, seasonality, changes in membership, and other factors. The estimation methods and the resulting reserves are periodically reviewed and updated. Many of the medical contracts are complex in nature and may be subject to differing interpretations regarding amounts due for the provision of various services. Such differing interpretations may not come to light until a substantial period of time has passed following the contract implementation. Revenue Recognition The Company receives payments from the following sources for services rendered: (i) commercial insurers; (ii) the federal government under the Medicare program administered by CMS; (iii) state governments under the Medicaid and other programs; (iv) other third-party payors (e.g., hospitals and IPAs); and (v) individual patients and clients. Nature of Services and Revenue Streams Revenue primarily consists of capitation revenue, risk pool settlements and incentives, NGACO All-Inclusive Population-Based Payments (“AIPBP”), management fee income, and FFS revenue. Revenue is recorded in the period in which services are rendered or the period in which the Company is obligated to provide services. The form of billing and related risk of collection for such services may vary by type of revenue and the customer. The following is a summary of the principal forms of the Company’s billing arrangements and how revenue is recognized for each. Capitation, Net Managed care revenues of the Company consist primarily of capitated fees for medical services provided by the Company under a capitated arrangement directly made with various managed care providers including HMOs. Capitation revenue is typically prepaid monthly to the Company based on the number of enrollees selecting the Company as their healthcare provider. Capitation revenue is recognized in the month in which the Company is obligated to provide services to plan enrollees under contracts with various health plans. Minor ongoing adjustments to prior months’ capitation, primarily arising from contracted HMOs finalizing their monthly patient eligibility data for additions or subtractions of enrollees, are recognized in the month they are communicated to the Company. Additionally, Medicare pays capitation using a “Risk Adjustment” model, which compensates managed care organizations and providers based on the health status (acuity) of each individual enrollee. Health plans and providers with higher acuity enrollees will receive more and those with lower acuity enrollees will receive less. Under Risk Adjustment, capitation is determined based on health severity, measured using patient encounter data. Capitation is paid on a monthly basis based on data submitted for the enrollee for the preceding year and is adjusted in subsequent periods after the final data is compiled. Positive or negative capitation adjustments are made for Medicare enrollees with conditions requiring more or less healthcare services than assumed in the interim payments. Since the Company cannot reliably predict these adjustments, periodic changes in capitation amounts earned as a result of Risk Adjustment are recognized when those changes are communicated by the health plans to the Company. PMPM managed care contracts generally have a term of one year or longer. All managed care contracts have a single performance obligation that constitutes a series for the provision of managed healthcare services for a population of enrolled members for the duration of the contract. The transaction price for PMPM contracts is variable as it primarily includes PMPM fees associated with unspecified membership that fluctuates throughout the contract. In certain contracts, PMPM fees also include adjustments for items such as performance incentives, performance guarantees and risk shares. The Company generally estimates the transaction price using the most likely amount methodology and amounts are only included in the net transaction price to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. The majority of the Company’s net PMPM transaction price relates specifically to the Company’s efforts to transfer the service for a distinct increment of the series (e.g., day or month) and is recognized as revenue in the month in which members are entitled to service. Risk Pool Settlements and Incentives APC enters into full risk capitation arrangements with certain health plans and local hospitals, which are administered by a third party, where the hospital is responsible for providing, arranging and paying for institutional risk and APC is responsible for providing, arranging and paying for professional risk. Under a full risk pool sharing agreement, APC generally receives a percentage of the net surplus from the affiliated hospital’s risk pools with HMOs after deductions for the affiliated hospitals costs. Advance settlement payments are typically made quarterly in arrears if there is a surplus. The Company’s risk pool settlements under arrangements with health plans and hospitals are recognized using the most likely amount methodology and amounts are only included in revenue to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. The assumptions for historical MLR, IBNR completion factors and constraint percentages were used by management in applying the most likely amount methodology. Under capitated arrangements with certain HMOs, APC participates in one or more shared risk arrangements relating to the provision of institutional services to enrollees (shared risk arrangements) and thus can earn additional revenue or incur losses based upon the enrollee utilization of institutional services. Shared risk capitation arrangements are entered into with certain health plans, which are administered by the health plan, where APC is responsible for rendering professional services, but the health plan does not enter into a capitation arrangement with a hospital and therefore the health plan retains the institutional risk. Shared risk deficits, if any, are not payable until and unless (and only to the extent of any) risk-sharing surpluses are generated. At the termination of the HMO contract, any accumulated deficit will be extinguished. The Company’s risk pool settlements under arrangements with HMOs are recognized, using the most likely methodology, and only included in revenue to the extent that it is probable that a significant reversal of cumulative revenue will not occur. Given the lack of access to the health plans’ data and control over the members assigned to APC, the adjustments and/or the withheld amounts are unpredictable and as such APC’s risk share revenue is deemed to be fully constrained until APC is notified of the amount by the health plan. Risk pools for the prior contract years are generally final settled in the third or fourth quarter of the following year. In addition to risk-sharing revenues, the Company also receives incentives under “pay-for-performance” programs for quality medical care, based on various criteria. As an incentive to control enrollee utilization and to promote quality care, certain HMOs have designed quality incentive programs and commercial generic pharmacy incentive programs to compensate the Company for its efforts to improve the quality of services and efficient and effective use of pharmacy supplemental benefits provided to HMO members. The incentive programs track specific performance measures and calculate payments to the Company based on the performance measures. The Company’s incentives under “pay-for-performance” programs are recognized using the most likely methodology. However, as the Company does not have sufficient insight from the health plans on the amount and timing of the shared risk pool and incentive payments these amounts are considered to be fully constrained and only recorded when such payments are known and/or received. Generally, for the foregoing arrangements, the final settlement is dependent on each distinct day’s performance within the annual measurement period but cannot be allocated to specific days until the full measurement period has occurred and performance can be assessed. As such, this is a form of variable consideration estimated at contract inception and updated through the measurement period (i.e., the contract year), to the extent the risk of reversal does not exist and the consideration is not constrained. NGACO AIPBP Revenue APAACO and CMS entered into a NGACO Model Participation Agreement (the “Participation Agreement”) with an initial term of two two For each performance year, the Company must submit to CMS its selections for risk arrangement; the amount of the profit/loss cap; alternative payment mechanism; benefits enhancements, if any; and its decision regarding voluntary alignment under the NGACO Model. The Company must obtain CMS consent before voluntarily discontinuing any benefit enhancement during a performance year. Under the NGACO Model, CMS aligns beneficiaries to the Company to manage (direct care and pay providers) based on a budgetary benchmark established with CMS. The Company is responsible for managing medical costs for these beneficiaries. The beneficiaries will receive services from physicians and other medical service providers that are both in-network and out-of-network. The Company receives capitation from CMS on a monthly basis to pay claims from in-network providers. The Company records such capitation received from CMS as revenue as the Company is primarily responsible and liable for managing the patient care and for satisfying provider obligations, is assuming the credit risk for the services provided by in-network providers through its arrangement with CMS, and has control of the funds, the services provided and the process by which the providers are ultimately paid. Claims from out-of-network providers are processed and paid by CMS and the Company’s shared savings or losses in managing the services provided by out-of-network providers are generally determined on an annual basis after reconciliation with CMS. Pursuant to the Company’s risk share agreement with CMS, the Company will be eligible to receive the savings or be liable for the deficit according to the budget established by CMS based on the Company’s efficiency in managing how the beneficiaries aligned to the Company by CMS are served by in-network and out-of-network providers. The Company’s savings or losses on providing such services are both capped by CMS, and are subject to significant estimation risk, whereby payments can vary significantly depending upon certain patient characteristics and other variable factors. Accordingly, the Company recognizes such surplus or deficit upon substantial completion of reconciliation and determination of the amounts. The Company records NGACO capitation revenues monthly. Excess over claims paid, plus an estimate for the related IBNR claims (see Note 8), and monthly capitation received are deferred and recorded as a liability until actual claims are paid or incurred. CMS will determine if there were any excess capitation paid for the performance year and the excess is refunded to CMS. For each performance year, CMS pays the Company in accordance with the alternative payment mechanism, if any, for which CMS has approved the Company; the risk arrangement for which the Company has been approved by CMS; and as otherwise provided in the Participation Agreement. Following the end of each performance year and at such other times as may be required under the Participation Agreement, CMS will issue a settlement report to the Company setting forth the amount of any shared savings or shared losses and the amount of other monies. If CMS owes the Company shared savings or other monies, CMS will pay the Company in full within 30 days after the date on which the relevant settlement report is deemed final, except as provided in the Participation Agreement. If the Company owes CMS shared losses or other monies owed as a result of a final settlement, the Company will pay CMS in full within 30 days after the relevant settlement report is deemed final. If the Company fails to pay the amounts due to CMS in full within 30 days after the date of a demand letter or settlement report, CMS will assess simple interest on the unpaid balance at the rate applicable to other Medicare debts under current provisions of law and applicable regulations. In addition, CMS and the U.S. Department of the Treasury may use any applicable debt collection tools available to collect any amounts owed by the Company. The Company participates in the AIPBP track of the NGACO Model. Under the AIPBP track, CMS estimates the total annual expenditures for APAACO’s assigned patients and pays that projected amount to the Company in monthly installments, and the Company is responsible for all Part A and Part B costs for in-network participating providers and preferred providers contracted by the Company to provide services to the assigned patients. As APAACO does not have sufficient insight into the financial performance of the shared risk pool with CMS because of unknown factors related to IBNR claims, risk adjustment

Business Combinations and Goodw

Business Combinations and Goodwill	6 Months Ended
	Jun. 30, 2020
Business Combinations [Abstract]
Business Combinations and Goodwill	Business Combinations and Goodwill Alpha Care Medical Group, Inc. On May 31, 2019, APC and APC-LSMA completed their acquisition of 100% of the capital stock of Alpha Care from Dr. Kevin Tyson for an aggregate purchase price of approximately $45.1 million in cash, subject to post-closing adjustments. As part of the transaction the Company deposited $2.0 million into an escrow account for potential post-closing adjustments. As of June 30, 2020, no post-closing adjustment is expected to be paid to Dr. Tyson and the full amount of the escrow account is expected to be returned to the Company. As such, the escrow amount is presented within prepaid expenses and other current assets in the accompanying consolidated balance sheets. The following table summarizes the estimated fair values of the assets acquired and liabilities assumed, as of the acquisition date (in thousands): Balance Sheet Assets acquired Cash and cash equivalents $ 3,569 Accounts receivable, net 10,336 Other current assets 4,675 Network relationship intangible assets 22,636 Goodwill 28,585 Accounts payable (2,795) Deferred tax liabilities (6,334) Medical liabilities (15,616) Net assets acquired $ 45,056 Cash paid $ 45,056 Accountable Health Care, IPA, a Professional Medical Corporation On August 30, 2019, APC and APC-LSMA acquired the remaining outstanding shares of capital stock (comprising 75%) in Accountable Health Care in exchange for $7.3 million. In addition to the payment of $7.3 million, APC assumed all assets and liabilities of Accountable Health Care, including loans payable to NMM and APC of $15.4 million, which have been eliminated upon consolidation and contributed the 25% investment totaling $2.4 million, total purchase price was $25.1 million (see Note 5). The following table summarizes the estimated fair values of the assets acquired and liabilities assumed, as of the acquisition date (in thousands): Balance Sheet Assets acquired Cash and cash equivalents $ 582 Accounts receivable, net 5,150 Other current assets 198 Network relationship intangible assets 11,411 Goodwill 23,566 Accounts payable (3,759) Medical liabilities (12,154) Subordinated loan (15,327) Net asset acquired $ 9,667 Equity investment contributed $ 2,417 Cash paid $ 7,250 AMG, a Professional Medical Corporation The Company acquired AMG in September 2019, for total consideration of $1.6 million, of which $0.4 million was in the form of APC common stock. The business combination did not meet the quantitative thresholds to require separate disclosures based on the Company’s consolidated net assets, investments and net income. The acquisitions were accounted for under the acquisition method of accounting. The fair value of the consideration for the acquired company was allocated to acquired tangible and intangible assets and liabilities based upon their fair values. The excess of the purchase consideration over the fair value of the net tangible and identifiable intangible assets acquired was recorded as goodwill. The determination of the fair value of assets and liabilities acquired requires the Company to make estimates and use valuation techniques when market value is not readily available. The results of operations of the company acquired have been included in the Company’s financial statements from the date of acquisition. Transaction costs associated with business acquisitions are expensed as they are incurred. At the time of acquisition, the Company estimates the amount of the identifiable intangible assets based on a valuation and the facts and circumstances available at the time. The Company determines the final value of the identifiable intangible assets as soon as information is available, but not more than one year from the date of acquisition. Goodwill is not deductible for tax purposes. The change in the carrying value of goodwill for the six months ended June 30, 2020, was as follows (in thousands); Balance, January 1, 2020 $ 238,505 Adjustments 548 Balance, June 30, 2020 $ 239,053

Intangible Assets, Net

Intangible Assets, Net	6 Months Ended
	Jun. 30, 2020
Goodwill and Intangible Assets Disclosure [Abstract]
Intangible Assets, Net	Intangible Assets, Net At June 30, 2020, the Company’s intangible assets, net, consisted of the following (in thousands): Useful Life (Years) Gross June 30, Accumulated Net June 30, Amortized intangible assets: Network relationships 11-15 $ 143,930 $ (67,015) $ 76,915 Management contracts 15 22,832 (10,736) 12,096 Member relationships 12 6,696 (2,793) 3,903 Patient management platform 5 2,060 (1,064) 996 Trade names/trademarks 20 1,011 (131) 880 $ 176,529 $ (81,739) $ 94,790 At December 31, 2019, the Company’s intangible assets, net, consisted of the following (in thousands): Useful Life (Years) Gross December 31, Accumulated Net December 31, 2019 Amortized intangible assets: Network relationships 11-15 $ 143,930 $ (60,526) $ 83,404 Management contracts 15 22,832 (9,676) 13,156 Member relationships 12 6,696 (2,352) 4,344 Patient management platform 5 2,060 (858) 1,202 Trade names/trademarks 20 1,011 (105) 906 $ 176,529 $ (73,517) $ 103,012 Included in depreciation and amortization on the accompanying consolidated statements of income is amortization expense of $4.1 million and $3.9 million for the three months ended June 30, 2020 and 2019, respectively, and $8.2 million and $7.7 million for the six months ended June 30, 2020 and 2019, respectively. Future amortization expense is estimated to be as follows for the following years ending December 31 (in thousands): Amount 2020 (excluding the six months ended June 30, 2020) $ 7,807 2021 14,524 2022 12,673 2023 10,842 2024 9,830 Thereafter 39,114 Total $ 94,790

Investments in Other Entities _

Investments in Other Entities — Equity Method	6 Months Ended
	Jun. 30, 2020
Equity Method Investments and Joint Ventures [Abstract]
Investments in Other Entities — Equity Method	Investments in Other Entities — Equity Method Rollforward of Equity Method Investment (in thousands) December 31, Allocation of Income (Loss) Contribution Sale June 30, LaSalle Medical Associates – IPA Line of Business $ 6,397 $ (428) $ — $ — $ 5,969 Pacific Medical Imaging & Oncology Center, Inc. 1,396 77 — — 1,473 Universal Care, Inc. 1,438 3,560 — (4,998) — Diagnostic Medical Group 2,334 (102) — — 2,232 531 W. College, LLC – related party 16,698 (231) 500 — 16,967 MWN, LLC – related party 164 12 — — 176 $ 28,427 $ 2,888 $ 500 $ (4,998) $ 26,817 LaSalle Medical Associates — IPA Line of Business LMA was founded by Dr. Albert Arteaga in 1996 and currently operates six neighborhood medical centers through its network of approximately 2,300 PCP and Specialists providers, treating children, adults and seniors in San Bernardino County, California. LMA’s patients are primarily served by Medi-Cal. LMA also accepts Blue Cross, Blue Shield, Molina, Care 1st, Health Net and Inland Empire Health Plan. LMA is also an IPA of independently contracted doctors, hospitals and clinics, delivering high-quality care to approximately 290,000 patients in Fresno, Kings, Los Angeles, Madera, Riverside, San Bernardino and Tulare Counties. During 2012, APC-LSMA and LMA entered into a share purchase agreement whereby APC-LSMA invested $5.0 million for a 25% interest in LMA’s IPA line of business. NMM has a management services agreement with LMA. APC accounts for its investment in LMA under the equity method as APC has the ability to exercise significant influence, but not control over LMA’s operations. For the three months ended June 30, 2020, APC recognized income from this investment of $0.2 million. For the three months ended June 30, 2019, APC recognized a loss from this investment of $1.3 million. For the six months ended June 30, 2020 and 2019, APC recognized losses of $0.4 million and $2.4 million, respectively, in the accompanying consolidated statements of income. The accompanying consolidated balance sheets include the related investment balance of $6.0 million and $6.4 million at June 30, 2020 and December 31, 2019, respectively. LMA’s summarized balance sheets at June 30, 2020 and December 31, 2019, and summarized statements of operations for the six months ended June 30, 2020 and 2019, with respect to its IPA line of business are as follows (in thousands): Balance Sheets June 30, December 31, Assets Cash and cash equivalents $ 2,852 $ 6,345 Receivables, net 6,751 5,124 Other current assets 880 3,526 Loan receivable 2,250 2,250 Restricted cash 688 683 Total assets $ 13,421 $ 17,928 Liabilities and Stockholders’ (Deficit) Equity Current liabilities $ 20,735 $ 23,530 Stockholders’ deficit (7,314) (5,602) Total liabilities and stockholders’ deficit $ 13,421 $ 17,928 Statements of Operations Six Months Ended June 30, 2020 2019 Revenues $ 92,113 $ 93,434 Expenses 93,680 102,845 Net loss $ (1,567) $ (9,411) Pacific Medical Imaging and Oncology Center, Inc. Incorporated in California in 2004, PMIOC provides comprehensive diagnostic imaging services using state-of-the-art technology. PMIOC offers high-quality diagnostic services, such as MRI/MRA, PET/CT, CT, nuclear medicine, ultrasound, digital x-rays, bone densitometry and digital mammography, at its facilities. In July 2015, APC-LSMA and PMIOC entered into a share purchase agreement whereby APC-LSMA invested $1.2 million for a 40% ownership interest in PMIOC. APC and PMIOC have an Ancillary Service Contract together whereby PMIOC provides covered services on behalf of APC to enrollees of the plans of APC. Under the Ancillary Service Contract, APC paid PMIOC fees of approximately $0.4 million and $0.6 million, for the three months ended June 30, 2020 and 2019, respectively, and fees of approximately $1.0 million and $1.4 million for the six months ended June 30, 2020 and 2019. APC accounts for its investment in PMIOC under the equity method of accounting as APC has the ability to exercise significant influence, but not control over PMIOC’s operations. For the three months ended June 30, 2020, APC recognized a loss from this investment of $10,200. For the three months ended June 30, 2019, APC recognized income from this investment of $0.1 million. For the six months ended June 30, 2020 and 2019, APC recognized income of $0.1 million and $0.2 million, respectively, in the accompanying consolidated statements of income. The accompanying consolidated balance sheets include the related investment balance of $1.5 million and $1.4 million at June 30, 2020 and December 31, 2019, respectively. Universal Care, Inc. UCI is a privately held health plan that has been in operation since 1985. UCI holds a license under the California Knox-Keene Health Care Services Plan Act to operate as a full-service health plan. UCI contracts with CMS under the Medicare Advantage Prescription Drug Program. In August 2015, UCAP purchased 100,000 shares of UCI class A-2 voting common stock from UCI for $10.0 million, which shares comprise 48.9% of UCI’s total outstanding shares and 50% of UCI’s voting common stock. On April 30, 2020, UCAP completed the sale of its 48.9% ownership interest in UCI to Bright for approximately $69.2 million in cash proceeds (including $16.5 million as repayment of indebtedness owed to APC), plus non-cash consideration consisting of shares of Bright Health, Inc.’s preferred stock having an estimated fair value of approximately $36.2 million on the date of sale, included in investments in privately held entities. The fair value of the preferred shares was determined utilizing a market approach which includes significant unobservable inputs (Level 3) including forecasted revenue along with estimates of revenue multiples, volatility and time-to-liquidity. In addition, pursuant to the terms of the stock purchase agreement, APC has a beneficial interest in the equity method investment sold. The estimated fair value of such interest on April 30, 2020 was $15.7 million and is included in "Other assets" in the accompanying consolidated balance sheets. The beneficial interest is the result of a gross margin provision in the stock purchase agreement which entitles UCAP to potentially receive additional cash and preferred shares (currently held in an escrow account with cash of $15.6 million and preferred shares with an estimated fair value of $6.4 million, total estimated fair value of $22.0 million on the date of sale) based on the gross margin of UCI for calendar year 2020 as measured against a target. The amount to be received varies dependent upon the gross margin as compared to the target but cannot exceed the amounts that are in the escrow account. Additionally, the stock purchase agreement includes a tangible net equity provision that may result in the receipt or payment of additional amounts based on a comparison of final tangible net equity of UCI on the date of sale (determined with the benefit of one year of hindsight) as compared to the estimated tangible net equity at the time of sale. It is expected that settlement of the beneficial interest will begin in the second half of 2021. The Company determined the fair value of the beneficial interest using an income approach which includes significant unobservable inputs (Level 3). Specifically, the Company utilized a probability weighted discounted cash flow model using a risk-free treasury rate to estimate fair value which considered various scenarios of gross margin adjustment and the impact of each adjustment to the expected proceeds from the escrow account and assigned probabilities to each such scenario in determining fair value. The gross margin adjustment is defined as three times any deficit in actual gross margin of UCI for the year ended December 31, 2020 below a target gross margin unless such deficit is within a specific collar amount. The gain on sale of equity method investment recognized in connection with this transaction was determined as follows: Amount (in '000s) Cash proceeds (excludes proceeds to settle indebtedness owed to APC from UCI) $ 52,743 Preferred shares in Bright Health, Inc. $ 36,179 Beneficial interest in UCI $ 15,723 Less: Carrying value of equity method investment on date of sale $ (4,998) Gain on sale of equity method investment $ 99,647 For the three months ended June 30, 2020 and June 30, 2019 APC recorded income from this investment of approximately $0.9 million and $4.5 million. For the six months ended June 30, 2020 and June 30, 2019 APC recorded income from this investment of approximately $3.6 million and $5.5 million in the accompanying consolidated statements of income, respectively. As a result of the sale, there was no investment balance as of June 30, 2020 as compared to an investment balance of $1.4 million as of December 31, 2019. UCI's balance sheet at December 31, 2019 and statements of income for the four months ended April 30, 2020 and six months ended June 30, 2019 are as follows (in thousands): Balance Sheets December 31, Assets Cash and cash equivalents $ 33,890 Receivables, net 63,843 Other current assets 38,280 Loan receivable 882 Restricted cash 4,021 Total assets $ 140,916 Liabilities and Stockholders’ (Deficit) Equity Current liabilities $ 128,330 Other liabilities 33,133 Stockholders’ deficit (20,547) Total liabilities and stockholders’ deficit $ 140,916 Statements of Operations Four Months Ended Six Months Ended April 30, June 30, Revenues $ 195,308 $ 247,517 Expenses 189,028 239,389 Income before benefit from income taxes 6,280 8,128 Benefit from income taxes — (3,167) Net income $ 6,280 $ 11,295 Diagnostic Medical Group In May 2016, David C.P. Chen M.D., individually, and APC-LSMA, entered into a share purchase agreement whereby APC-LSMA acquired a 40% ownership interest in DMG. APC accounts for its investment in DMG under the equity method of accounting as APC has the ability to exercise significant influence, but not control over DMG’s operations. For the three months ended June 30, 2020 and 2019, APC recognized loss and income from this investment of $0.1 million and $0.2 million, respectively, in the consolidated statements of income. For the six months ended June 30, 2020 and 2019, APC recognized loss and income from investment of $0.1 million and $0.4 million, respectively, in the consolidated statements of income. The accompanying consolidated balance sheets include the related investment balances of $2.2 million and $2.3 million as of June 30, 2020 and December 31, 2019, respectively. 531 W. College LLC – Related Party In June 2018, College Street Investment LP, a California limited partnership (“CSI”), APC and NMM entered into an operating agreement to govern the limited liability company, 531 W. College, LLC and the conduct of its business, and to specify their relative rights and obligations. CSI, APC and NMM, each owns 50%, 25% and 25%, respectively, of member units based on initial capital contributions of $16.7 million, $8.3 million, and $8.3 million, respectively. In June 2018, 531 W. College, LLC closed its purchase of a non-operational hospital located in Los Angeles from Societe Francaise De Bienfaisance Mutuelle De Los Angeles, a California nonprofit corporation, for a total purchase price of $33.3 million. On April 23, 2019, NMM and APC entered into an agreement whereby NMM assigned and APC assumed NMM’s 25% membership interest in 531 W. College, LLC for approximately $8.3 million. Subsequently, APC has a 50% ownership in 531 W. College LLC with a total investment balance of approximately $17.0 million. APC accounts for its investment in 531 W. College, LLC under the equity method of accounting as APC has the ability to exercise significant influence, but not control over the operations of this joint venture. For the three months ended June 30, 2020 and 2019, APC recognized loss and income of $0.1 million and $12,649, respectively. For the six months ended June 30, 2020 and 2019, APC recorded losses of $0.2 million and $34,319 in the accompanying consolidated statements of income, respectively. During the period ended June 30, 2020, the Company contributed $0.5 million to 531 W. College LLC as part of its 50% interest and had investment balances of $17.0 million and $16.7 million, respectively, at June 30, 2020 and December 31, 2019. 531 W. College LLC’s balance sheets at June 30, 2020 and December 31, 2019, and statements of operations for the six months ended June 30, 2020 and 2019, are as follows (in thousands): Balance sheets June 30, December 31, Assets Cash $ 126 $ 139 Other current assets — 17 Other assets 70 70 Property and equipment, net 33,697 33,581 Total assets $ 33,893 $ 33,807 Liabilities and Members’ Equity Current liabilities $ 1,109 $ 1,062 Stockholders’ equity 32,784 32,745 Total liabilities and members’ equity $ 33,893 $ 33,807 Statements of Operation Six Months Ended June 30, 2020 2019 Revenues — — Expenses 579 538 Loss from operations (579) (538) Other income $ 21 $ 385 Net loss $ (558) $ (153) MWN LLC – Related Party In December 2018, NMM, 6 Founders LLC, a California limited liability company doing business as Pacific6 Enterprises (“Pacific6”), and Health Source MSO Inc., a California corporation (“HSMSO”) entered into an operating agreement to govern MWN Community Hospital, LLC and the conduct of its business and to specify their relative rights and obligations. NMM, Pacific6, and HSMSO each own 33.3% of the membership shares based on each member’s initial capital contributions of $3,000 and working capital contributions of $30,000. NMM invested an additional $0.3 million for working capital purposes in August 2019. For the three and six months ended June 30, 2020, NMM recorded loss and income from its investment in MWN LLC of $43,000 and $12,000, respectively, in the accompanying consolidated statements of income and had an investment balance of $0.2 million as of June 30, 2020 and December 31, 2019. Investments in privately held entities that do not report net asset value MediPortal, LLC In May 2018, APC purchased 270,000 membership interests of MediPortal LLC, a New York limited liability company, for $0.4 million or $1.50 per membership interest, which represented an approximately 2.8% ownership interest. In connection with the initial purchase, APC received a five-year warrant to purchase an additional 270,000 membership interests. Additionally, APC received a five-year option to purchase an additional 380,000 membership interests and a five-year warrant to purchase 480,000 membership interests, which MediPortal LLC will grant APC upon completion of its health portal. As of June 30, 2020, the health portal has not been completed. As APC does not have the ability to exercise significant influence, and lacks control, over the investee, this investment is accounted for using a measurement alternative which allows the investment to be measured at cost, adjusted for observable price changes and impairments, with changes recognized in net income. AchievaMed On July 1, 2019, NMM and AchievaMed, Inc., a California corporation (“AchievaMed”), entered into an agreement in which NMM would purchase 50% of the aggregate shares of capital stock of AchievaMed over a period of time not to exceed five years. As a result of this transaction NMM invested $0.5 million for a 10% interest. The related investment balance of $0.5 million is included in “Investment in privately held entities” in the accompanying consolidated balance sheets as of June 30, 2020. Bright Health, Inc. In April 2020, UCAP completed the sale of its 48.9% ownership interest in UCI to Bright for approximately $69.2 million in cash proceeds (including $16.5 million as repayment of indebtedness owed to APC), plus non-cash consideration consisting of shares of Bright Health, Inc.’s preferred stock having an estimated fair value of approximately $36.2 million on the date of sale. The related investment balance of $36.2 million is included in “Investment in privately held entities” in the accompanying consolidated balance sheets as of June 30, 2020.

Loan Receivable and Loan Receiv

Loan Receivable and Loan Receivable – Related Parties	6 Months Ended
	Jun. 30, 2020
Receivables [Abstract]
Loan Receivable and Loan Receivable – Related Parties	Loan Receivable and Loan Receivable – Related Parties Loan receivable Dr. Albert Arteaga On June 28, 2019, APC entered into a convertible secured promissory note with Dr. Albert H. Arteaga, M.D. (“Dr. Arteaga”), Chief Executive Officer of LMA, to loan $6.4 million to Dr. Arteaga. Interest on the loan accrues at a rate that is equal to the prime rate, plus 1% (4.25% as of June 30, 2020) and payable in monthly installments of interest only on the first day of each month until the maturity date of December 31, 2020, at which time, all outstanding principal and accrued interest thereon shall be due and payable in full. The note is secured by certain shares of LMA common stock held by Dr. Arteaga. At any time on or before December 31, 2020, and upon written notice by APC to Dr. Arteaga, APC has the right, but not the obligation, to convert the entire outstanding principal amount of this note into shares of LMA common stock, which equal 21.25% of the aggregate then-issued and outstanding shares of LMA common stock to be held by APC’s designee, which may include APC-LSMA. If converted, APC-LSMA and APC’s designee will collectively own 46.25% of the equity of LMA with the remaining 53.75% to be owned by Dr. Arteaga. The entire note receivable has been classified under loans receivable on the consolidated balance sheets in the amount of $6.4 million as of June 30, 2020. On February 28, 2020, the Company entered into an agreement to advance Dr. Arteaga $2.2 million related to claims that were overpaid in the ordinary course of business. The advanced amount is repaid as the overpaid claims are recovered. As of June 30, 2020, the outstanding amount due was $0.9 million and included in the “Prepaid expenses and other current assets” in the accompanying consolidated balance sheets. The Company assessed the loan receivables under the CECL model by assessing the party's ability to pay by reviewing their interest payment history quarterly, financial history annually and reassessing any insolvency risk that is identified. If a failure to pay occurs, the Company assesses the terms of the notes and estimates an expected credit loss based on the remittance schedule of the note. Loan receivable – related parties Universal Care, Inc. In 2015, APC advanced $5.0 million on behalf of UCAP to UCI for working capital purposes. On June 29, 2018, November 28, 2018, and December 13, 2019, APC advanced an additional $2.5 million, $5.0 million and $4.0 million, respectively. The loans accrue interest at the prime rate, plus 1.00%, or 4.25%, as of March 31, 2020, and 5.75% as of December 31, 2019, with interest to be paid monthly. On April 30, 2020, the outstanding balance was fully repaid as part of UCAP's disposition of its 48.9% ownership interest in UCI to Bright.

Accounts Payable and Accrued Ex

Accounts Payable and Accrued Expenses	6 Months Ended
	Jun. 30, 2020
Payables and Accruals [Abstract]
Accounts Payable and Accrued Expenses	Accounts Payable and Accrued Expenses The Company’s accounts payable and accrued expenses consisted of the following (in thousands): June 30, December 31, Accounts payable $ 10,425 $ 6,914 Capitation payable 2,754 2,813 Subcontractor IPA payable 3,083 3,360 Professional fees 2,325 1,837 Due to related parties 80 225 Accrued compensation 3,060 3,238 Contract liabilities 3,061 8,892 Total accounts payable and accrued expenses $ 24,788 $ 27,279

Medical Liabilities

Medical Liabilities	6 Months Ended
	Jun. 30, 2020
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Medical Liabilities	Medical Liabilities The Company’s medical liabilities consisted of the following (in thousands): June 30, June 30, Medical liabilities, beginning of period $ 58,725 $ 33,642 Components of medical care costs related to claims incurred: Current period 165,571 93,833 Prior periods 233 2,688 Total medical care costs 165,804 96,521 Payments for medical care costs related to claims incurred: Current period (97,112) (60,440) Prior periods (57,470) (39,744) Total paid (154,582) (100,184) Acquired from Alpha Care — 13,120 Adjustments 326 (156) Medical liabilities, end of period $ 70,273 $ 42,943

Credit Facility, Bank Loan and

Credit Facility, Bank Loan and Lines of Credit	6 Months Ended
	Jun. 30, 2020
Debt Disclosure [Abstract]
Credit Facility, Bank Loan and Lines of Credit	Credit Facility, Bank Loan and Lines of Credit Credit Facility The Company’s credit facility consisted of the following (in thousands): June 30, 2020 Term loan A $ 185,250 Revolver loan 60,000 Total debt 245,250 Less: Current portion of debt (9,500) Less: Unamortized financing costs (5,295) Long-term debt $ 230,455 Future commitments of the Company’s credit facility is to be as follows for the years ending December 31 (in thousands): Amount 2020 (excluding the six months ended June 30, 2020) $ 7,125 2021 10,688 2022 14,250 2023 15,437 2024 197,750 Total $ 245,250 Credit Agreement In September 2019, the Company entered into a secured credit agreement (the “Credit Agreement,” and the credit facility thereunder, the "Credit Facility") with Truist Bank (formerly known as SunTrust Bank), in its capacity as administrative agent for the lenders (in such capacity, the “Agent”), as a lender, an issuer of letters of credit and as swingline lender, and Preferred Bank, JPMorgan Chase Bank, N.A., MUFG Union Bank, N.A., Royal Bank of Canada, Fifth Third Bank and City National Bank, as lenders (the “Lenders”). In connection with the closing of the Credit Agreement, the Company, its subsidiary, NMM, and the Agent entered into a Guaranty and Security Agreement (the “Guaranty and Security Agreement”), pursuant to which, among other things, NMM guaranteed the obligations of the Company under the Credit Agreement. The Credit Agreement provides for a five-year revolving credit facility to the Company of $100.0 million (“Revolver Loan”), which includes a letter of credit subfacility of up to $25.0 million. The Credit Agreement also provides for a term loan of $190.0 million, (“Term Loan A”). The unpaid principal amount of the term loan is payable in quarterly installments on the last day of each fiscal quarter commencing on December 31, 2019. The principal payment for each of the first eight fiscal quarters is $2.4 million, for the following eight fiscal quarters thereafter is $3.6 million and for the following three fiscal quarters thereafter is $4.8 million. The remaining principal payment on the term loan is due on September 11, 2024. The proceeds of the term loan and up to $60.0 million of the revolving credit facility were used to (i) finance a portion of the AP-AMH Loan, (ii) refinance certain indebtedness of the Company and its subsidiaries and, indirectly, APC, (iii) pay transaction costs and expenses arising in connection with the Credit Agreement, the AP-AMH Loan and certain other related transactions and (iv) provide for working capital, capital expenditures and other general corporate purposes. The remainder of the revolving credit facility will be used to finance future acquisitions and investments and to provide for working capital needs, capital expenditures and other general corporate purposes. The Company is required to pay an annual facility fee of 0.20% to 0.35% on the available commitments under the Credit Agreement, regardless of usage, with the applicable fee determined on a quarterly basis based on the Company’s leverage ratio. The Company is also required to pay customary fees as specified in a separate fee agreement between the Company and SunTrust Robinson Humphrey, Inc., the lead arranger of the Credit Agreement. Amounts borrowed under the Credit Agreement will bear interest at an annual rate equal to either, at the Company’s option, (a) the rate for Eurocurrency deposits for the corresponding deposits of U.S. dollars appearing on Reuters Screen LIBOR01 Page (“LIBOR”), adjusted for any reserve requirement in effect, plus a spread of between 2.00% and 3.00%, as determined on a quarterly basis based on the Company’s leverage ratio, or (b) a base rate, plus a spread between 1.00% and 2.00%, as determined on a quarterly basis based on the Company’s leverage ratio. As of June 30, 2020, the interest rate on Term Loan A and Revolver Loan was 3.57% and 3.24%, respectively. The base rate is defined in a manner such that it will not be less than LIBOR. The Company will pay fees for standby letters of credit at an annual rate of between 2.00% and 3.00%, as determined on a quarterly basis based on the Company’s leverage ratio, plus facing fees and standard fees payable to the issuing bank on the respective letter of credit. Loans outstanding under the Credit Agreement may be prepaid at any time without penalty, except for LIBOR breakage costs and expenses. If LIBOR ceases to be reported, the Credit Agreement requires the Company and the Agent to endeavor to establish a commercially reasonable alternative rate of interest and until they are able to do so, all borrowings must be at the base rate. The Credit Agreement requires the Company and its subsidiaries to comply with various affirmative covenants, including, without limitation, furnishing updated financial and other information, preserving existence and entitlements, maintaining properties and insurance, complying with laws, maintaining books and records, requiring any new domestic subsidiary meeting a materiality threshold specified in the Credit Agreement to become a guarantor thereunder and paying obligations. The Credit Agreement requires the Company and its subsidiaries to comply with, and to use commercially reasonable efforts to the extent permitted by law to cause certain material associated practices of the Company, including APC, to comply with, restrictions on liens, indebtedness and investments (including restrictions on acquisitions by the Company), subject to specified exceptions. The Credit Agreement also contains various other negative covenants binding the Company and its subsidiaries, including, without limitation, restrictions on fundamental changes, dividends and distributions, sales and leasebacks, transactions with affiliates, burdensome agreements, use of proceeds, maintenance of business, amendments of organizational documents, accounting changes and prepayments and modifications of subordinated debt. The Credit Agreement requires the Company to comply with two key financial ratios, each calculated on a consolidated basis. The Company must maintain a maximum consolidated leverage ratio of not greater than 3.75 to 1.00 as of the last day of each fiscal quarter. The maximum consolidated leverage ratio decreases by 0.25 each year, until it is reduced to 3.00 to 1.00 for each fiscal quarter ending after September 30, 2022. The Company must maintain a minimum consolidated interest coverage ratio of not less than 3.25 to 1.00 as of the last day of each fiscal quarter. As of June 30, 2020, the Company was in compliance with the covenants relating to its credit facility. Pursuant to the Guaranty and Security Agreement, the Company and NMM have granted the Lenders a security interest in all of their assets, including, without limitation, all stock and other equity issued by their subsidiaries (including NMM) and all rights with respect to the AP-AMH Loan. The Guaranty and Security Agreement requires the Company and NMM to comply with various affirmative and negative covenants, including, without limitation, covenants relating to maintaining perfected security interests, providing information and documentation to the Agent, complying with contractual obligations relating to the collateral, restricting the sale and issuance of securities by their respective subsidiaries and providing the Agent access to the collateral. The Credit Agreement contains events of default, including, without limitation, failure to make a payment when due, default on various covenants in the Credit Agreement, breach of representations or warranties, cross-default on other material indebtedness, bankruptcy or insolvency, occurrence of certain judgments and certain events under the Employee Retirement Income Security Act of 1974 aggregating more than $10.0 million, invalidity of the loan documents, any lien under the Guaranty and Security Agreement ceasing to be valid and perfected, any change in control, as defined in the Credit Agreement, an event of default under the AP-AMH Loan, failure by APC to pay dividends in cash for any period of two consecutive fiscal quarters, failure by AP-AMH to pay cash interest to the Company, or if any modification is made to the Certificate of Determination or the Special Purpose Shareholder Agreement that directly or indirectly restricts, conditions, impairs, reduces or otherwise limits the payment of the Series A Preferred dividend by APC to AP-AMH. In addition, it will constitute an event of default under the Credit Agreement if APC uses all or any portion of the consideration received by APC from AP-AMH on account of AP-AMH’s purchase of Series A Preferred Stock for any purpose other than certain specific approved uses described in the following sentence, unless not less than 50.01% of all holders of common stock of APC at such time approve such use; provided that APC may use up to $50.0 million in the aggregate of such consideration for any purpose without any requirement to obtain such approval of the holders of common stock of APC. The approved uses include (i) any permitted investment, (ii) any dividend or distribution to the holders of the common stock of APC, (iii) any repurchase of common stock of APC, (iv) paying taxes relating to or arising from certain assets and transactions, or (v) funding losses, deficits or working capital support on account of certain non-healthcare assets in an amount not to exceed $125.0 million. If any event of default occurs and is continuing under the Credit Agreement, the Lenders may terminate their commitments, and may require the Company and its guarantors to repay outstanding debt and/or to provide a cash deposit as additional security for outstanding letters of credit. In addition, the Agent, on behalf of the Lenders, may pursue remedies under the Guaranty and Security Agreement, including, without limitation, transferring pledged securities of the Company’s subsidiaries in the name of the Agent and exercising all rights with respect thereto (including the right to vote and to receive dividends), collect on pledged accounts, instruments and other receivables (including the AP-AMH Loan), and all other rights provided by law or under the loan documents and the AP-AMH Loan. In the ordinary course of business, certain of the Lenders under the Credit Agreement and their affiliates have provided to the Company and its subsidiaries and the associated practices, and may in the future provide, (i) investment banking, commercial banking (including pursuant to certain existing business loan and credit agreements being terminated in connection with entering into the Credit Agreement), cash management, foreign exchange or other financial services, and (ii) services as a bond trustee and other trust and fiduciary services, for which they have received compensation and may receive compensation in the future. Deferred Financing Costs In September 2019, the Company recorded deferred financing costs of $6.5 million related to the issuance of the Credit Facility. This amount was recorded as a direct reduction of the carrying amount of the related debt liability. The deferred financing costs will be amortized over the life of the Credit Facility using the effective interest rate method. Effective Interest Rate The Company’s average effective interest rate on its total debt during the six months ended June 30, 2020 and 2019, was 3.93% and 4.71%, respectively. Interest expense in the consolidated statements of income included amortization of deferred debt issuance costs for the three and six months ended June 30, 2020 and 2019, of $0.3 million and $0, respectively, and $0.7 million and $0, respectively. Lines of Credit – Related Party NMM Business Loan On June 14, 2018, NMM amended its promissory note agreement with Preferred Bank (“NMM Business Loan Agreement”), which provides for loan availability of up to $20.0 million with a maturity date of June 22, 2020. One of the Company’s board members is the chairman and CEO of Preferred Bank. The NMM Business Loan Agreement was subsequently amended on September 1, 2018, to temporarily increase the loan availability from $20.0 million to $27.0 million for the period from September 1, 2018 through January 31, 2019, further extended to October 31, 2019, to facilitate the issuance of an additional standby letter of credit for the benefit of CMS. The interest rate is based on the Wall Street Journal “prime rate,” plus 0.125%, or 5.625% as of December 31, 2018. The loan was guaranteed by Apollo Medical Holdings, Inc. and is collateralized by substantially all of the assets of NMM. The amounts outstanding as of June 30, 2019, of $5.0 million was fully repaid on September 11, 2019. On September 5, 2018, NMM entered into a non-revolving line of credit agreement with Preferred Bank, which provides for loan availability of up to $20.0 million with a maturity date of September 5, 2019. This credit facility was subsequently amended on April 17, 2019, and July 29, 2019, to reduce the loan availability from $20.0 million to $16.0 million and from $16.0 million to $2.2 million, respectively. The interest rate is based on the Wall Street Journal “prime rate,” plus 0.125%, or 3.375% as of June 30, 2020, and 4.875% as of December 31, 2019. The line of credit is guaranteed by Apollo Medical Holdings, Inc. and is collateralized by substantially all assets of NMM. NMM obtained this line of credit to finance potential acquisitions. Each drawdown from the line of credit is converted into a five-year term loan with monthly principal payments, plus interest based on a five-year amortization schedule. On September 11, 2019, the NMM Business Loan Agreement, dated as of June 14, 2018, between NMM and Preferred Bank, as amended, and the Line of Credit Agreement, dated as of September 5, 2018, between NMM and Preferred Bank, as amended, were terminated in connection with the closing of the credit facility. Certain letters of credit issued by Preferred Bank under the Line of Credit Agreement were terminated and reissued under the Credit Agreement. As of June 30, 2020, outstanding letters of credit totaled $14.8 million and the Company has $10.2 million available under the revolving credit facility for letters of credit. APC Business Loan On June 14, 2018, APC amended its promissory note agreement with Preferred Bank, which provides for loan availability of up to $10.0 million with a maturity date of June 22, 2020. This credit facility was subsequently amended on April 17, 2019, and June 11, 2019, to increase the loan availability from $10.0 million to $40.0 million and extend the maturity date through December 31, 2020. On August 1, 2019, and September 10, 2019, this credit facility was further amended to increase loan availability from $40.0 million to $43.8 million, and decrease loan availability from $43.8 million to $4.1 million, respectively. This decrease further limited the purpose of the indebtedness under APC Business Loan Agreement to the issuance of standby letters of credit, and added as a permitted lien the security interest in all of its assets granted by APC in favor of NMM under a Security Agreement dated on or about September 11, 2019, securing APC’s obligations to NMM under, and as required pursuant to, the APC management services agreement dated as of July 1, 1999, as amended. The interest rate is based on the Wall Street Journal “prime rate,” plus 0.125%, or 3.375% and 4.875% as of June 30, 2020, and December 31, 2019, respectively. As of June 30, 2020 and December 31, 2019, there was no availability under this line of credit. Standby Letters of Credit On October 2, 2018, APAACO established a second irrevocable standby letter of credit with Preferred Bank (through the NMM Business Loan Agreement) for $6.6 million for the benefit of CMS. The letter of credit expires on December 31, 2020, and is automatically extended without amendment for additional one-year periods from the present or any future expiration date, unless notified by the institution to terminate prior to 90 days from any expiration date. APAACO may continue to draw from the letter of credit for one year following the bank’s notification of non-renewal. This standby letter of credit was subsequently amended on August 14, 2019, to increase amount from $6.6 million to $14.8 million and extended expiration date on December 31, 2020, with all other terms and conditions remain unchanged. In connection with the closing of the Credit Facility, this letter of credit was terminated and reissued under the Credit Agreement. APC established irrevocable standby letters of credit with Preferred Bank under the APC Business Loan Agreement for a total of $0.3 million for the benefit of certain health plans. The standby letters of credit are automatically extended without amendment for additional one-year periods from the present or any future expiration date, unless notified by the institution in advance of the expiration date that the letter will be terminated. Alpha Care established irrevocable standby letters of credit with Preferred Bank under the APC Business Loan Agreement for a total of $3.8 million for the benefit of certain health plans. The standby letters of credit are automatically extended without amendment for additional one-year periods from the present or any future expiration date, unless notified by the institution in advance of the expiration date that the letter will be terminated.

Mezzanine and Stockholders' Equ

Mezzanine and Stockholders' Equity	6 Months Ended
	Jun. 30, 2020
Stockholders' Equity Note [Abstract]
Mezzanine and Stockholders' Equity	Mezzanine and Stockholders’ Equity Mezzanine As the redemption feature (see Note 2) of the shares is not solely within the control of APC, the equity of APC does not qualify as permanent equity and has been classified as noncontrolling interest in APC as mezzanine or temporary equity. APC’s shares are not redeemable and it is not probable that the shares will become redeemable as of June 30, 2020 and December 31, 2019. Stockholders’ Equity As of June 30, 2020, 302,732 holdback shares have not been issued to certain former NMM shareholders who were NMM shareholders at the time of closing of the merger between NMM and ApolloMed in December 2017 (the "Merger"), as they have yet to submit properly completed letters of transmittal to ApolloMed in order to receive their pro rata portion of ApolloMed common stock and warrants as contemplated under the merger agreement. Pending such receipt, such former NMM shareholders have the right to receive, without interest, their pro rata share of dividends or distributions with a record date after the effectiveness of the Merger. The consolidated financial statements have treated such shares of common stock as outstanding, given the receipt of the letter of transmittal is considered perfunctory and the Company is legally obligated to issue these shares in connection with the Merger. See options and warrants section below for common stock issued upon exercise of stock options and stock purchase warrants. Options The Company’s outstanding stock options consisted of the following: Shares Weighted Average Exercise Price Weighted Average Remaining Contractual Term (Years) Aggregate Intrinsic Value (in thousands) Options outstanding at January 1, 2020 607,346 $ 9.22 3.42 $ 5,600 Options granted 11,742 18.41 — — Options exercised (120,000) 2.58 — 1,800 Options forfeited (12,228) 17.57 — — Options outstanding at June 30, 2020 486,860 $ 10.86 3.70 $ 2,900 Options exercisable at June 30, 2020 380,894 $ 7.11 2.74 $ 3,000 During the six months ended June 30, 2020 and 2019, stock options were exercised for 120,000 and 111,000 shares, respectively, of the Company’s common stock, which resulted in proceeds of approximately $0.3 million and $0.5 million, respectively. The exercise price ranged from $2.10 to $5.00 per share for the exercises during the six months ended June 30, 2020, and ranged from $1.50 to $5.79 per share for the exercises during the six months ended June 30, 2019. During the six months ended June 30, 2020 and 2019, no stock options were exercised pursuant to the cashless exercise provision. During the six months ended June 30, 2020, the Company granted 11,742 stock options with a vesting period of five-years to certain ApolloMed board members with an exercise price of $18.41, which were recognized at fair value, as determined using the Black-Scholes option pricing model and the following assumptions: June 30, 2020 Board Members Expected term 3.0 years Expected volatility 90.01 % Risk-free interest rate 1.43 % Market value of common stock $ 10.56 Annual dividend yield — % Forfeiture rate — % Restricted Stock Awards The Company grants restricted stock awards to employees which are earned based on service conditions. The grant date fair value of the restricted stock awards is that day’s closing market price of the Company’s common stock. During the six months ended June 30, 2020, the Company granted restricted stock awards totaling 97,447 shares with a weighted average grant date fair value of $17.58. The grant date fair value of the restricted stock was $1.6 million to be recognized on a straight-line basis over the awards’ vesting period of three years. During the three and six months ended June 30, 2020, the Company recorded approximately $0.9 million and $1.6 million of share-based compensation expense associated with the issuance of restricted shares of common stock and vesting of stock options which is included in general and administrative expenses in the accompanying consolidated statements of income, respectively. Unrecognized compensation expense related to total share-based payments outstanding as of June 30, 2020, was $3.8 million. Warrants The Company’s outstanding warrants consisted of the following: Shares Weighted Average Exercise Price Weighted Average Remaining Contractual Term (Years) Aggregate Intrinsic Value (in thousands) Warrants outstanding at January 1, 2020 3,154,590 $ 9.96 2.01 $ 26,700 Warrants granted — — — — Warrants exercised (273,900) 9.32 — 2,000 Warrants expired/forfeited — — — — Warrants outstanding at June 30, 2020 2,880,690 $ 10.02 1.61 $ 18,700 Exercise Price Per Share Warrants Outstanding Weighted Average Remaining Contractual Life Warrants Exercisable Weighted Average Exercise Price Per Share $ 9.00 754,870 0.29 754,870 $ 9.00 10.00 1,313,345 1.85 1,313,345 10.00 11.00 812,475 2.44 812,475 11.00 $ $ 9.00 –11.00 2,880,690 1.61 2,880,690 $ 10.02 During the six months ended June 30, 2020 and 2019, common stock warrants were exercised for 273,900 and 41,624 shares, respectively, of the Company’s common stock, which resulted in proceeds of approximately $2.6 million and $0.4 million, respectively. The exercise price ranged from $9.00 to $11.00 per share for the exercises during the six months ended June 30, 2020 and 2019, respectively. Treasury Stock APC owned 17,307,214 and 17,290,317 shares of ApolloMed’s common stock as of June 30, 2020 and December 31, 2019, which are legally issued and outstanding but excluded from shares of common stock outstanding in the consolidated financial statements, as such shares are treated as treasury shares for accounting purposes (see Note 1). During the year ended December 31, 2019, APC established a brokerage account to invest excess capital in the equity market. The brokerage account is managed directly by an independent investment committee of the APC board of directors, from which Dr. Kenneth Sim and Dr. Thomas Lam have been excluded. As of June 30, 2020, the brokerage account only held shares of ApolloMed totaling $7.6 million, and as such the ApolloMed shares in the brokerage account have been recorded as treasury shares. Dividends During the six months ended June 30, 2020 and 2019, APC paid dividends of $29.6 million and $10.0 million, respectively. During the six months ended June 30, 2020 and 2019, CDSC paid dividends of $0.6 million and $1.2 million, respectively.

Commitments and Contingencies

Commitments and Contingencies	6 Months Ended
	Jun. 30, 2020
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	Commitments and Contingencies Regulatory Matters Laws and regulations governing the Medicare program and healthcare generally are complex and subject to interpretation. The Company believes that it is in compliance with all applicable laws and regulations and is not aware of any pending or threatened investigations involving allegations of potential wrongdoing. While no regulatory inquiries have been made, compliance with such laws and regulations can be subject to future government review and interpretation, as well as significant regulatory action, including fines, penalties, and exclusion from the Medicare and Medi-Cal programs. As risk-bearing organizations, APC, Alpha Care and Accountable Health Care are required to comply with California DMHC regulations, including maintenance of minimum working capital, tangible net equity (“TNE”), cash-to-claims ratio and claims payment requirements prescribed by the California DMHC. TNE is defined as net equity less intangibles, less non-allowable assets (which include unsecured amounts due from affiliates), plus subordinated obligations. At June 30, 2020 and December 31, 2019, APC, Alpha Care and Accountable Health Care were in compliance with these regulations. Many of the Company’s payor and provider contracts are complex in nature and may be subject to differing interpretations regarding amounts due for the provision of medical services. Such differing interpretations may not come to light until a substantial period of time has passed following contract implementation. Liabilities for claims disputes are recorded when the loss is probable and can be estimated. Any adjustments to reserves are reflected in current operations. Standby Letters of Credit As part of the APAACO participation with CMS, the Company must provide a financial guarantee to CMS, the guarantee generally must be in an amount equal to 2% of the Company’s benchmark Medicare Part A and Part B expenditures. The Company has established an irrevocable standby letter of credit with Preferred Bank of $8.2 million and $6.6 million for the 2019 and 2018 performance years (see Note 9). APC established irrevocable standby letters of credit with a financial institution for a total of $0.3 million for the benefit of certain health plans. The standby letters of credit are automatically extended without amendment for additional one-year periods from the present or any future expiration date, unless notified by the institution in advance of the expiration date that the letter will be terminated (see Note 9). Alpha Care established irrevocable standby letters of credit with a financial institution for a total of $3.8 million for the benefit of certain health plans. The standby letters of credit are automatically extended without amendment for additional one-year periods from the present or any future expiration date, unless notified by the institution in advance of the expiration date that the letter will be terminated (see Note 9). Litigation From time to time, the Company is involved in various legal proceedings and other matters arising in the normal course of its business. The resolution of any claim or litigation is subject to inherent uncertainty and could have a material adverse effect on the Company’s financial condition, cash flows or results of operations. Prospect Medical Systems On or about March 23, 2018, and April 3, 2018, a Demand for Arbitration and an Amended Demand for Arbitration were filed by Prospect Medical Group, Inc. and Prospect Medical Systems, Inc. (collectively, “Prospect”) against MMG, ApolloMed and AMM with Judicial Arbitration Mediation Services in California, arising out of MMG’s purported business plans, seeking damages in excess of $5.0 million, and alleging breach of contract, violation of unfair competition laws, and tortious interference with Prospect’s current and future economic relationships with its health plans and their members. By stipulation and order dated April 28, 2020, ApolloMed and AMM were dismissed without prejudice from the arbitration for lack of jurisdiction on the basis that neither of them were a party to any arbitration agreement with Prospect, subject, however, to Prospect reserving its rights against ApolloMed and AMM and tolling of applicable statute of limitation. MMG disputes the allegations and intends to vigorously defend against this matter. The resolution of this matter and any potential range of loss in excess of any current accrual cannot be reasonably determined or estimated at this time primarily because the matter has not been fully arbitrated and presents unique regulatory and contractual interpretation issues. Liability Insurance The Company believes that its insurance coverage is appropriate based upon the Company’s claims experience and the nature and risks of the Company’s business. In addition to the known incidents that have resulted in the assertion of claims, the Company cannot be certain that its insurance coverage will be adequate to cover liabilities arising out of claims asserted against the Company, the Company’s affiliated professional organizations or the Company’s affiliated hospitalists in the future where the outcomes of such claims are unfavorable. The Company believes that the ultimate resolution of all pending claims, including liabilities in excess of the Company’s insurance coverage, will not have a material adverse effect on the Company’s financial position, results of operations or cash flows; however, there can be no assurance that future claims will not have such a material adverse effect on the Company’s business. Contracted physicians are required to obtain their own insurance coverage. Although the Company currently maintains liability insurance policies on a claims-made basis, which are intended to cover malpractice liability and certain other claims, the coverage must be renewed annually, and may not continue to be available to the Company in future years at acceptable costs, and on favorable terms.

Related-Party Transactions

Related-Party Transactions	6 Months Ended
	Jun. 30, 2020
Related Party Transactions [Abstract]
Related-Party Transactions	Related-Party Transactions On November 16, 2015, UCAP entered into a subordinated note receivable agreement with UCI, a 48.9% owned equity method investee (see Note 5), in the amount of $5.0 million. On June 28, 2018 and November 28, 2018, UCAP entered into two additional subordinated note receivable agreements with UCI in the amount of $2.5 million and $5.0 million, respectively. On April 30, 2020, the outstanding balance was fully repaid as part of UCAP's disposition of its 48.9% ownership interest in UCI to Bright (see Note 6). During the three and six months ended June 30, 2020 and 2019, NMM earned approximately $4.2 million and $5.2 million, respectively, and $8.4 million, respectively, in management fees from LMA, which is accounted for under the equity method based on 25% equity ownership interest held by APC in LMA’s IPA line of business (see Note 5). During the three and six months ended June 30, 2020 and 2019, APC paid approximately $0.4 million and $0.6 million, respectively, and $1.0 million and $1.4 million, respectively, to PMIOC for provider services, which is accounted for under the equity method based on 40% equity ownership interest held by APC (see Note 5). During the three and six months ended June 30, 2020 and 2019, APC paid approximately $0.9 million and $1.8 million, respectively, and $2.6 million and $3.8 million, respectively, to DMG for provider services, which is accounted for under the equity method based on 40% equity ownership interest held by APC (see Note 5). During the three and six months ended June 30, 2020 and 2019, APC paid approximately $0.1 million, respectively, and $0.1 million, respectively, to Advanced Diagnostic Surgery Center for services as a provider. Advanced Diagnostic Surgery Center shares common ownership with certain board members of APC. During the three months ended June 30, 2020 and 2019, APC paid an aggregate of approximately $9.0 million and $7.1 million, respectively, which include approximately $3.0 million and $1.9 million, respectively, to shareholders who are also officers of APC. During the six months ended June 30, 2020 and 2019, APC paid an aggregate of approximately of $16.3 million and $16.4 million, respectively, to shareholders of APC for provider services, which include approximately $4.8 million and $5.1 million, respectively, to shareholders who are also officers of APC. During the three and six months ended June 30, 2020 and 2019, NMM paid approximately $0.3 million, respectively and $0.5 million, respectively, to Medical Property Partners (“MPP”) for an office lease. MPP shares common ownership with certain board members of NMM. During the three and six months ended June 30, 2020, NMM paid approximately $0.4 million and $0.7 million, respectively, to One MSO, Inc. ("One MSO") for an office lease. One MSO is indirectly 50% owned by Drs. Sim and Lam. As of June 30, 2020, the Company had $10.6 million of ROU assets and lease liabilities, respectively, related to its office lease with One MSO to be amortized over the remaining life of the lease. During the three and six months ended June 30, 2020 and 2019, the Company paid approximately $0.1 million, respectively, and $0.2 million, respectively, to Critical Quality Management Corporation (“CQMC”) for an office lease. CQMC shares common ownership with certain board members of APC. During the three and six months ended June 30, 2020 and 2019, SCHC paid approximately $0.1 million, respectively, and $0.2 million, respectively, to Numen, LLC (“Numen”) for an office lease. Numen is owned by a shareholder of APC. As of June 30, 2020, the Company had $1.4 million of ROU assets and lease liabilities, respectively, related to its office lease with One MSO to be amortized over the remaining life of the lease. The Company has agreements with HSMSO, Aurion Corporation (“Aurion”), and AHMC Healthcare (“AHMC”) for services provided to the Company. One of the Company’s board members is an officer of AHMC, HSMSO and Aurion. Aurion is also partially owned by one of the Company’s board members. The following table sets forth fees incurred and income earned related to AHMC, HSMSO and Aurion (in thousands): Three Months Ended June 30, Six Months Ended June 30, 2020 2019 2020 2019 AHMC – Risk pool, capitation, claims payment, net $ 6,057 $ 16,350 $ 18,056 $ 27,950 HSMSO – Management fees, net (189) (265) (321) (915) Aurion – Management fees (53) (100) (128) (200) Net total $ 5,815 $ 15,985 $ 17,607 $ 26,835 The Company and AHMC have a risk sharing agreement with certain AHMC hospitals to share the surplus and deficits of each of the hospital pools. During the three and six months ended June 30, 2020 and 2019, the Company has recognized risk pool revenue under this agreement of $10.2 million and $10.2 million, respectively, and $21.0 million and $25.0 million, respectively, for which $53.7 million and $40.4 million remain outstanding as of June 30, 2020 and December 31, 2019, respectively. During the three and six months ended June 30, 2020 and 2019, NMM paid approximately $0 and $0.1 million, respectively, and $27,000 and $0.1 million, respectively, to ApolloMed board member, Matthew Mazdyasni, for consulting services. In addition, affiliates wholly owned by the Company’s officers, including the Company's Co-CEOs, Dr. Sim and Dr. Lam, are reported in the accompanying consolidated statements of income on a consolidated basis, together with the Company’s subsidiaries, and therefore, the Company does not separately disclose transactions between such affiliates and the Company’s subsidiaries as related-party transactions. For equity method investments, loans receivable and line of credits from related parties, see Notes 5, 6 and 9, respectively.

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2020
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The Company uses the liability method of accounting for income taxes as set forth in ASC 740. Under the liability method, deferred taxes are determined based on differences between the financial statement and tax bases of assets and liabilities using enacted tax rates. On an interim basis, the Company estimates what its anticipated annual effective tax rate will be and records a quarterly income tax provision (benefit) in accordance with the estimated annual rate, plus the tax effect of certain discrete items that arise during the quarter. As the fiscal year progresses, the Company refines its estimates based on actual events and financial results during the quarter. This process can result in significant changes to the Company’s estimated effective tax rate. When this occurs, the income tax provision (benefit) is adjusted during the quarter in which the estimates are refined so that the year-to-date provision reflects the estimated annual effective tax rate. These changes, along with adjustments to the Company’s deferred taxes and related valuation allowance, may create fluctuations in the overall effective tax rate from quarter to quarter. As of June 30, 2020, due to the overall cumulative losses incurred in recent years, the Company maintained a full valuation allowance against its deferred tax assets related to loss entities the Company cannot consolidate under the federal consolidation rules, as realization of these assets is uncertain. The Company’s effective tax rate for the six months ended June 30, 2020, differed from the U.S. federal statutory rate primarily due to state income taxes, income from flow through entities, nondeductible permanent items, and change in valuation allowance. As of June 30, 2020, the Company does not have any unrecognized tax benefits related to various federal and state income tax matters. The Company will recognize accrued interest and penalties related to unrecognized tax benefits in income tax expense. The Company is subject to U.S. federal income tax as well as income tax in California. The Company and its subsidiaries’ state and Federal income tax returns are open to audit under the statute of limitations for the years ended December 31, 2015 through December 31, 2018, and for the years ended December 31, 2016 through December 31, 2018, respectively. The Company does not anticipate material unrecognized tax benefits within the next 12 months. On March 27, 2020, the Coronavirus Aid, Relief and Economic Security Act ("CARES Act") was signed into law. The CARES Act includes various income and payroll tax provisions that we are in the process of analyzing to determine the tax impacts.

Earnings Per Share

Earnings Per Share	6 Months Ended
	Jun. 30, 2020
Earnings Per Share [Abstract]
Earnings Per Share	Earnings Per Share Basic earnings per share is calculated using the weighted average number of shares of the Company’s common stock issued and outstanding during a certain period, and is calculated by dividing net income attributable to ApolloMed by the weighted average number of shares of the Company’s common stock issued and outstanding during such period. Diluted earnings per share is calculated using the weighted average number of shares of common stock and potentially dilutive shares of common stock outstanding during the period, using the as-if converted method for secured convertible notes, preferred stock, and the treasury stock method for options and common stock warrants. As of June 30, 2020 and December 31, 2019, APC held 17,307,214 and 17,290,317 shares of ApolloMed’s common stock, respectively, which are treated as treasury shares for accounting purposes and not included in the number of shares of common stock outstanding used to calculate earnings per share. Below is a summary of the earnings per share computations: Three Months Ended June 30, 2020 2019 Earnings per share – basic $ 0.20 $ 0.10 Earnings per share – diluted $ 0.19 $ 0.09 Weighted average shares of common stock outstanding – basic 36,071,604 34,540,059 Weighted average shares of common stock outstanding – diluted 37,285,585 37,962,555 Six Months Ended June 30, 2020 2019 Earnings per share – basic $ 0.31 $ 0.11 Earnings per share – diluted $ 0.30 $ 0.10 Weighted average shares of common stock outstanding – basic 36,040,936 34,518,461 Weighted average shares of common stock outstanding – diluted 37,296,913 37,896,837 Below is a summary of the shares included in the diluted earnings per share computations: Three Months Ended June 30, 2020 2019 Weighted average shares of common stock outstanding – basic 36,071,604 34,540,059 10% shares held back pursuant to indemnification clause — 1,519,805 Stock options 169,402 363,593 Warrants 1,041,784 1,539,098 Restricted stock awards 2,795 — Weighted average shares of common stock outstanding – diluted 37,285,585 37,962,555 Six Months Ended June 30, 2020 2019 Weighted average shares of common stock outstanding – basic 36,040,936 34,518,461 10% shares held back pursuant to indemnification clause — 1,519,805 Stock options 173,299 368,273 Warrants 1,076,802 1,490,298 Restricted stock awards 5,876 — Weighted average shares of common stock outstanding – diluted 37,296,913 37,896,837

Variable Interest Entities (VIE

Variable Interest Entities (VIEs)	6 Months Ended
	Jun. 30, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Variable Interest Entities (VIEs)	Variable Interest Entities (VIEs) A VIE is defined as a legal entity whose equity owners do not have sufficient equity at risk, or, as a group, the holders of the equity investment at risk lack any of the following three characteristics: decision-making rights, the obligation to absorb losses, or the right to receive the expected residual returns of the entity. The primary beneficiary is identified as the variable interest holder that has both the power to direct the activities of the VIE that most significantly affect the entity’s economic performance and the obligation to absorb expected losses or the right to receive benefits from the entity that could potentially be significant to the VIE. The Company follows guidance on the consolidation of VIEs that requires companies to utilize a qualitative approach to determine whether it is the primary beneficiary of a VIE. See Note 2 – “Basis of Presentation and Summary of Significant Accounting Policies” to the accompanying consolidated financial statements for information on how the Company determines VIEs and its treatment. The following table includes assets that can only be used to settle the liabilities of APC and its VIEs, including Alpha Care and Accountable Health Care, and to which the creditors of APC, including Alpha Care and Accountable Health Care, have no recourse to the Company, nor do creditors of the Company have recourse against the assets of APC, including Alpha Care and Accountable Health Care. These assets and liabilities, with the exception of the investment in a privately held entity that does not report net asset value per share and amounts due to affiliates, which are eliminated upon consolidation with NMM, are included in the accompanying consolidated balance sheets (in thousands). June 30, December 31, Assets Current assets Cash and cash equivalents $ 113,790 $ 87,110 Restricted cash — 75 Investment in marketable securities 117,611 123,948 Receivables, net 15,687 9,300 Receivables, net – related party 55,889 42,976 Other receivables 734 744 Prepaid expenses and other current assets 7,752 7,403 Loan receivable 6,425 6,425 Loan receivable – related parties — 16,500 Total current assets 317,888 294,481 Noncurrent assets Land, property and equipment, net 9,085 9,547 Intangible assets, net 75,177 81,439 Goodwill 109,460 108,913 Investment in affiliates 285,569 318,315 Investment in privately held entities 36,584 1,615 Investments in other entities – equity method 26,864 28,427 Restricted cash 746 746 Operating lease right-of-use assets 7,017 4,751 Other assets 20,750 1,057 Total noncurrent assets 571,252 554,810 Total assets $ 889,140 $ 849,291 Current liabilities Accounts payable and accrued expenses $ 11,822 $ 11,187 Fiduciary accounts payable 1,853 2,027 Medical liabilities 47,304 49,019 Income taxes payable 42,211 4,530 Amount due to affiliate 21,533 28,058 Dividends payable 431 271 Finance lease liabilities 102 102 Operating lease liabilities 1,319 1,088 Total current liabilities 126,575 96,282 Noncurrent liabilities Deferred tax liability 9,490 14,059 Finance lease liabilities, net of current portion 355 416 Operating lease liabilities, net of current portion 5,833 3,742 Total noncurrent liabilities 15,678 18,217 Total liabilities $ 142,253 $ 114,499 The assets of the Company’s other consolidated VIEs were not considered significant.

Leases

Leases	6 Months Ended
	Jun. 30, 2020
Leases [Abstract]
Leases	Leases The Company has operating and finance leases for corporate offices, doctors’ offices, and certain equipment. These leases have remaining lease terms of 1 month to 5 years, some of which may include options to extend the leases for up to 10 years, and some of which may include options to terminate the leases within one year. As of June 30, 2020 and December 31, 2019, assets recorded under finance leases were $0.4 million and $0.5 million, respectively, and accumulated depreciation associated with finance leases was $0.3 million, respectively. Also, the Company rents or subleases certain real estate to third parties, which are accounted for as operating leases. Leases with an initial term of 12 months or less are not recorded on the balance sheet. The components of lease expense were as follows (in thousands): Three Months Ended June 30, 2020 2019 Operating lease cost $ 1,446 $ 1,240 Finance lease cost Amortization of lease expense $ 35 $ 25 Interest on lease liabilities 4 4 Sublease income $ (226) $ (106) Total finance lease cost, net $ 1,259 $ 1,163 Six Months Ended June 30, 2020 2019 Operating lease cost $ 3,388 $ 2,343 Finance lease cost Amortization of lease expense $ 61 $ 50 Interest on lease liabilities 7 9 Sublease income $ (360) $ (206) Total finance lease cost, net $ 3,096 $ 2,196 Other information related to leases was as follows (in thousands): Three Months Ended June 30, 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 1,333 $ 1,239 Operating cash flows from finance leases 4 4 Financing cash flows from finance leases 35 25 Right-of-use assets obtained in exchange for lease liabilities: Operating leases 2,907 6,441 Six Months Ended June 30, 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 2,880 $ 2,273 Operating cash flows from finance leases 7 9 Financing cash flows from finance leases 61 50 Right-of-use assets obtained in exchange for lease liabilities: Operating leases 7,652 15,417 Six Months Ended June 30, 2020 2019 Weighted Average Remaining Lease Term Operating leases 7.06 years 6.87 years Finance leases 4.17 years 5.00 years Weighted Average Discount Rate Operating leases 6.10 % 6.18 % Finance leases 3.00 % 3.00 % Future minimum lease payments under non-cancellable leases as of June 30, 2020 is as follows (in thousands): June 30, 2020 Operating Leases Finance Leases 2020 (excluding the six months ended June 30, 2020) $ 2,337 $ 59 2021 4,297 119 2022 3,529 119 2023 3,303 119 2024 2,940 79 Thereafter 9,459 — Total future minimum lease payments 25,865 495 Less: imputed interest 5,097 38 Total lease liabilities 20,768 457 Less: current portion 3,350 102 Long-term lease liabilities $ 17,418 $ 355 As of June 30, 2020, the Company does not have additional operating and finance leases that have not yet commenced.
Leases	Leases The Company has operating and finance leases for corporate offices, doctors’ offices, and certain equipment. These leases have remaining lease terms of 1 month to 5 years, some of which may include options to extend the leases for up to 10 years, and some of which may include options to terminate the leases within one year. As of June 30, 2020 and December 31, 2019, assets recorded under finance leases were $0.4 million and $0.5 million, respectively, and accumulated depreciation associated with finance leases was $0.3 million, respectively. Also, the Company rents or subleases certain real estate to third parties, which are accounted for as operating leases. Leases with an initial term of 12 months or less are not recorded on the balance sheet. The components of lease expense were as follows (in thousands): Three Months Ended June 30, 2020 2019 Operating lease cost $ 1,446 $ 1,240 Finance lease cost Amortization of lease expense $ 35 $ 25 Interest on lease liabilities 4 4 Sublease income $ (226) $ (106) Total finance lease cost, net $ 1,259 $ 1,163 Six Months Ended June 30, 2020 2019 Operating lease cost $ 3,388 $ 2,343 Finance lease cost Amortization of lease expense $ 61 $ 50 Interest on lease liabilities 7 9 Sublease income $ (360) $ (206) Total finance lease cost, net $ 3,096 $ 2,196 Other information related to leases was as follows (in thousands): Three Months Ended June 30, 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 1,333 $ 1,239 Operating cash flows from finance leases 4 4 Financing cash flows from finance leases 35 25 Right-of-use assets obtained in exchange for lease liabilities: Operating leases 2,907 6,441 Six Months Ended June 30, 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 2,880 $ 2,273 Operating cash flows from finance leases 7 9 Financing cash flows from finance leases 61 50 Right-of-use assets obtained in exchange for lease liabilities: Operating leases 7,652 15,417 Six Months Ended June 30, 2020 2019 Weighted Average Remaining Lease Term Operating leases 7.06 years 6.87 years Finance leases 4.17 years 5.00 years Weighted Average Discount Rate Operating leases 6.10 % 6.18 % Finance leases 3.00 % 3.00 % Future minimum lease payments under non-cancellable leases as of June 30, 2020 is as follows (in thousands): June 30, 2020 Operating Leases Finance Leases 2020 (excluding the six months ended June 30, 2020) $ 2,337 $ 59 2021 4,297 119 2022 3,529 119 2023 3,303 119 2024 2,940 79 Thereafter 9,459 — Total future minimum lease payments 25,865 495 Less: imputed interest 5,097 38 Total lease liabilities 20,768 457 Less: current portion 3,350 102 Long-term lease liabilities $ 17,418 $ 355 As of June 30, 2020, the Company does not have additional operating and finance leases that have not yet commenced.

Basis of Presentation and Sum_2

Basis of Presentation and Summary of Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Basis of Presentation	Basis of PresentationThe accompanying consolidated balance sheets at December 31, 2019, has been derived from the Company’s audited consolidated financial statements, but does not include all disclosures required by generally accepted accounting principles in the United States of America (“U.S. GAAP”). The accompanying unaudited consolidated financial statements as of June 30, 2020, and for the three and six months ended June 30, 2020 and 2019, have been prepared in accordance with U.S. GAAP for interim financial information and with the instructions to Form 10-Q and Article 8 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements, and should be read in conjunction with the audited consolidated financial statements and related notes to the financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019 as filed with the SEC on March 16, 2020. In the opinion of management, all material adjustments (consisting of normal recurring adjustments) considered necessary for a fair presentation have been made to make the consolidated financial statements not misleading as required by Regulation S-X, Rule 10-01.
Principles of Consolidation	Principles of Consolidation The consolidated balance sheets as of June 30, 2020 and December 31, 2019, and the consolidated statements of income for the three and six months ended June 30, 2020 and 2019, include the accounts of ApolloMed, its consolidated subsidiaries, NMM, AMM, APAACO, and Apollo Care Connect, its consolidated VIE, AP-AMH, NMM's consolidated subsidiaries, and consolidated VIE, APC, APC’s subsidiary, UCAP, and APC’s consolidated VIEs, CDSC, APC-LSMA, ICC, and APC-LSMA’s consolidated subsidiaries Alpha Care and Accountable Health Care. All material intercompany balances and transactions have been eliminated in consolidation.
Use of Estimates	Use of Estimates The preparation of the consolidated financial statements and related disclosures in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates and assumptions include collectability of receivables, recoverability of long-lived and intangible assets, business combination and goodwill valuation and impairment, accrual of medical liabilities (incurred, but not reported (“IBNR”) claims), determination of full-risk and shared-risk revenue and receivables (including constraints and completion factors, including historical medical loss ratios (“MLR”)), income taxes, valuation of share-based compensation and right-of-use ("ROU") assets and lease liabilities. Management evaluates its estimates and assumptions on an ongoing basis using historical experience and other factors, including the current economic environment, and makes adjustments when facts and circumstances dictate. As future events and their effects cannot be determined with precision, actual results could differ materially from those estimates and assumptions.
Reportable Segments	Reportable Segments The Company operates as one reportable segment, the healthcare delivery segment, and implements and operates innovative health care models to create a patient-centered, physician-centric experience. The Company reports its consolidated financial statements in the aggregate, including all activities in one reportable segment.
Cash and Cash Equivalents	Cash and Cash Equivalents The Company’s cash and cash equivalents primarily consist of money market funds and certificates of deposit. The Company considers all highly liquid investments that are both readily convertible into known amounts of cash and mature within 90 days from their date of purchase to be cash equivalents.
Restricted Cash	Restricted Cash Restricted cash consists of cash held as collateral to secure standby letters of credits as required by certain contracts.
Investments in Marketable Securities	Investments in Marketable Securities The appropriate classification of investments is determined at the time of purchase and such designation is reevaluated at each balance sheet date. As of June 30, 2020 and December 31, 2019, investments in marketable securities amounted to approximately $117.7 million and $116.5 million, respectively, and consisted of equity securities and certificates of deposit with various financial institutions, reported at par value, plus accrued interest, with maturity dates from four months to 24 months (see fair value measurements of financial instruments below). Investments in certificates of deposits are classified as Level 1 investments in the fair value hierarchy.
Receivables and Receivables – Related Parties	Receivables and Receivables – Related Parties The Company’s receivables are comprised of accounts receivable, capitation and claims receivable, risk pool settlements and incentive receivables, management fee income and other receivables. Accounts receivable are recorded and stated at the amount expected to be collected. The Company’s receivables – related parties are comprised of risk pool settlements, management fee income and incentive receivables, and other receivables. Receivables – related parties are recorded and stated at the amount expected to be collected. Capitation and claims receivable relate to each health plan’s capitation and is received by the Company in the month following the month of service. Risk pool settlements and incentive receivables mainly consist of the Company’s full risk pool receivable that is recorded quarterly based on reports received from the Company’s hospital partners and management’s estimate of the Company’s portion of the estimated risk pool surplus for open performance years. Settlement of risk pool surplus or deficits occurs approximately 18 months after the risk pool performance year is completed. Other receivables consists of recoverable claims paid related to the 2019 APAACO performance year to be administered following instructions from CMS, fee-for- services (“FFS”) reimbursement for patient care, certain expense reimbursements, transportation reimbursements from the hospitals, and stop loss insurance premium reimbursements. The Company maintains reserves for potential credit losses on accounts receivable. Management reviews the composition of accounts receivable and analyzes historical bad debts, customer concentrations, customer credit worthiness, current economic trends and changes in customer payment patterns to evaluate the adequacy of these reserves. The Company also regularly analyzes the ultimate collectability of accounts receivable after certain stages of the collection cycle using a look-back analysis to determine the amount of receivables subsequently collected and adjustments are recorded when necessary. Reserves are recorded primarily on a specific identification basis.
Concentrations of Risks	Concentrations of RisksThe Company disaggregates revenue from contracts by service type and payor type. This level of detail provides useful information pertaining to how the Company generates revenue by significant revenue stream and by type of direct contracts. The consolidated statements of income present disaggregated revenue by service type.
Fair Value Measurements of Financial Instruments	Fair Value Measurements of Financial Instruments The Company’s financial instruments consist of cash and cash equivalents, fiduciary cash, restricted cash, investment in marketable securities, receivables, loans receivable, accounts payable, certain accrued expenses, finance lease obligations, and long-term debt. The carrying values of the financial instruments classified as current in the accompanying consolidated balance sheets are considered to be at their fair values, due to the short maturity of these instruments. The carrying amounts of finance lease obligations and long-term debt approximate fair value as they bear interest at rates that approximate current market rates for debt with similar maturities and credit quality. Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 820, Fair Value Measurement (“ASC 820”), applies to all financial assets and financial liabilities that are measured and reported on a fair value basis and requires disclosure that establishes a framework for measuring fair value and expands disclosure about fair value measurements. ASC 820 establishes a fair value hierarchy for disclosure of the inputs to valuations used to measure fair value. This hierarchy prioritizes the inputs into three broad levels as follows: Level 1 — Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that can be accessed at the measurement date. Level 2 — Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates and yield curves), and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs). Level 3 — Unobservable inputs that reflect assumptions about what market participants would use in pricing the asset or liability. These inputs would be based on the best information available, including the Company’s own data.
Intangible Assets and Long-Lived Assets	Intangible Assets and Long-Lived Assets Intangible assets with finite lives include network-payor relationships, management contracts and member relationships and are stated at cost, less accumulated amortization and impairment losses. These intangible assets are amortized on the accelerated method using the discounted cash flow rate. Intangible assets with finite lives also include a patient management platform, as well as trade names and trademarks, whose valuations were determined using the cost to recreate method and the relief from royalty method, respectively. These assets are stated at cost, less accumulated amortization and impairment losses, and are amortized using the straight-line method.
Goodwill and Indefinite-Lived Intangible Assets	Goodwill and Indefinite-Lived Intangible Assets Under ASC 350, Intangibles – Goodwill and Other , goodwill and indefinite-lived intangible assets are reviewed at least annually for impairment. At least annually, at the Company’s fiscal year-end, or sooner if events or changes in circumstances indicate that an impairment has occurred, the Company performs a qualitative assessment to determine whether it is more likely than not that the fair value of each reporting unit is less than its carrying amount as a basis for determining whether it is necessary to complete quantitative impairment assessments for each of the Company’s three main reporting units (1) management services, (2) IPAs, and (3) ACOs. The Company is required to perform a quantitative goodwill impairment test only if the conclusion from the qualitative assessment is that it is more likely than not that a reporting unit’s fair value is less than the carrying value of its assets. Should this be the case, a quantitative analysis is performed to identify whether a potential impairment exists by comparing the estimated fair values of the reporting units with their respective carrying values, including goodwill. An impairment loss is recognized if the implied fair value of the asset being tested is less than its carrying value. In this event, the asset is written down accordingly. The fair values of goodwill are determined using valuation techniques based on estimates, judgments and assumptions management believes are appropriate in the circumstances. At least annually, indefinite-lived intangible assets are tested for impairment. Impairment for intangible assets with indefinite lives exists if the carrying value of the intangible asset exceeds its fair value. The fair values of indefinite-lived intangible assets are determined using valuation techniques based on estimates, judgments and assumptions management believes are appropriate in the circumstances.
Investments in Other Entities - Equity Method and Investments in Privately Held Entities	Investments in Other Entities — Equity Method The Company accounts for certain investments using the equity method of accounting when it is determined that the investment provides the Company with the ability to exercise significant influence, but not control, over the investee. Significant influence is generally deemed to exist if the Company has an ownership interest in the voting stock of the investee of between 20% and 50%, although other factors, such as representation on the investee’s board of directors, are considered in determining whether the equity method of accounting is appropriate. Under the equity method of accounting, the investment, originally recorded at cost, is adjusted to recognize the Company’s share of net earnings or losses of the investee and is recognized in the accompanying consolidated statements of income under “Income (loss) from equity method investments” and also is adjusted by contributions to and distributions from the investee. Equity method investments are subject to impairment evaluation. Investments in Privately Held Entities The Company accounts for certain investments using the cost method of accounting when it is determined that the investment provides the Company with little or no influence over the investee. Under the cost method of accounting, the investment is measured at cost, adjusted for observable price changes and impairments, with changes recognized in net income. The investments in privately held entities that do not report NAV are subject to qualitative assessment for indicators of impairments.
Medical Liabilities	Medical Liabilities APC, Alpha Care, Accountable Health Care, APAACO and MMG are responsible for integrated care that the associated physicians and contracted hospitals provide to their enrollees. APC, Alpha Care, Accountable Health Care, APAACO and MMG provide integrated care to HMOs, Medicare and Medi-Cal enrollees through a network of contracted providers under sub-capitation and direct patient service arrangements. Medical costs for professional and institutional services rendered by contracted providers are recorded as cost of services expenses in the accompanying consolidated statements of income. An estimate of amounts due to contracted physicians, hospitals, and other professional providers is included in medical liabilities in the accompanying consolidated balance sheets. Medical liabilities include claims reported as of the balance sheet date and estimates IBNR claims. Such estimates are developed using actuarial methods and are based on numerous variables, including the utilization of health care services, historical payment patterns, cost trends, product mix, seasonality, changes in membership, and other factors. The estimation methods and the resulting reserves are periodically reviewed and updated. Many of the medical contracts are complex in nature and may be subject to differing interpretations regarding amounts due for the provision of various services. Such differing interpretations may not come to light until a substantial period of time has passed following the contract implementation.
Revenue Recognition	Revenue Recognition The Company receives payments from the following sources for services rendered: (i) commercial insurers; (ii) the federal government under the Medicare program administered by CMS; (iii) state governments under the Medicaid and other programs; (iv) other third-party payors (e.g., hospitals and IPAs); and (v) individual patients and clients. Nature of Services and Revenue Streams Revenue primarily consists of capitation revenue, risk pool settlements and incentives, NGACO All-Inclusive Population-Based Payments (“AIPBP”), management fee income, and FFS revenue. Revenue is recorded in the period in which services are rendered or the period in which the Company is obligated to provide services. The form of billing and related risk of collection for such services may vary by type of revenue and the customer. The following is a summary of the principal forms of the Company’s billing arrangements and how revenue is recognized for each. Capitation, Net Managed care revenues of the Company consist primarily of capitated fees for medical services provided by the Company under a capitated arrangement directly made with various managed care providers including HMOs. Capitation revenue is typically prepaid monthly to the Company based on the number of enrollees selecting the Company as their healthcare provider. Capitation revenue is recognized in the month in which the Company is obligated to provide services to plan enrollees under contracts with various health plans. Minor ongoing adjustments to prior months’ capitation, primarily arising from contracted HMOs finalizing their monthly patient eligibility data for additions or subtractions of enrollees, are recognized in the month they are communicated to the Company. Additionally, Medicare pays capitation using a “Risk Adjustment” model, which compensates managed care organizations and providers based on the health status (acuity) of each individual enrollee. Health plans and providers with higher acuity enrollees will receive more and those with lower acuity enrollees will receive less. Under Risk Adjustment, capitation is determined based on health severity, measured using patient encounter data. Capitation is paid on a monthly basis based on data submitted for the enrollee for the preceding year and is adjusted in subsequent periods after the final data is compiled. Positive or negative capitation adjustments are made for Medicare enrollees with conditions requiring more or less healthcare services than assumed in the interim payments. Since the Company cannot reliably predict these adjustments, periodic changes in capitation amounts earned as a result of Risk Adjustment are recognized when those changes are communicated by the health plans to the Company. PMPM managed care contracts generally have a term of one year or longer. All managed care contracts have a single performance obligation that constitutes a series for the provision of managed healthcare services for a population of enrolled members for the duration of the contract. The transaction price for PMPM contracts is variable as it primarily includes PMPM fees associated with unspecified membership that fluctuates throughout the contract. In certain contracts, PMPM fees also include adjustments for items such as performance incentives, performance guarantees and risk shares. The Company generally estimates the transaction price using the most likely amount methodology and amounts are only included in the net transaction price to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. The majority of the Company’s net PMPM transaction price relates specifically to the Company’s efforts to transfer the service for a distinct increment of the series (e.g., day or month) and is recognized as revenue in the month in which members are entitled to service. Risk Pool Settlements and Incentives APC enters into full risk capitation arrangements with certain health plans and local hospitals, which are administered by a third party, where the hospital is responsible for providing, arranging and paying for institutional risk and APC is responsible for providing, arranging and paying for professional risk. Under a full risk pool sharing agreement, APC generally receives a percentage of the net surplus from the affiliated hospital’s risk pools with HMOs after deductions for the affiliated hospitals costs. Advance settlement payments are typically made quarterly in arrears if there is a surplus. The Company’s risk pool settlements under arrangements with health plans and hospitals are recognized using the most likely amount methodology and amounts are only included in revenue to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. The assumptions for historical MLR, IBNR completion factors and constraint percentages were used by management in applying the most likely amount methodology. Under capitated arrangements with certain HMOs, APC participates in one or more shared risk arrangements relating to the provision of institutional services to enrollees (shared risk arrangements) and thus can earn additional revenue or incur losses based upon the enrollee utilization of institutional services. Shared risk capitation arrangements are entered into with certain health plans, which are administered by the health plan, where APC is responsible for rendering professional services, but the health plan does not enter into a capitation arrangement with a hospital and therefore the health plan retains the institutional risk. Shared risk deficits, if any, are not payable until and unless (and only to the extent of any) risk-sharing surpluses are generated. At the termination of the HMO contract, any accumulated deficit will be extinguished. The Company’s risk pool settlements under arrangements with HMOs are recognized, using the most likely methodology, and only included in revenue to the extent that it is probable that a significant reversal of cumulative revenue will not occur. Given the lack of access to the health plans’ data and control over the members assigned to APC, the adjustments and/or the withheld amounts are unpredictable and as such APC’s risk share revenue is deemed to be fully constrained until APC is notified of the amount by the health plan. Risk pools for the prior contract years are generally final settled in the third or fourth quarter of the following year. In addition to risk-sharing revenues, the Company also receives incentives under “pay-for-performance” programs for quality medical care, based on various criteria. As an incentive to control enrollee utilization and to promote quality care, certain HMOs have designed quality incentive programs and commercial generic pharmacy incentive programs to compensate the Company for its efforts to improve the quality of services and efficient and effective use of pharmacy supplemental benefits provided to HMO members. The incentive programs track specific performance measures and calculate payments to the Company based on the performance measures. The Company’s incentives under “pay-for-performance” programs are recognized using the most likely methodology. However, as the Company does not have sufficient insight from the health plans on the amount and timing of the shared risk pool and incentive payments these amounts are considered to be fully constrained and only recorded when such payments are known and/or received. Generally, for the foregoing arrangements, the final settlement is dependent on each distinct day’s performance within the annual measurement period but cannot be allocated to specific days until the full measurement period has occurred and performance can be assessed. As such, this is a form of variable consideration estimated at contract inception and updated through the measurement period (i.e., the contract year), to the extent the risk of reversal does not exist and the consideration is not constrained. NGACO AIPBP Revenue APAACO and CMS entered into a NGACO Model Participation Agreement (the “Participation Agreement”) with an initial term of two two For each performance year, the Company must submit to CMS its selections for risk arrangement; the amount of the profit/loss cap; alternative payment mechanism; benefits enhancements, if any; and its decision regarding voluntary alignment under the NGACO Model. The Company must obtain CMS consent before voluntarily discontinuing any benefit enhancement during a performance year. Under the NGACO Model, CMS aligns beneficiaries to the Company to manage (direct care and pay providers) based on a budgetary benchmark established with CMS. The Company is responsible for managing medical costs for these beneficiaries. The beneficiaries will receive services from physicians and other medical service providers that are both in-network and out-of-network. The Company receives capitation from CMS on a monthly basis to pay claims from in-network providers. The Company records such capitation received from CMS as revenue as the Company is primarily responsible and liable for managing the patient care and for satisfying provider obligations, is assuming the credit risk for the services provided by in-network providers through its arrangement with CMS, and has control of the funds, the services provided and the process by which the providers are ultimately paid. Claims from out-of-network providers are processed and paid by CMS and the Company’s shared savings or losses in managing the services provided by out-of-network providers are generally determined on an annual basis after reconciliation with CMS. Pursuant to the Company’s risk share agreement with CMS, the Company will be eligible to receive the savings or be liable for the deficit according to the budget established by CMS based on the Company’s efficiency in managing how the beneficiaries aligned to the Company by CMS are served by in-network and out-of-network providers. The Company’s savings or losses on providing such services are both capped by CMS, and are subject to significant estimation risk, whereby payments can vary significantly depending upon certain patient characteristics and other variable factors. Accordingly, the Company recognizes such surplus or deficit upon substantial completion of reconciliation and determination of the amounts. The Company records NGACO capitation revenues monthly. Excess over claims paid, plus an estimate for the related IBNR claims (see Note 8), and monthly capitation received are deferred and recorded as a liability until actual claims are paid or incurred. CMS will determine if there were any excess capitation paid for the performance year and the excess is refunded to CMS. For each performance year, CMS pays the Company in accordance with the alternative payment mechanism, if any, for which CMS has approved the Company; the risk arrangement for which the Company has been approved by CMS; and as otherwise provided in the Participation Agreement. Following the end of each performance year and at such other times as may be required under the Participation Agreement, CMS will issue a settlement report to the Company setting forth the amount of any shared savings or shared losses and the amount of other monies. If CMS owes the Company shared savings or other monies, CMS will pay the Company in full within 30 days after the date on which the relevant settlement report is deemed final, except as provided in the Participation Agreement. If the Company owes CMS shared losses or other monies owed as a result of a final settlement, the Company will pay CMS in full within 30 days after the relevant settlement report is deemed final. If the Company fails to pay the amounts due to CMS in full within 30 days after the date of a demand letter or settlement report, CMS will assess simple interest on the unpaid balance at the rate applicable to other Medicare debts under current provisions of law and applicable regulations. In addition, CMS and the U.S. Department of the Treasury may use any applicable debt collection tools available to collect any amounts owed by the Company. The Company participates in the AIPBP track of the NGACO Model. Under the AIPBP track, CMS estimates the total annual expenditures for APAACO’s assigned patients and pays that projected amount to the Company in monthly installments, and the Company is responsible for all Part A and Part B costs for in-network participating providers and preferred providers contracted by the Company to provide services to the assigned patients. As APAACO does not have sufficient insight into the financial performance of the shared risk pool with CMS because of unknown factors related to IBNR claims, risk adjustment factors, and stop loss provisions, among other factors, an estimate cannot be developed. Due to these limitations, APAACO cannot determine the amount of surplus or deficit that will likely be recognized in the future and therefore this shared risk pool revenue is considered fully constrained. For performance year 2020, the Company continues to receive monthly AIPBP payments at a rate of approximately $7.6 million per month from CMS, and will need to continue to comply with all terms and conditions in the Participation Agreement and various regulatory requirements to be eligible to participate in the AIPBP mechanism and/or NGACO Model. The Company has received approximately $22.9 million and $45.5 million in total AIPBP payments for the three and six months ended June 30, 2020, respectively, of which $20.5 million and $42.4 million has been recognized as revenue for the three and six months ended June 30, 2020, respectively. The Company also recorded assets of approximately $8.5 million related to IBNR claims as of June 30, 2020, and $3.2 million related to final settlement of the 2018 performance year. These balances are included in “Other receivables” in the accompanying consolidated balance sheets. Management Fee Income Management fee income encompasses fees paid for management, physician advisory, healthcare staffing, administrative and other non-medical services provided by the Company to IPAs, hospitals and other healthcare providers. Such fees may be in the form of billings at agreed-upon hourly rates, percentages of revenue or fee collections, or amounts fixed on a monthly, quarterly or annual basis. The revenue may include variable arrangements measuring factors such as hours staffed, patient visits or collections per visit against benchmarks, and, in certain cases, may be subject to achieving quality metrics or fee collections. The Company recognizes such variable supplemental revenues in the period when such amounts are determined to be fixed and therefore contractually obligated as payable by the customer under the terms of the applicable agreement. The Company provides a significant service of integrating the services selected by the Company’s clients into one overall output for which the client has contracted. Therefore, such management contracts generally contain a single performance obligation. The nature of the Company’s performance obligation is to stand ready to provide services over the contractual period. Also, the Company’s performance obligation forms a series of distinct periods of time over which the Company stands ready to perform. The Company’s performance obligation is satisfied as the Company completes each period’s obligations. Consideration from management contracts is variable in nature because the majority of the fees are generally based on revenue or collections, which can vary from period to period. The Company has control over pricing. Contractual fees are invoiced to the Company’s clients generally monthly and payment terms are typically due within 30 days. The variable consideration in the Company’s management contracts meets the criteria to be allocated to the distinct period of time to which it relates because (i) it is due to the activities performed to satisfy the performance obligation during that period and (ii) it represents the consideration to which the Company expects to be entitled. The Company’s management contracts generally have long terms (e.g., 10 years), although they may be terminated earlier under the terms of the applicable contracts. Since the remaining variable consideration will be allocated to a wholly unsatisfied promise that forms part of a single performance obligation recognized under the series guidance, the Company has applied the optional exemption to exclude disclosure of the allocation of the transaction price to remaining performance obligations. Fee-for-Service Revenue FFS revenue represents revenue earned under contracts in which the Company bills and collects the professional component of charges for medical services rendered by the Company’s contracted physicians and employed physicians. Under the FFS arrangements, the Company bills the hospitals and third-party payors for the physician staffing and further bills patients or their third-party payors for patient care services provided and receives payment. FFS revenue related to the patient care services is reported net of contractual allowances and policy discounts and are recognized in the period in which the services are rendered to specific patients. All services provided are expected to result in cash flows and are therefore reflected as net revenue in the consolidated financial statements. The recognition of net revenue (gross charges less contractual allowances) from such services is dependent on such factors as proper completion of medical charts following a patient visit, the forwarding of such charts to the Company’s billing center for medical coding and entering into the Company’s billing system and the verification of each patient’s submission or representation at the time services are rendered as to the payor(s) responsible for payment of such services. Revenue is recorded based on the information known at the time of entering of such information into the Company’s billing systems, as well as an estimate of the revenue associated with medical services. The Company is responsible for confirming member eligibility, performing program utilization review, potentially directing payment to the provider and accepting the financial risk of loss associated with services rendered, as specified within the Company’s client contracts. The Company has the ability to adjust contractual fees with clients and possess the financial risk of loss in certain contractual obligations. These factors indicate the Company is the principal and, as such, the Company records gross fees contracted with clients in revenues. Consideration from FFS arrangements is variable in nature because fees are based on patient encounters, credits due to clients and reimbursement of provider costs, all of which can vary from period to period. Patient encounters and related episodes of care and procedures qualify as distinct goods and services, provided simultaneously together with other readily available resources, in a single instance of service, and thereby constitute a single performance obligation for each patient encounter and, in most instances, occur at readily determinable transaction prices. As a practical expedient, the Company adopted a portfolio approach for the FFS revenue stream to group together contracts with similar characteristics and analyze historical cash collections trends. The contracts within the portfolio share the characteristics conducive to ensuring that the results do not materially differ under the new standard if it were to be applied to individual patient contracts related to each patient encounter. Accordingly, there was no change in the Company’s method to recognize revenue under ASC 606 Revenue from Contracts with Customers from the previous accounting guidance. Estimating net FFS revenue is a complex process, largely due to the volume of transactions, the number and complexity of contracts with payors, the limited availability at times of certain patient and payor information at the time services are provided, and the length of time it takes for collections to fully mature. These expected collections are based on fees and negotiated payment rates in the case of third-party payors, the specific benefits provided for under each patient’s healthcare plans, mandated payment rates in the case of Medicare and Medicaid programs, and historical cash collections (net of recoveries) in combination with expected collections from third-party payors. The relationship between gross charges and the transaction price recognized is significantly influenced by payor mix, as collections on gross charges may vary significantly, depending on whether and with whom the patients the Company provides services to in the period are insured and the Company’s contractual relationships with those payors. Payor mix is subject to change as additional patient and payor information is obtained after the period services are provided. The Company periodically assesses the estimates of unbilled revenue, contractual adjustments and discounts, and payor mix by analyzing actual results, including cash collections, against estimates. Changes in these estimates are charged or credited to the consolidated statements of income in the period that the assessment is made. Significant changes in payor mix, contractual arrangements with payors, specialty mix, acuity, general economic conditions and health care coverage provided by federal or state governments or private insurers may have a significant impact on estimates and significantly affect the results of operations and cash flows. Contract Assets Typically, revenues and receivables are recognized once the Company has satisfied its performance obligation. Accordingly, the Company’s contract assets are comprised of receivables and receivables – related parties. The Company ’ s billing and accounting systems provide historical trends of cash collections and contractual write-offs, accounts receivable agings and established fee adjustments from third-party payors. These estimates are recorded and monitored monthly as revenues are recognized. The principal exposure for uncollectible fee for service visits is from self-pay patients and, to a lesser extent, for co-payments and deductibles from patients with insurance. Contract Liabilities (Deferred Revenue )
Income Taxes	Income Taxes Federal and state income taxes are computed at currently enacted tax rates less tax credits using the asset and liability method. Deferred taxes are adjusted both for items that do not have tax consequences and for the cumulative effect of any changes in tax rates from those previously used to determine deferred tax assets or liabilities. Tax provisions include amounts that are currently payable, changes in deferred tax assets and liabilities that arise because of temporary differences between the timing of when items of income and expense are recognized for financial reporting and income tax purposes, changes in the recognition of tax positions and any changes in the valuation allowance caused by a change in judgment about the realizability of the related deferred tax assets. A valuation allowance is established when necessary to reduce deferred tax assets to amounts expected to be realized. The Company uses a recognition threshold of more-likely-than-not and a measurement attribute on all tax positions taken or expected to be taken in a tax return in order to be recognized in the consolidated financial statements. Once the recognition threshold is met, the tax position is then measured to determine the actual amount of benefit to recognize in the consolidated financial statements.
Share-Based Compensation	Share-Based Compensation The Company maintains a stock-based compensation program for employees, non-employees, directors and consultants. The value of share-based awards such as options is recognized as compensation expense on a cumulative straight-line basis over the vesting period of the awards, adjusted for expected forfeitures. From time to time, the Company issues shares of its common stock to its employees, directors and consultants, which shares may be subject to the Company’s repurchase right (but not obligation) that lapses based on time-based and performance-based vesting schedules.
Basic and Diluted Earnings Per Share	Basic and Diluted Earnings Per Share Basic earnings per share is computed by dividing net income attributable to holders of the Company’s common stock by the weighted average number of shares of common stock outstanding during the periods presented. Diluted earnings per share is computed using the weighted average number of shares of common stock outstanding, plus the effect of dilutive securities outstanding during the periods presented, using the treasury stock method. Refer to Note 14 for a discussion of shares treated as treasury shares for accounting purposes.
Noncontrolling Interests	Noncontrolling Interests The Company consolidates entities in which the Company has a controlling financial interest. The Company consolidates subsidiaries in which the Company holds, directly or indirectly, more than 50% of the voting rights, and VIEs in which the Company is the primary beneficiary. Noncontrolling interests represent third-party equity ownership interests (including equity ownership interests held by certain VIEs) in the Company’s consolidated entities. Net income attributable to noncontrolling interests is disclosed in the consolidated statements of income.
Mezzanine Equity	Mezzanine Equity Pursuant to APC’s shareholder agreements, in the event of a disqualifying event, as defined in the agreements, APC could be required to repurchase the shares from the respective shareholders based on certain triggers outlined in the shareholder agreements. As the redemption feature of the shares is not solely within the control of APC, the equity of APC does not qualify as permanent equity and has been classified as mezzanine or temporary equity. Accordingly, the Company recognizes
Recent Accounting Pronouncements	Recent Accounting Pronouncements In June 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-13, Financial Instruments-Credit Losses (Topic 326)-Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). The new standard requires entities to measure all expected credit losses for financial assets held at the reporting date based on historical experience, current conditions and reasonable and supportable forecasts. ASU 2016-13 became effective for fiscal years beginning after December 15, 2019, with early adoption permitted. The Company adopted ASU 2016-13 on January 1, 2020. The adoption of ASU 2016-13 did not have a material impact on the consolidated financial statements. In October 2018, the FASB issued ASU No. 2018-17, Consolidation (Topic 810): Targeted Improvements to Related Party Guidance for Variable Interest Entities (“ASU 2018-17”). This ASU reduces the cost and complexity of financial reporting associated with consolidation of VIEs. A VIE is an organization in which consolidation is not based on a majority of voting rights. The new guidance supersedes the private company alternative for common control leasing arrangements issued in 2014 and expands it to all qualifying common control arrangements. The amendments in this ASU became effective for fiscal years beginning after December 15, 2019, and interim periods within those fiscal years. The Company adopted ASU 2018-17 on January 1, 2020. The adoption of ASU 2018-17 did not have a material impact on the consolidated financial statements. In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (“ASU 2019-12”). This ASU simplifies the accounting for income taxes by eliminating certain exceptions to the guidance in ASC 740 Income Taxes related to the approach for intraperiod tax allocation, the methodology for calculating income taxes in an interim period and the recognition of deferred tax liabilities for outside basis differences. The amendments in this ASU are effective for fiscal years beginning after December 15, 2020, and interim periods within those fiscal years. The Company is currently assessing the impact that the adoption of ASU 2019-12 will have on the Company's consolidated financial statements. In January 2020, the FASB issued ASU No. 2020-01, Investments - Equity Securities (Topic 321), Investments - Equity Method and Joint Ventures (Topic 323), and Derivatives and Hedging (Topic 815) (“ASU 2020-01”). This ASU clarifies the interaction between accounting for equity securities, equity method investments and certain derivative instruments. The amendments in this ASU are effective for fiscal years beginning after December 15, 2020, and interim periods within those fiscal years. The Company is currently assessing the impact that the adoption of ASU 2020-01 will have on the Company's consolidation financial statements. Other than the standards discussed above, there have been no other new accounting pronouncements that have significance, or potential significance, to the Company’s financial position, results of operations and cash flows.

Basis of Presentation and Sum_3

Basis of Presentation and Summary of Significant Accounting Policies (Tables)	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Schedule of Disaggregated Revenue by Each Payor Type	The following table presents disaggregated revenue generated by payor type for the three and six months ended June 30, 2020 and 2019 (in thousands): For the Three Months Ended June 30, 2020 2019 Commercial $ 25,479 $ 25,365 Medicare 62,038 57,965 Medicaid 68,450 36,277 Other third parties 9,202 10,443 Revenue $ 165,169 $ 130,050 For the Six Months Ended June 30, 2020 2019 Commercial $ 50,192 $ 50,383 Medicare 126,918 95,063 Medicaid 134,897 61,647 Other third parties 18,267 18,713 Revenue $ 330,274 $ 225,806
Schedule of Contributions to Revenue and Receivables by Payor	The Company had major payors that contributed the following percentages of net revenue: For the Three Months Ended 2020 2019 Payor A 11.9 % 13.7 % Payor B 10.3 % 12.6 % Payor C * 10.5 % Payor D 17.5 % 13.7 % Payor E 12.4 % * Payor F 10.1 % * For the Six Months Ended June 30, 2020 2019 Payor A 11.9 % 15.8 % Payor B 10.3 % 14.3 % Payor C * 11.7 % Payor D 17.5 % * Payor E 12.9 % * Payor F 10.3 % * * Less than 10% of total net revenues The Company had major payors that contributed to the following percentages of receivables and receivables – related parties: As of June 30, As of December 31, Payor D 12.4 % * Payor G 33.5 % 30.4 % Payor H 35.1 % 36.0 % * Less than 10% of total receivables and receivables — related parties, net
Schedule of Carrying Amounts and Fair Values of Financial Instruments	The carrying amounts and fair values of the Company’s financial instruments as of June 30, 2020, are presented below (in thousands): Fair Value Measurements Level 1 Level 2 Level 3 Total Assets Money market funds* $ 108,195 $ — $ — $ 108,195 Marketable securities – certificates of deposit 117,611 — — 117,611 Marketable securities – equity securities 45 — 45 Total $ 225,851 $ — $ — $ 225,851 The carrying amounts and fair values of the Company’s financial instruments as of December 31, 2019, are presented below (in thousands): Fair Value Measurements Level 1 Level 2 Level 3 Total Assets Money market funds* $ 50,731 $ — $ — $ 50,731 Marketable securities – certificates of deposit 116,469 — — 116,469 Marketable securities – equity securities 70 — — 70 Total $ 167,270 $ — $ — $ 167,270 * Included in cash and cash equivalents

Business Combinations and Goo_2

Business Combinations and Goodwill (Tables)	6 Months Ended
	Jun. 30, 2020
Business Combinations [Abstract]
Summary of Estimated Fair Values of Assets Acquired and Liabilities Assumed	The following table summarizes the estimated fair values of the assets acquired and liabilities assumed, as of the acquisition date (in thousands): Balance Sheet Assets acquired Cash and cash equivalents $ 3,569 Accounts receivable, net 10,336 Other current assets 4,675 Network relationship intangible assets 22,636 Goodwill 28,585 Accounts payable (2,795) Deferred tax liabilities (6,334) Medical liabilities (15,616) Net assets acquired $ 45,056 Cash paid $ 45,056 The following table summarizes the estimated fair values of the assets acquired and liabilities assumed, as of the acquisition date (in thousands): Balance Sheet Assets acquired Cash and cash equivalents $ 582 Accounts receivable, net 5,150 Other current assets 198 Network relationship intangible assets 11,411 Goodwill 23,566 Accounts payable (3,759) Medical liabilities (12,154) Subordinated loan (15,327) Net asset acquired $ 9,667 Equity investment contributed $ 2,417 Cash paid $ 7,250
Schedule of Change in Carrying Value of Goodwill	The change in the carrying value of goodwill for the six months ended June 30, 2020, was as follows (in thousands); Balance, January 1, 2020 $ 238,505 Adjustments 548 Balance, June 30, 2020 $ 239,053

Intangible Assets, Net (Tables)

Intangible Assets, Net (Tables)	6 Months Ended
	Jun. 30, 2020
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Intangible Assets, Net	At June 30, 2020, the Company’s intangible assets, net, consisted of the following (in thousands): Useful Life (Years) Gross June 30, Accumulated Net June 30, Amortized intangible assets: Network relationships 11-15 $ 143,930 $ (67,015) $ 76,915 Management contracts 15 22,832 (10,736) 12,096 Member relationships 12 6,696 (2,793) 3,903 Patient management platform 5 2,060 (1,064) 996 Trade names/trademarks 20 1,011 (131) 880 $ 176,529 $ (81,739) $ 94,790 At December 31, 2019, the Company’s intangible assets, net, consisted of the following (in thousands): Useful Life (Years) Gross December 31, Accumulated Net December 31, 2019 Amortized intangible assets: Network relationships 11-15 $ 143,930 $ (60,526) $ 83,404 Management contracts 15 22,832 (9,676) 13,156 Member relationships 12 6,696 (2,352) 4,344 Patient management platform 5 2,060 (858) 1,202 Trade names/trademarks 20 1,011 (105) 906 $ 176,529 $ (73,517) $ 103,012
Schedule of Future Amortization Expense	Future amortization expense is estimated to be as follows for the following years ending December 31 (in thousands): Amount 2020 (excluding the six months ended June 30, 2020) $ 7,807 2021 14,524 2022 12,673 2023 10,842 2024 9,830 Thereafter 39,114 Total $ 94,790

Investments in Other Entities_2

Investments in Other Entities — Equity Method (Tables)	6 Months Ended
	Jun. 30, 2020
Equity Method Investments and Joint Ventures [Abstract]
Equity Method Investments	Rollforward of Equity Method Investment (in thousands) December 31, Allocation of Income (Loss) Contribution Sale June 30, LaSalle Medical Associates – IPA Line of Business $ 6,397 $ (428) $ — $ — $ 5,969 Pacific Medical Imaging & Oncology Center, Inc. 1,396 77 — — 1,473 Universal Care, Inc. 1,438 3,560 — (4,998) — Diagnostic Medical Group 2,334 (102) — — 2,232 531 W. College, LLC – related party 16,698 (231) 500 — 16,967 MWN, LLC – related party 164 12 — — 176 $ 28,427 $ 2,888 $ 500 $ (4,998) $ 26,817 Balance Sheets June 30, December 31, Assets Cash and cash equivalents $ 2,852 $ 6,345 Receivables, net 6,751 5,124 Other current assets 880 3,526 Loan receivable 2,250 2,250 Restricted cash 688 683 Total assets $ 13,421 $ 17,928 Liabilities and Stockholders’ (Deficit) Equity Current liabilities $ 20,735 $ 23,530 Stockholders’ deficit (7,314) (5,602) Total liabilities and stockholders’ deficit $ 13,421 $ 17,928 Statements of Operations Six Months Ended June 30, 2020 2019 Revenues $ 92,113 $ 93,434 Expenses 93,680 102,845 Net loss $ (1,567) $ (9,411) Balance Sheets December 31, Assets Cash and cash equivalents $ 33,890 Receivables, net 63,843 Other current assets 38,280 Loan receivable 882 Restricted cash 4,021 Total assets $ 140,916 Liabilities and Stockholders’ (Deficit) Equity Current liabilities $ 128,330 Other liabilities 33,133 Stockholders’ deficit (20,547) Total liabilities and stockholders’ deficit $ 140,916 Statements of Operations Four Months Ended Six Months Ended April 30, June 30, Revenues $ 195,308 $ 247,517 Expenses 189,028 239,389 Income before benefit from income taxes 6,280 8,128 Benefit from income taxes — (3,167) Net income $ 6,280 $ 11,295 531 W. College LLC’s balance sheets at June 30, 2020 and December 31, 2019, and statements of operations for the six months ended June 30, 2020 and 2019, are as follows (in thousands): Balance sheets June 30, December 31, Assets Cash $ 126 $ 139 Other current assets — 17 Other assets 70 70 Property and equipment, net 33,697 33,581 Total assets $ 33,893 $ 33,807 Liabilities and Members’ Equity Current liabilities $ 1,109 $ 1,062 Stockholders’ equity 32,784 32,745 Total liabilities and members’ equity $ 33,893 $ 33,807 Statements of Operation Six Months Ended June 30, 2020 2019 Revenues — — Expenses 579 538 Loss from operations (579) (538) Other income $ 21 $ 385 Net loss $ (558) $ (153)
Equity Method Investment, Gain On Sale	The gain on sale of equity method investment recognized in connection with this transaction was determined as follows: Amount (in '000s) Cash proceeds (excludes proceeds to settle indebtedness owed to APC from UCI) $ 52,743 Preferred shares in Bright Health, Inc. $ 36,179 Beneficial interest in UCI $ 15,723 Less: Carrying value of equity method investment on date of sale $ (4,998) Gain on sale of equity method investment $ 99,647

Accounts Payable and Accrued _2

Accounts Payable and Accrued Expenses (Tables)	6 Months Ended
	Jun. 30, 2020
Payables and Accruals [Abstract]
Schedule of Accounts Payable and Accrued Expenses	The Company’s accounts payable and accrued expenses consisted of the following (in thousands): June 30, December 31, Accounts payable $ 10,425 $ 6,914 Capitation payable 2,754 2,813 Subcontractor IPA payable 3,083 3,360 Professional fees 2,325 1,837 Due to related parties 80 225 Accrued compensation 3,060 3,238 Contract liabilities 3,061 8,892 Total accounts payable and accrued expenses $ 24,788 $ 27,279

Medical Liabilities (Tables)

Medical Liabilities (Tables)	6 Months Ended
	Jun. 30, 2020
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract]
Schedule of Medical Liabilities	The Company’s medical liabilities consisted of the following (in thousands): June 30, June 30, Medical liabilities, beginning of period $ 58,725 $ 33,642 Components of medical care costs related to claims incurred: Current period 165,571 93,833 Prior periods 233 2,688 Total medical care costs 165,804 96,521 Payments for medical care costs related to claims incurred: Current period (97,112) (60,440) Prior periods (57,470) (39,744) Total paid (154,582) (100,184) Acquired from Alpha Care — 13,120 Adjustments 326 (156) Medical liabilities, end of period $ 70,273 $ 42,943

Credit Facility, Bank Loan an_2

Credit Facility, Bank Loan and Lines of Credit (Tables)	6 Months Ended
	Jun. 30, 2020
Debt Disclosure [Abstract]
Schedule of Credit Facility	The Company’s credit facility consisted of the following (in thousands): June 30, 2020 Term loan A $ 185,250 Revolver loan 60,000 Total debt 245,250 Less: Current portion of debt (9,500) Less: Unamortized financing costs (5,295) Long-term debt $ 230,455
Schedule of Future Commitments of Credit Facility	Future commitments of the Company’s credit facility is to be as follows for the years ending December 31 (in thousands): Amount 2020 (excluding the six months ended June 30, 2020) $ 7,125 2021 10,688 2022 14,250 2023 15,437 2024 197,750 Total $ 245,250

Mezzanine and Stockholders' E_2

Mezzanine and Stockholders' Equity (Tables)	6 Months Ended
	Jun. 30, 2020
Stockholders' Equity Note [Abstract]
Stock Option Transactions Under Stock Option Plans	The Company’s outstanding stock options consisted of the following: Shares Weighted Average Exercise Price Weighted Average Remaining Contractual Term (Years) Aggregate Intrinsic Value (in thousands) Options outstanding at January 1, 2020 607,346 $ 9.22 3.42 $ 5,600 Options granted 11,742 18.41 — — Options exercised (120,000) 2.58 — 1,800 Options forfeited (12,228) 17.57 — — Options outstanding at June 30, 2020 486,860 $ 10.86 3.70 $ 2,900 Options exercisable at June 30, 2020 380,894 $ 7.11 2.74 $ 3,000
Schedule of Stock Options, Valuation Assumptions	During the six months ended June 30, 2020, the Company granted 11,742 stock options with a vesting period of five-years to certain ApolloMed board members with an exercise price of $18.41, which were recognized at fair value, as determined using the Black-Scholes option pricing model and the following assumptions: June 30, 2020 Board Members Expected term 3.0 years Expected volatility 90.01 % Risk-free interest rate 1.43 % Market value of common stock $ 10.56 Annual dividend yield — % Forfeiture rate — %
Schedule of Outstanding Warrants	The Company’s outstanding warrants consisted of the following: Shares Weighted Average Exercise Price Weighted Average Remaining Contractual Term (Years) Aggregate Intrinsic Value (in thousands) Warrants outstanding at January 1, 2020 3,154,590 $ 9.96 2.01 $ 26,700 Warrants granted — — — — Warrants exercised (273,900) 9.32 — 2,000 Warrants expired/forfeited — — — — Warrants outstanding at June 30, 2020 2,880,690 $ 10.02 1.61 $ 18,700 Exercise Price Per Share Warrants Outstanding Weighted Average Remaining Contractual Life Warrants Exercisable Weighted Average Exercise Price Per Share $ 9.00 754,870 0.29 754,870 $ 9.00 10.00 1,313,345 1.85 1,313,345 10.00 11.00 812,475 2.44 812,475 11.00 $ $ 9.00 –11.00 2,880,690 1.61 2,880,690 $ 10.02

Related-Party Transactions (Tab

Related-Party Transactions (Tables)	6 Months Ended
	Jun. 30, 2020
Related Party Transactions [Abstract]
Schedule of Fees Incurred and Income Earned from Related Party Transactions	The following table sets forth fees incurred and income earned related to AHMC, HSMSO and Aurion (in thousands): Three Months Ended June 30, Six Months Ended June 30, 2020 2019 2020 2019 AHMC – Risk pool, capitation, claims payment, net $ 6,057 $ 16,350 $ 18,056 $ 27,950 HSMSO – Management fees, net (189) (265) (321) (915) Aurion – Management fees (53) (100) (128) (200) Net total $ 5,815 $ 15,985 $ 17,607 $ 26,835

Earnings Per Share (Tables)

Earnings Per Share (Tables)	6 Months Ended
	Jun. 30, 2020
Earnings Per Share [Abstract]
Schedule of Earnings Per Share Computations	Below is a summary of the earnings per share computations: Three Months Ended June 30, 2020 2019 Earnings per share – basic $ 0.20 $ 0.10 Earnings per share – diluted $ 0.19 $ 0.09 Weighted average shares of common stock outstanding – basic 36,071,604 34,540,059 Weighted average shares of common stock outstanding – diluted 37,285,585 37,962,555 Six Months Ended June 30, 2020 2019 Earnings per share – basic $ 0.31 $ 0.11 Earnings per share – diluted $ 0.30 $ 0.10 Weighted average shares of common stock outstanding – basic 36,040,936 34,518,461 Weighted average shares of common stock outstanding – diluted 37,296,913 37,896,837
Schedule of Shares Included in the Diluted Earnings Per Share Computations	Below is a summary of the shares included in the diluted earnings per share computations: Three Months Ended June 30, 2020 2019 Weighted average shares of common stock outstanding – basic 36,071,604 34,540,059 10% shares held back pursuant to indemnification clause — 1,519,805 Stock options 169,402 363,593 Warrants 1,041,784 1,539,098 Restricted stock awards 2,795 — Weighted average shares of common stock outstanding – diluted 37,285,585 37,962,555 Six Months Ended June 30, 2020 2019 Weighted average shares of common stock outstanding – basic 36,040,936 34,518,461 10% shares held back pursuant to indemnification clause — 1,519,805 Stock options 173,299 368,273 Warrants 1,076,802 1,490,298 Restricted stock awards 5,876 — Weighted average shares of common stock outstanding – diluted 37,296,913 37,896,837

Variable Interest Entities (V_2

Variable Interest Entities (VIEs) (Tables)	6 Months Ended
	Jun. 30, 2020
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Schedule of Variable Interest Entities	The following table includes assets that can only be used to settle the liabilities of APC and its VIEs, including Alpha Care and Accountable Health Care, and to which the creditors of APC, including Alpha Care and Accountable Health Care, have no recourse to the Company, nor do creditors of the Company have recourse against the assets of APC, including Alpha Care and Accountable Health Care. These assets and liabilities, with the exception of the investment in a privately held entity that does not report net asset value per share and amounts due to affiliates, which are eliminated upon consolidation with NMM, are included in the accompanying consolidated balance sheets (in thousands). June 30, December 31, Assets Current assets Cash and cash equivalents $ 113,790 $ 87,110 Restricted cash — 75 Investment in marketable securities 117,611 123,948 Receivables, net 15,687 9,300 Receivables, net – related party 55,889 42,976 Other receivables 734 744 Prepaid expenses and other current assets 7,752 7,403 Loan receivable 6,425 6,425 Loan receivable – related parties — 16,500 Total current assets 317,888 294,481 Noncurrent assets Land, property and equipment, net 9,085 9,547 Intangible assets, net 75,177 81,439 Goodwill 109,460 108,913 Investment in affiliates 285,569 318,315 Investment in privately held entities 36,584 1,615 Investments in other entities – equity method 26,864 28,427 Restricted cash 746 746 Operating lease right-of-use assets 7,017 4,751 Other assets 20,750 1,057 Total noncurrent assets 571,252 554,810 Total assets $ 889,140 $ 849,291 Current liabilities Accounts payable and accrued expenses $ 11,822 $ 11,187 Fiduciary accounts payable 1,853 2,027 Medical liabilities 47,304 49,019 Income taxes payable 42,211 4,530 Amount due to affiliate 21,533 28,058 Dividends payable 431 271 Finance lease liabilities 102 102 Operating lease liabilities 1,319 1,088 Total current liabilities 126,575 96,282 Noncurrent liabilities Deferred tax liability 9,490 14,059 Finance lease liabilities, net of current portion 355 416 Operating lease liabilities, net of current portion 5,833 3,742 Total noncurrent liabilities 15,678 18,217 Total liabilities $ 142,253 $ 114,499

Leases (Tables)

Leases (Tables)	6 Months Ended
	Jun. 30, 2020
Leases [Abstract]
Information Related to Lease Costs	The components of lease expense were as follows (in thousands): Three Months Ended June 30, 2020 2019 Operating lease cost $ 1,446 $ 1,240 Finance lease cost Amortization of lease expense $ 35 $ 25 Interest on lease liabilities 4 4 Sublease income $ (226) $ (106) Total finance lease cost, net $ 1,259 $ 1,163 Six Months Ended June 30, 2020 2019 Operating lease cost $ 3,388 $ 2,343 Finance lease cost Amortization of lease expense $ 61 $ 50 Interest on lease liabilities 7 9 Sublease income $ (360) $ (206) Total finance lease cost, net $ 3,096 $ 2,196 Other information related to leases was as follows (in thousands): Three Months Ended June 30, 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 1,333 $ 1,239 Operating cash flows from finance leases 4 4 Financing cash flows from finance leases 35 25 Right-of-use assets obtained in exchange for lease liabilities: Operating leases 2,907 6,441 Six Months Ended June 30, 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 2,880 $ 2,273 Operating cash flows from finance leases 7 9 Financing cash flows from finance leases 61 50 Right-of-use assets obtained in exchange for lease liabilities: Operating leases 7,652 15,417 Six Months Ended June 30, 2020 2019 Weighted Average Remaining Lease Term Operating leases 7.06 years 6.87 years Finance leases 4.17 years 5.00 years Weighted Average Discount Rate Operating leases 6.10 % 6.18 % Finance leases 3.00 % 3.00 %
Schedule of Future Minimum Operating Lease Payments After Adoption of 842	Future minimum lease payments under non-cancellable leases as of June 30, 2020 is as follows (in thousands): June 30, 2020 Operating Leases Finance Leases 2020 (excluding the six months ended June 30, 2020) $ 2,337 $ 59 2021 4,297 119 2022 3,529 119 2023 3,303 119 2024 2,940 79 Thereafter 9,459 — Total future minimum lease payments 25,865 495 Less: imputed interest 5,097 38 Total lease liabilities 20,768 457 Less: current portion 3,350 102 Long-term lease liabilities $ 17,418 $ 355
Schedule of Future Minimum Finance Lease Payments After Adoption of 842	Future minimum lease payments under non-cancellable leases as of June 30, 2020 is as follows (in thousands): June 30, 2020 Operating Leases Finance Leases 2020 (excluding the six months ended June 30, 2020) $ 2,337 $ 59 2021 4,297 119 2022 3,529 119 2023 3,303 119 2024 2,940 79 Thereafter 9,459 — Total future minimum lease payments 25,865 495 Less: imputed interest 5,097 38 Total lease liabilities 20,768 457 Less: current portion 3,350 102 Long-term lease liabilities $ 17,418 $ 355

Description of Business - Addit

Description of Business - Additional Information (Details) member in Thousands, enrollee in Thousands, $ in Thousands

Apr. 30, 2020USD ($)

Aug. 30, 2019USD ($)

Jul. 01, 1999

Sep. 30, 2019USD ($)shares

Jun. 30, 2020USD ($)

Jun. 30, 2020USD ($)

Jun. 30, 2019USD ($)

Jun. 30, 2020enrollee

Jun. 30, 2020primary_care_physician

Jun. 30, 2020specialty_care_physician

Jun. 30, 2020medical_center

Jun. 30, 2020member

Jun. 30, 2020plan

Jun. 30, 2020clinic

Dec. 31, 2019

Nov. 16, 2015

Jun. 30, 2014

Description Of Business [Line Items]

Proceeds from sale of equity method investment

$ 52,743

$ 0

Value of non-cash consideration received

$ 36,179

$ 0

Accountable Health Care

Description Of Business [Line Items]

Consideration transferred

$ 25,100

AMG, Inc

Description Of Business [Line Items]

Consideration transferred

$ 1,600

Universal Care, Inc.

Description Of Business [Line Items]

Investment, ownership interest

48.90%

Proceeds from sale of equity method investment

$ 52,743

Additional cash consideration entitled to be received

$ 15,723

AP-AMH Medical Corporation | Affiliated Entity

Description Of Business [Line Items]

Amount of loan

$ 545,000

Term of receivable

10 years

Stated rate of note of loan receivable

10.00%

Interest rate in the event of default

10.75%

APC | Affiliated Entity

Description Of Business [Line Items]

Number of shares purchased by related party | shares

15,015,015

Stock subscription

$ 300,000

Proxy votes

9.99%

APC

Description Of Business [Line Items]

Fixed term of amended and restated management and administrative services agreement

30 years

APC | Accountable Health Care

Description Of Business [Line Items]

Interest acquired

25.00%

APC | AMG, Inc

Description Of Business [Line Items]

Value of shares transferred in acquisition

$ 400

APC | Apollo Medical Holdings, Inc

Description Of Business [Line Items]

Investment, ownership interest

32.28%

32.28%

32.50%

APC | Concourse Diagnostic Surgery Center, LLC

Description Of Business [Line Items]

Investment, ownership interest

45.01%

45.01%

APC | Universal Care, Inc.

Description Of Business [Line Items]

Ownership interest disposed

48.90%

Proceeds from sale of equity method investment

$ 69,200

Repayment of indebtedness received

16,500

Additional cash consideration entitled to be received

15,700

$ 15,700

APC | AP-AMH Medical Corporation | Affiliated Entity | Series A Preferred Stock

Description Of Business [Line Items]

Number of shares purchased by related party | shares

1,000,000

APC | Bright | Preferred Stock | Universal Care, Inc.

Description Of Business [Line Items]

Value of non-cash consideration received

$ 36,200

APC LSMA | Accountable Health Care

Description Of Business [Line Items]

Interest acquired

75.00%

APC LSMA | AMG, Inc

Description Of Business [Line Items]

Interest acquired

100.00%

Payments to acquire business

$ 1,200

APC LSMA | Maverick Medical Group, Inc

Description Of Business [Line Items]

Ownership interest

100.00%

100.00%

APC LSMA | Universal Care Acquisition Partners, LLC

Description Of Business [Line Items]

Ownership interest

100.00%

Alpha Care Medical Group, Inc.

Description Of Business [Line Items]

Number of healthcare enrollees | enrollee

170

Accountable Health Care

Description Of Business [Line Items]

Number of employees (over)

400

700

Number of medical centers | medical_center

4

Number of members of federally qualified health plans | member

80

Number federally qualified health plans | plan

3

AMG, Inc

Description Of Business [Line Items]

Number of family practice clinics | clinic

3

Universal Care Acquisition Partners, LLC | APC | Universal Care, Inc.

Description Of Business [Line Items]

Investment, ownership interest

48.90%

Repayment of indebtedness received

$ 16,500

Universal Care Acquisition Partners, LLC | Bright | Universal Care, Inc.

Description Of Business [Line Items]

Ownership interest disposed

48.90%

Proceeds from sale of equity method investment

$ 69,200

Basis of Presentation and Sum_4

Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details)	3 Months Ended	6 Months Ended
	Jun. 30, 2020USD ($)	Jun. 30, 2020USD ($)segmentunit	Jun. 30, 2019USD ($)	Mar. 31, 2020USD ($)	Dec. 31, 2019USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of operating segments | segment		1
Number of reportable segments | segment		1
Amount deposit accounts exceeded FDIC insured limit	$ 290,900,000	$ 290,900,000
Amount of short-term marketable securities	117,656,000	$ 117,656,000			$ 116,539,000
Risk pool surplus or deficits, settlement period after risk pool performance year		18 months
Allowance for doubtful accounts	1,300,000	$ 1,300,000			2,900,000
Impairment of finite-lived intangible assets		0	$ 0
Impairment of long-lived assets		$ 0	0
Number of main reporting units | unit		3
Impairment of goodwill		$ 0	0
Impairment of indefinite-lived intangible assets		0	$ 0
Payments received, monthly		7,600,000
Payments received	22,900,000	45,500,000
Accrued contract liability recognized	20,500,000	42,400,000
Contract liabilities	3,061,000	$ 3,061,000			$ 8,892,000
Investment deposit				$ 4,000,000
Voting rights held (more than)		50.00%
Other Receivables, Final Settlement 2018 Performance Year
Summary Of Significant Accounting Policies [Line Items]
Recoverable claims paid	3,200,000	$ 3,200,000
Other Receivables
Summary Of Significant Accounting Policies [Line Items]
Recoverable claims paid	8,500,000	8,500,000
Accounts Payable and Accrued Expenses
Summary Of Significant Accounting Policies [Line Items]
Accrued contract liability recognized		400,000
Contract liability repaid, capitation received and not earned		$ 8,500,000
PMPM Managed Care Contract
Summary Of Significant Accounting Policies [Line Items]
Contract term		one year
Management Fee Income Contract
Summary Of Significant Accounting Policies [Line Items]
Contract term		10 years
CMS
Summary Of Significant Accounting Policies [Line Items]
Expected period of payment upon termination of agreement		30 days
Minimum
Summary Of Significant Accounting Policies [Line Items]
Short-term marketable securities, maturity period		4 months
Maximum
Summary Of Significant Accounting Policies [Line Items]
Short-term marketable securities, maturity period		24 months
Certificates of Deposit
Summary Of Significant Accounting Policies [Line Items]
Amount of short-term marketable securities	$ 117,600,000	$ 117,600,000

Basis of Presentation and Sum_5

Basis of Presentation and Summary of Significant Accounting Policies - Additional Information, Performance Obligation (Details) - Next Generation ACO Model Participation Agreement	Jun. 30, 2020	Dec. 31, 2019
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2017-01-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Remaining performance obligation, period		2 years
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2019-01-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Remaining performance obligation, period	2 years

Basis of Presentation and Sum_6

Basis of Presentation and Summary of Significant Accounting Policies - Disaggregation of Revenue by Each Payor Type (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Disaggregation of Revenue [Line Items]
Revenue	$ 165,169	$ 130,050	$ 330,274	$ 225,806
Commercial
Disaggregation of Revenue [Line Items]
Revenue	25,479	25,365	50,192	50,383
Medicare
Disaggregation of Revenue [Line Items]
Revenue	62,038	57,965	126,918	95,063
Medicaid
Disaggregation of Revenue [Line Items]
Revenue	68,450	36,277	134,897	61,647
Other third parties
Disaggregation of Revenue [Line Items]
Revenue	$ 9,202	$ 10,443	$ 18,267	$ 18,713

Basis of Presentation and Sum_7

Basis of Presentation and Summary of Significant Accounting Policies - Contributions to Revenue and Receivables by Payor (Details)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Net Revenue | Payor A
Accounts Receivable And Net Revenue [Line Items]
Concentration risk	11.90%	13.70%	11.90%	15.80%
Net Revenue | Payor B
Accounts Receivable And Net Revenue [Line Items]
Concentration risk	10.30%	12.60%	10.30%	14.30%
Net Revenue | Payor C
Accounts Receivable And Net Revenue [Line Items]
Concentration risk		10.50%		11.70%
Net Revenue | Payor D
Accounts Receivable And Net Revenue [Line Items]
Concentration risk	17.50%	13.70%	17.50%
Net Revenue | Payor E
Accounts Receivable And Net Revenue [Line Items]
Concentration risk	12.40%		12.90%
Net Revenue | Payor G
Accounts Receivable And Net Revenue [Line Items]
Concentration risk	10.10%		10.30%
Receivables and Receivables-Related Parties | Payor D
Accounts Receivable And Net Revenue [Line Items]
Concentration risk			12.40%
Receivables and Receivables-Related Parties | Payor G
Accounts Receivable And Net Revenue [Line Items]
Concentration risk			33.50%		30.40%
Receivables and Receivables-Related Parties | Payor H
Accounts Receivable And Net Revenue [Line Items]
Concentration risk			35.10%		36.00%

Basis of Presentation and Sum_8

Basis of Presentation and Summary of Significant Accounting Policies - Carrying Amounts and Fair Values of Financial Instruments (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Assets
Money market funds	$ 108,195	$ 50,731
Marketable securities – certificates of deposit	117,611	116,469
Marketable securities – equity securities	45	70
Total	225,851	167,270
Level 1
Assets
Money market funds	108,195	50,731
Marketable securities – certificates of deposit	117,611	116,469
Marketable securities – equity securities	45	70
Total	225,851	167,270
Level 2
Assets
Money market funds	0	0
Marketable securities – certificates of deposit	0	0
Marketable securities – equity securities	0	0
Total	0	0
Level 3
Assets
Money market funds	0	0
Marketable securities – certificates of deposit	0	0
Marketable securities – equity securities		0
Total	$ 0	$ 0

Business Combinations and Goo_3

Business Combinations and Goodwill - Additional Information (Details) - USD ($) $ in Thousands	Aug. 30, 2019	May 31, 2019	Sep. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Business Acquisition [Line Items]
Cash paid				$ 0	$ 41,518
Accountable Health Care, IPA
Business Acquisition [Line Items]
Consideration transferred	$ 25,100
Liabilities assumed	15,400
Accountable Health Care, IPA | Dr. Jay
Business Acquisition [Line Items]
Cash paid	$ 7,250
AMG, Inc
Business Acquisition [Line Items]
Consideration transferred			$ 1,600
APC and APC-LSMA | Alpha Care Medical Group, Inc.
Business Acquisition [Line Items]
Interest acquired		100.00%
Cash paid		$ 45,056
Escrow deposit for potential post-closing adjustments		$ 2,000
APC and APC-LSMA | Accountable Health Care, IPA | Dr. Jay
Business Acquisition [Line Items]
Interest acquired	75.00%
Consideration transferred	$ 7,300
APC | Accountable Health Care, IPA
Business Acquisition [Line Items]
Interest acquired	25.00%
Payments to acquire investments	$ 2,400
APC | AMG, Inc
Business Acquisition [Line Items]
Value of shares transferred in acquisition			$ 400

Business Combinations and Goo_4

Business Combinations and Goodwill - Identifiable Assets Acquired and Liabilities Assumed (Details) - USD ($) $ in Thousands	Aug. 30, 2019	May 31, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Assets acquired
Goodwill			$ 239,053		$ 238,505
Cash paid			$ 0	$ 41,518
Accountable Health Care, IPA | Dr. Jay
Assets acquired
Cash and cash equivalents	$ 582
Accounts receivable, net	5,150
Other current assets	198
Network relationship intangible assets	11,411
Goodwill	23,566
Accounts payable	(3,759)
Medical liabilities	(12,154)
Subordinated loan	(15,327)
Net assets acquired	9,667
Equity investment contributed	2,417
Cash paid	$ 7,250
APC and APC-LSMA | Alpha Care Medical Group, Inc.
Assets acquired
Cash and cash equivalents		$ 3,569
Accounts receivable, net		10,336
Other current assets		4,675
Network relationship intangible assets		22,636
Goodwill		28,585
Accounts payable		(2,795)
Deferred tax liabilities		(6,334)
Medical liabilities		(15,616)
Net assets acquired		45,056
Cash paid		$ 45,056

Business Combinations and Goo_5

Business Combinations and Goodwill - Summary of Goodwill (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2020USD ($)
Goodwill [Roll Forward]
Balance, January 1, 2020	$ 238,505
Adjustments	548
Balance, June 30, 2020	$ 239,053

Intangible Assets, Net - Schedu

Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]
Accumulated Amortization	$ (81,739)	$ (73,517)
Total	94,790
Intangible Assets, Gross	176,529	176,529
Intangible Assets, Net	94,790	103,012
Network relationships
Finite-Lived Intangible Assets [Line Items]
Amortized intangible assets, Gross	143,930	143,930
Accumulated Amortization	(67,015)	(60,526)
Total	$ 76,915	$ 83,404
Network relationships | Minimum
Finite-Lived Intangible Assets [Line Items]
Useful Life	11 years	11 years
Network relationships | Maximum
Finite-Lived Intangible Assets [Line Items]
Useful Life	15 years	15 years
Management contracts
Finite-Lived Intangible Assets [Line Items]
Useful Life	15 years	15 years
Amortized intangible assets, Gross	$ 22,832	$ 22,832
Accumulated Amortization	(10,736)	(9,676)
Total	$ 12,096	$ 13,156
Member relationships
Finite-Lived Intangible Assets [Line Items]
Useful Life	12 years	12 years
Amortized intangible assets, Gross	$ 6,696	$ 6,696
Accumulated Amortization	(2,793)	(2,352)
Total	$ 3,903	$ 4,344
Patient management platform
Finite-Lived Intangible Assets [Line Items]
Useful Life	5 years	5 years
Amortized intangible assets, Gross	$ 2,060	$ 2,060
Accumulated Amortization	(1,064)	(858)
Total	$ 996	$ 1,202
Trade names/trademarks
Finite-Lived Intangible Assets [Line Items]
Useful Life	20 years	20 years
Amortized intangible assets, Gross	$ 1,011	$ 1,011
Accumulated Amortization	(131)	(105)
Total	$ 880	$ 906

Intangible Assets, Net - Additi

Intangible Assets, Net - Additional Information (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense	$ 4.1	$ 3.9	$ 8.2	$ 7.7

Intangible Assets, Net - Future

Intangible Assets, Net - Future Amortization Expense (Details) $ in Thousands	Jun. 30, 2020USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
2020 (excluding the six months ended June 30, 2020)	$ 7,807
2021	14,524
2022	12,673
2023	10,842
2024	9,830
Thereafter	39,114
Total	$ 94,790

Investments in Other Entities_3

Investments in Other Entities — Equity Method - Equity Method Investments (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Equity Method Investments [Roll Forward]
Beginning Balance			$ 28,427,000
Allocation of Income (Loss)	$ 834,000	$ (42,000)	2,888,000	$ (892,000)
Contribution			500,000
Sale			(4,998,000)
Ending Balance	26,817,000		26,817,000
LaSalle Medical Associates – IPA Line of Business
Equity Method Investments [Roll Forward]
Beginning Balance			6,397,000
Allocation of Income (Loss)			(428,000)
Contribution			0
Ending Balance	5,969,000		5,969,000
Pacific Medical Imaging & Oncology Center, Inc.
Equity Method Investments [Roll Forward]
Beginning Balance			1,396,000
Allocation of Income (Loss)			77,000
Contribution			0
Ending Balance	1,473,000		1,473,000
Universal Care, Inc.
Equity Method Investments [Roll Forward]
Beginning Balance			1,438,000
Allocation of Income (Loss)	900,000	$ 4,500,000	3,560,000	$ 5,500,000
Contribution			0
Sale			(4,998,000)
Ending Balance	0		0
Diagnostic Medical Group
Equity Method Investments [Roll Forward]
Beginning Balance			2,334,000
Allocation of Income (Loss)			(102,000)
Contribution			0
Ending Balance	2,232,000		2,232,000
531 W. College, LLC – related party
Equity Method Investments [Roll Forward]
Beginning Balance			16,698,000
Allocation of Income (Loss)			(231,000)
Contribution			500,000
Ending Balance	16,967,000		16,967,000
MWN, LLC – related party
Equity Method Investments [Roll Forward]
Beginning Balance			164,000
Allocation of Income (Loss)			12,000
Contribution			0
Ending Balance	$ 176,000		$ 176,000

Investments in Other Entities_4

Investments in Other Entities — Equity Method - Additional Information (Details) patient in Thousands	Apr. 30, 2020USD ($)	Jul. 01, 2019USD ($)	Jun. 30, 2018USD ($)	May 31, 2018USD ($)shares	Aug. 31, 2015USD ($)shares	Jun. 30, 2020USD ($)	Jun. 30, 2019USD ($)	Jun. 30, 2020USD ($)	Jun. 30, 2019USD ($)	Jun. 30, 2020	Jun. 30, 2020primary_care_physician	Jun. 30, 2020specialty_care_physician	Jun. 30, 2020medical_center	Jun. 30, 2020provider	Jun. 30, 2020patient	Dec. 31, 2019USD ($)	Aug. 31, 2019USD ($)	Apr. 23, 2019USD ($)	Dec. 31, 2018USD ($)	May 14, 2016	Nov. 16, 2015	Jul. 31, 2015USD ($)	Dec. 31, 2012USD ($)
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						$ 834,000	$ (42,000)	$ 2,888,000	$ (892,000)
Investments in other entities – equity method						26,817,000		26,817,000								$ 28,427,000
Cash consideration paid for ownership interest								500,000	2,158,000
Proceeds from sale of equity method investment								52,743,000	0
Investments in privately held entities						37,075,000		37,075,000								896,000
Contribution								500,000
APC | MediPortal LLC
Schedule of Equity Method Investments [Line Items]
Membership interests purchased (in shares) | shares				270,000
Payments to purchase membership interests				$ 400,000
Membership interests acquired (in dollars per share) | shares				1.50
Ownership percentage				2.80%
Term of warrant				5 years
Number of warrants received (in shares) | shares				270,000
Term of option				5 years
Options to purchase additional membership interests (in shares) | shares				380,000
Number of warrants available to purchase, contingent upon the portal completion date (in shares) | shares				480,000
Accountable Health Care
Schedule of Equity Method Investments [Line Items]
Number of medical centers | medical_center													4
Number of employees (more than)											400	700
Network Medical Management, Inc. | AchievaMed, Inc.
Schedule of Equity Method Investments [Line Items]
Ownership percentage		10.00%
Percentage of voting common stock, within five years		50.00%
Duration of investment		5 years
Investment amount		$ 500,000
Related investment balance						500,000		500,000
Pacific6 Enterprises
Schedule of Equity Method Investments [Line Items]
Ownership interest																			33.30%
Health Source MSO Inc.
Schedule of Equity Method Investments [Line Items]
Ownership interest																			33.30%
LaSalle Medical Associates
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 | patient															290
Income (loss) from equity method investments								(428,000)
Investments in other entities – equity method						5,969,000		5,969,000								6,397,000
Contribution								0
LaSalle Medical Associates | APC LSMA
Schedule of Equity Method Investments [Line Items]
Amount invested for interest																							$ 5,000,000
Ownership interest																							25.00%
LaSalle Medical Associates | APC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						200,000	(1,300,000)	(400,000)	(2,400,000)
Pacific Medical Imaging & Oncology Center, Inc.
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								77,000
Investments in other entities – equity method						1,473,000		1,473,000								1,396,000
Contribution								0
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%
Pacific Medical Imaging & Oncology Center, Inc. | APC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments						(10,200)	100,000	100,000	200,000
Investments in other entities – equity method						1,500,000		1,500,000								1,400,000
Pacific Medical Imaging & Oncology Center, Inc. | APC | Ancillary Service Contract
Schedule of Equity Method Investments [Line Items]
Fees paid						400,000	600,000	1,000,000	1,400,000
Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Ownership interest																					48.90%
Income (loss) from equity method investments						900,000	4,500,000	3,560,000	5,500,000
Investments in other entities – equity method	$ 4,998,000					0		0								1,438,000
Proceeds from sale of equity method investment	52,743,000
Additional cash and non-cash consideration entitled to be received	15,723,000
Contribution								0
Universal Care, Inc. | Preferred Stock | Bright
Schedule of Equity Method Investments [Line Items]
Investments in privately held entities	$ 36,179,000
Universal Care, Inc. | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest disposed	48.90%
Proceeds from sale of equity method investment	$ 69,200,000
Repayment of indebtedness received	16,500,000
Additional cash and non-cash consideration entitled to be received	15,700,000					15,700,000
Universal Care, Inc. | APC | Preferred Stock | Bright
Schedule of Equity Method Investments [Line Items]
Investments in privately held entities						36,200,000		36,200,000
Universal Care, Inc. | Universal Care Acquisition Partners, LLC
Schedule of Equity Method Investments [Line Items]
Contingent consideration, cash held in escrow	15,600,000
Contingent consideration, preferred shares	6,400,000
Contingent consideration, fair value	$ 22,000,000
Universal Care, Inc. | Universal Care Acquisition Partners, LLC | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest	48.90%
Repayment of indebtedness received	$ 16,500,000
Universal Care, Inc. | Universal Care Acquisition Partners, LLC | Bright
Schedule of Equity Method Investments [Line Items]
Ownership interest disposed	48.90%
Proceeds from sale of equity method investment	$ 69,200,000
Universal Care, Inc. | Universal Care Acquisition Partners, LLC | Voting Common Stock A Two
Schedule of Equity Method Investments [Line Items]
Shares purchased (in shares) | shares					100,000
Cash consideration paid for ownership interest					$ 10,000,000
Percentage of voting common stock					50.00%
Universal Care, Inc. | Universal Care Acquisition Partners, LLC | Ancillary Service Contract | Voting Common Stock A Two
Schedule of Equity Method Investments [Line Items]
Ownership interest					48.90%
Diagnostic Medical Group
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								(102,000)
Investments in other entities – equity method						2,232,000		2,232,000								2,334,000
Contribution								0
Diagnostic Medical Group | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest																				40.00%
Income (loss) from equity method investments						(100,000)	200,000	(100,000)	400,000
513 W. College LLC
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								(231,000)
Investments in other entities – equity method						16,967,000		16,967,000								16,698,000
Purchase price of real estate			$ 33,300,000
Contribution								500,000
513 W. College LLC | APC
Schedule of Equity Method Investments [Line Items]
Ownership interest			25.00%							50.00%
Income (loss) from equity method investments						(100,000)	$ 12,649	(200,000)	$ (34,319)
Initial capital contributions			$ 8,300,000
513 W. College LLC | College Street Investment LP
Schedule of Equity Method Investments [Line Items]
Ownership interest			50.00%
Initial capital contributions			$ 16,700,000
513 W. College LLC | Network Medical Management, Inc.
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
MWN, LLC – related party
Schedule of Equity Method Investments [Line Items]
Income (loss) from equity method investments								12,000
Investments in other entities – equity method						176,000		176,000								164,000
Contribution								0
MWN, LLC – related party | Network Medical Management, Inc.
Schedule of Equity Method Investments [Line Items]
Ownership interest																			33.30%
Income (loss) from equity method investments						(43,000)		12,000
Investments in other entities – equity method						$ 200,000		$ 200,000								$ 200,000
Initial capital contributions																			$ 3,000
Working capital contribution																	$ 300,000		30,000
MWN, LLC – related party | Pacific6 Enterprises
Schedule of Equity Method Investments [Line Items]
Initial capital contributions																			3,000
Working capital contribution																			30,000
MWN, LLC – related party | Health Source MSO Inc.
Schedule of Equity Method Investments [Line Items]
Initial capital contributions																			3,000
Working capital contribution																			$ 30,000

Investments in Other Entities_5

Investments in Other Entities — Equity Method - Gain on Sale (Details) - USD ($)	Apr. 30, 2020	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Schedule of Equity Method Investments [Line Items]
Cash proceeds (excludes proceeds to settle indebtedness owed to APC from UCI)				$ 52,743,000	$ 0
Preferred shares in Bright Health, Inc.		$ 37,075,000		37,075,000		$ 896,000
Less: Carrying value of equity method investment on date of sale		(26,817,000)		(26,817,000)		(28,427,000)
Gain on sale of equity method investment		99,647,000	$ 0	99,647,000	$ 0
Universal Care, Inc.
Schedule of Equity Method Investments [Line Items]
Cash proceeds (excludes proceeds to settle indebtedness owed to APC from UCI)	$ 52,743,000
Beneficial interest in UCI	15,723,000
Less: Carrying value of equity method investment on date of sale	(4,998,000)	$ 0		$ 0		$ (1,438,000)
Gain on sale of equity method investment	99,647,000
Universal Care, Inc. | Bright | Preferred Stock
Schedule of Equity Method Investments [Line Items]
Preferred shares in Bright Health, Inc.	$ 36,179,000

Investments in Other Entities_6

Investments in Other Entities — Equity Method - Summarized Balance Sheets and Statements of Income (Details) - USD ($) $ in Thousands	3 Months Ended		4 Months Ended	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Apr. 30, 2020	Jun. 30, 2020	Jun. 30, 2019	Mar. 31, 2020	Dec. 31, 2019	Mar. 31, 2019	Dec. 31, 2018
Assets
Cash and cash equivalents	$ 152,441	$ 52,726		$ 152,441	$ 52,726		$ 103,189
Receivables, net	17,588			17,588			11,004
Loan receivable	6,425			6,425			6,425
Restricted cash	0			0			75
Property and equipment, net	11,485			11,485			12,130
Total assets	833,217			833,217			728,713
Liabilities and Stockholders’ (Deficit) Equity
Current liabilities	152,507			152,507			105,423
Stockholders’ deficit	207,848	186,089		207,848	186,089	$ 197,961	192,335	$ 182,377	$ 181,544
Total liabilities and stockholders’ deficit	833,217			833,217			728,713
Statements of Operations
Revenue	165,169	130,050		330,274	225,806
Expenses	152,263	115,322		313,003	214,385
Income from operations	12,906	14,728		17,271	11,421
Other income	1,282	24		1,384	211
Income before benefit from income taxes	112,859	14,873		117,441	11,015
Benefit from income taxes	31,858	4,209		33,453	2,801
Net income	81,001	$ 10,664		83,988	8,214
LaSalle Medical Associates
Assets
Cash and cash equivalents	2,852			2,852			6,345
Receivables, net	6,751			6,751			5,124
Other current assets	880			880			3,526
Loan receivable	2,250			2,250			2,250
Restricted cash	688			688			683
Total assets	13,421			13,421			17,928
Liabilities and Stockholders’ (Deficit) Equity
Current liabilities	20,735			20,735			23,530
Stockholders’ deficit	(7,314)			(7,314)			(5,602)
Total liabilities and stockholders’ deficit	13,421			13,421			17,928
Statements of Operations
Revenue				92,113	93,434
Expenses				93,680	102,845
Net income				(1,567)	(9,411)
513 W. College LLC
Assets
Cash and cash equivalents	126			126			139
Other current assets	0			0			17
Other assets	70			70			70
Property and equipment, net	33,697			33,697			33,581
Total assets	33,893			33,893			33,807
Liabilities and Stockholders’ (Deficit) Equity
Current liabilities	1,109			1,109			1,062
Stockholders’ deficit	32,784			32,784			32,745
Total liabilities and stockholders’ deficit	$ 33,893			33,893			33,807
Statements of Operations
Revenue				0	0
Expenses				579	538
Income from operations				(579)	(538)
Other income				21	385
Net income				$ (558)	(153)
Universal Care, Inc.
Assets
Cash and cash equivalents							33,890
Receivables, net							63,843
Other current assets							38,280
Loan receivable							882
Restricted cash							4,021
Total assets							140,916
Liabilities and Stockholders’ (Deficit) Equity
Current liabilities							128,330
Other liabilities							33,133
Stockholders’ deficit							(20,547)
Total liabilities and stockholders’ deficit							$ 140,916
Statements of Operations
Revenue			$ 195,308		247,517
Expenses			189,028		239,389
Income before benefit from income taxes			6,280		8,128
Benefit from income taxes			0		(3,167)
Net income			$ 6,280		$ 11,295

Loan Receivable and Loan Rece_2

Loan Receivable and Loan Receivable – Related Parties - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Mar. 31, 2020	Jun. 30, 2020	Apr. 30, 2020	Feb. 28, 2020	Dec. 31, 2019	Dec. 13, 2019	Jun. 28, 2019	Nov. 28, 2018	Jun. 29, 2018	Dec. 31, 2015	Nov. 16, 2015
Accounts, Notes, Loans and Financing Receivable [Line Items]
Prepaid expenses and other current assets		$ 11,188			$ 10,315
Universal Care, Inc.
Accounts, Notes, Loans and Financing Receivable [Line Items]
Ownership interest											48.90%
Universal Care Acquisition Partners, LLC | APC | Universal Care, Inc.
Accounts, Notes, Loans and Financing Receivable [Line Items]
Ownership interest			48.90%
Convertible Secured Promissory Note | Dr. Arteaga | LMA
Accounts, Notes, Loans and Financing Receivable [Line Items]
Ownership upon conversion of finance receivable							53.75%
Convertible Secured Promissory Note | Dr. Arteaga
Accounts, Notes, Loans and Financing Receivable [Line Items]
Amount of loan		$ 6,400
Convertible Secured Promissory Note | Dr. Arteaga | APC
Accounts, Notes, Loans and Financing Receivable [Line Items]
Amount of loan							$ 6,400
Interest rate on loan receivable		4.25%
Percentage of outstanding stock convertible							21.25%
Convertible Secured Promissory Note | Dr. Arteaga | APC and APC-LSMA | LMA
Accounts, Notes, Loans and Financing Receivable [Line Items]
Ownership upon conversion of finance receivable							46.25%
Convertible Secured Promissory Note | Dr. Arteaga | Prime Rate | APC
Accounts, Notes, Loans and Financing Receivable [Line Items]
Basis spread on variable rate		1.00%
Financing Receivable | APC | Universal Care, Inc.
Accounts, Notes, Loans and Financing Receivable [Line Items]
Interest rate on loan receivable	4.25%
Advance for working capital										$ 5,000
Additional advances						$ 4,000		$ 5,000	$ 2,500
Financing Receivable | Prime Rate | APC | Universal Care, Inc.
Accounts, Notes, Loans and Financing Receivable [Line Items]
Basis spread on variable rate	1.00%
Financing Receivable | Dr. Arteaga
Accounts, Notes, Loans and Financing Receivable [Line Items]
Amount of loan				$ 2,200
Prepaid expenses and other current assets		$ 900
Financing Receivable | Dr. Jay Loan | APC | Universal Care, Inc.
Accounts, Notes, Loans and Financing Receivable [Line Items]
Interest rate on loan receivable					5.75%

Accounts Payable and Accrued _3

Accounts Payable and Accrued Expenses - Schedule of Accounts Payable and Accrued Expenses (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Payables and Accruals [Abstract]
Accounts payable	$ 10,425	$ 6,914
Capitation payable	2,754	2,813
Subcontractor IPA payable	3,083	3,360
Professional fees	2,325	1,837
Due to related parties	80	225
Accrued compensation	3,060	3,238
Contract liabilities	3,061	8,892
Total accounts payable and accrued expenses	$ 24,788	$ 27,279

Medical Liabilities - Schedule

Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Medical Liabilities [Roll Forward]
Medical liabilities, beginning of period	$ 58,725	$ 33,642
Components of medical care costs related to claims incurred:
Current period	165,571	93,833
Prior periods	233	2,688
Total medical care costs	165,804	96,521
Payments for medical care costs related to claims incurred:
Current period	(97,112)	(60,440)
Prior periods	(57,470)	(39,744)
Total paid	(154,582)	(100,184)
Acquired from Alpha Care	0	13,120
Adjustments	326	(156)
Medical liabilities, end of period	$ 70,273	$ 42,943

Credit Facility, Bank Loan an_3

Credit Facility, Bank Loan and Lines of Credit - Credit Facility (Details) $ in Thousands	Jun. 30, 2020USD ($)
Line of Credit Facility [Line Items]
Total debt	$ 245,250
Less: Current portion of debt	(9,500)
Less: Unamortized financing costs	(5,295)
Total	230,455
Term loan A
Line of Credit Facility [Line Items]
Total debt	185,250
Revolver loan
Line of Credit Facility [Line Items]
Total debt	$ 60,000

Credit Facility, Bank Loan an_4

Credit Facility, Bank Loan and Lines of Credit - Schedule of Maturities (Details) $ in Thousands	Jun. 30, 2020USD ($)
Debt Disclosure [Abstract]
2020 (excluding the six months ended June 30, 2020)	$ 7,125
2021	10,688
2022	14,250
2023	15,437
2024	197,750
Total	$ 245,250

Credit Facility, Bank Loan an_5

Credit Facility, Bank Loan and Lines of Credit - Additional Information (Details)

Dec. 31, 2018

Oct. 02, 2018USD ($)

Sep. 05, 2018USD ($)

Sep. 30, 2019USD ($)

Jun. 30, 2020USD ($)financial_ratio

Jun. 30, 2019USD ($)

Jun. 30, 2020USD ($)financial_ratio

Jun. 30, 2019USD ($)

Dec. 31, 2019USD ($)

Sep. 10, 2019USD ($)

Aug. 14, 2019USD ($)

Aug. 01, 2019USD ($)

Jul. 29, 2019USD ($)

Jun. 11, 2019USD ($)

Apr. 17, 2019USD ($)

Sep. 01, 2018USD ($)

Jun. 14, 2018USD ($)

Debt Instrument [Line Items]

Amount outstanding

$ 245,250,000

$ 245,250,000

Interest expense

2,673,000

$ 311,000

5,541,000

$ 522,000

Loan proceeds

$ 230,455,000

$ 230,455,000

Credit Agreement

Debt Instrument [Line Items]

Number of key financial ratios | financial_ratio

2

2

Maximum consolidated leverage ratio (not greater than)

0.0375

0.0375

Consolidated leverage ratio, annual decrease

0.0025

0.0025

Consolidated leverage ratio minimum

0.0300

0.0300

Minimum consolidated interest coverage ratio (not less than)

0.0325

Default amount of debt instrument

$ 10,000,000

Average effective interest rate

3.93%

4.71%

Interest expense

$ 300,000

700,000

$ 0

$ 0

Credit Agreement | Preferred Bank

Debt Instrument [Line Items]

Amount outstanding

14,800,000

$ 14,800,000

Credit Agreement | Minimum

Debt Instrument [Line Items]

Required annual facility fee

0.20%

Basis spread on variable rate

1.00%

Credit Agreement | Minimum | London Interbank Offered Rate (LIBOR)

Debt Instrument [Line Items]

Basis spread on variable rate

2.00%

Credit Agreement | Maximum

Debt Instrument [Line Items]

Required annual facility fee

0.35%

Basis spread on variable rate

2.00%

Credit Agreement | Maximum | London Interbank Offered Rate (LIBOR)

Debt Instrument [Line Items]

Basis spread on variable rate

3.00%

Credit Agreement | First Eight Fiscal Quarters

Debt Instrument [Line Items]

Principal payment on credit agreement

$ 2,400,000

Credit Agreement | Following Eight Fiscal Quarters Thereafter

Debt Instrument [Line Items]

Principal payment on credit agreement

3,600,000

Credit Agreement | Following Three Fiscal Quarters Thereafter

Debt Instrument [Line Items]

Principal payment on credit agreement

$ 4,800,000

NMM Line of Credit Agreement

Debt Instrument [Line Items]

Default amount of debt instrument

50,000,000

$ 50,000,000

Shareholder approval percentage (not less than)

50.01%

Approved use of funds (not to exceed)

125,000,000

$ 125,000,000

Revolver Loan

Debt Instrument [Line Items]

Amount outstanding

$ 60,000,000

$ 60,000,000

interest rate at end of period

3.24%

3.24%

Revolver Loan | Credit Agreement

Debt Instrument [Line Items]

Revolving credit facility term

5 years

Amount outstanding

$ 60,000,000

Deferred financing costs

6,500,000

Revolver Loan | Credit Agreement | Line of Credit

Debt Instrument [Line Items]

Maximum loan availability

100,000,000

Letter of Credit | Credit Agreement | Preferred Bank

Debt Instrument [Line Items]

Amount available

$ 10,200,000

$ 10,200,000

Letter of Credit | Credit Agreement | Line of Credit

Debt Instrument [Line Items]

Maximum loan availability

25,000,000

Term loan A

Debt Instrument [Line Items]

Amount outstanding

$ 185,250,000

$ 185,250,000

interest rate at end of period

3.57%

3.57%

Term loan A | Credit Agreement | Line of Credit

Debt Instrument [Line Items]

Maximum loan availability

$ 190,000,000

Standby Letters of Credit | APC

Debt Instrument [Line Items]

Maximum loan availability

$ 300,000

$ 300,000

Term of facility

1 year

Standby Letters of Credit | APAACO | Preferred Bank

Debt Instrument [Line Items]

Maximum loan availability

$ 6,600,000

$ 14,800,000

Term of facility

1 year

Period of notification of termination

90 days

Standby Letters of Credit | Alpha Care Medical Group, Inc.

Debt Instrument [Line Items]

Term of facility

1 year

Standby Letters of Credit | Alpha Care Medical Group, Inc. | Preferred Bank

Debt Instrument [Line Items]

Maximum loan availability

$ 3,800,000

$ 3,800,000

Term of facility

1 year

Standby Letters of Credit | Credit Agreement | Minimum

Debt Instrument [Line Items]

Required annual facility fee

2.00%

Standby Letters of Credit | Credit Agreement | Maximum

Debt Instrument [Line Items]

Required annual facility fee

3.00%

Line of Credit | NMM Line of Credit Agreement | NMM | Preferred Bank

Debt Instrument [Line Items]

Maximum loan availability

$ 20,000,000

$ 2,200,000

$ 16,000,000

interest rate at end of period

3.375%

3.375%

4.875%

Term of converted loan

5 years

Term of facility

5 years

Line of Credit | NMM Line of Credit Agreement | NMM | Prime Rate | Preferred Bank

Debt Instrument [Line Items]

Basis spread on variable rate

0.125%

Line of Credit | NMM Business Loan Agreement | NMM | Preferred Bank

Debt Instrument [Line Items]

Maximum loan availability

$ 27,000,000

$ 20,000,000

Amount outstanding

$ 5,000,000

$ 5,000,000

interest rate at end of period

5.625%

Line of Credit | NMM Business Loan Agreement | NMM | Prime Rate | Preferred Bank

Debt Instrument [Line Items]

Basis spread on variable rate

0.125%

Line of Credit | APC Business Loan Agreement | APC | Preferred Bank

Debt Instrument [Line Items]

Maximum loan availability

$ 4,100,000

$ 43,800,000

$ 40,000,000

$ 10,000,000

interest rate at end of period

3.375%

3.375%

4.875%

Amount available

$ 0

$ 0

$ 0

Line of Credit | APC Business Loan Agreement | APC | Prime Rate | Preferred Bank

Debt Instrument [Line Items]

Basis spread on variable rate

0.125%

Mezzanine and Stockholders' E_3

Mezzanine and Stockholders' Equity - Additional Information (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Class of Stock [Line Items]
Holdback shares not issued to former shareholders (in shares)		302,732
Stock options exercised (in shares)		120,000	111,000
Options exercised (in shares)		0	0
Options outstanding exercise price (in dollars per share)	$ 10.86	$ 10.86		$ 9.22
Share-based compensation		$ 1,910	$ 676
Warrants exercised (in shares)		273,900	41,624
Proceeds from warrants exercised		$ 2,600	$ 400
Treasury shares (in shares)	17,475,707	17,475,707		17,458,810
Allied Pacific of California Brokerage Account
Class of Stock [Line Items]
Treasury stock, value	$ 7,600	$ 7,600
APC
Class of Stock [Line Items]
Treasury shares (in shares)	17,307,214	17,307,214		17,290,317
Dividends declared		$ 29,600	10,000
CDSC
Class of Stock [Line Items]
Dividends declared		600	$ 1,200
Restricted stock awards
Class of Stock [Line Items]
Share-based compensation	$ 900	1,600
Unrecognized compensation expense	3,800	$ 3,800
Restricted stock awards
Class of Stock [Line Items]
Vesting period		3 years
Restricted stock awards granted (in shares)		97,447
Weighted average grant date fair value (in dollars per share)		$ 17.58
Grant date fair value of restricted stock to be recognized straight-line	$ 1,600	$ 1,600
Minimum
Class of Stock [Line Items]
Exercise price of exercises during period (in dollars per share)	$ 2.10	$ 2.10	$ 1.50
Exercise price of warrants exercised (in dollars per share)		9	9
Maximum
Class of Stock [Line Items]
Exercise price of exercises during period (in dollars per share)	5	5	5.79
Exercise price of warrants exercised (in dollars per share)		$ 11	$ 11
APC Stock Option
Class of Stock [Line Items]
Proceeds of options exercised		$ 300	$ 500
Board Members
Class of Stock [Line Items]
Options granted (in shares)		11,742
Options outstanding exercise price (in dollars per share)	$ 18.41	$ 18.41
Board Members | Stock options
Class of Stock [Line Items]
Vesting period		5 years

Mezzanine and Stockholders' E_4

Mezzanine and Stockholders' Equity - Schedule of Stock Options Activity (Details) - USD ($) $ / shares in Units, $ in Thousands	6 Months Ended		12 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Shares
Options outstanding, beginning balance (in shares)	607,346
Options granted (in shares)	11,742
Options exercised (in shares)	(120,000)	(111,000)
Options forfeited (in shares)	(12,228)
Options outstanding, ending balance (in shares)	486,860		607,346
Options exercisable (in shares)	380,894
Weighted Average Exercise Price
Options outstanding, beginning balance (in dollars per share)	$ 9.22
Options granted (in dollars per share)	18.41
Options exercised (in dollars per share)	2.58
Options forfeited (in dollars per share)	17.57
Options outstanding, ending balance (in dollars per share)	10.86		$ 9.22
Options exercisable (in dollars per share)	$ 7.11
Weighted Average Remaining Contractual Term (Years)
Options outstanding	3 years 8 months 12 days		3 years 5 months 1 day
Options exercisable	2 years 8 months 26 days
Aggregate Intrinsic Value (in thousands)
Beginning balance	$ 5,600
Options exercised	1,800
Ending balance	2,900		$ 5,600
Options exercisable	$ 3,000

Mezzanine and Stockholders' E_5

Mezzanine and Stockholders' Equity - Stock Option Activity Under Black-Scholes Option Pricing Model (Details) - Board Members	6 Months Ended
	Jun. 30, 2020$ / shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term	3 years
Expected volatility	90.01%
Risk-free interest rate	1.43%
Market value of common stock (in dollars per share)	$ 10.56
Annual dividend yield	0.00%
Forfeiture rate	0.00%

Mezzanine and Stockholders' E_6

Mezzanine and Stockholders' Equity - Summary of Warrant (Details) - USD ($) $ / shares in Units, $ in Thousands	6 Months Ended	12 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Shares
Warrants outstanding, beginning balance (in shares)	3,154,590
Warrants granted (in shares)	0
Warrants exercised (in shares)	(273,900)
Warrants expired/forfeited (in shares)	0
Warrants outstanding, ending balance (in shares)	2,880,690	3,154,590
Weighted Average Exercise Price
Warrants outstanding, beginning balance (in dollars per share)	$ 9.96
Warrants granted (in dollars per share)	0
Warrants exercised (in dollars per share)	9.32
Warrants expired/forfeited (in dollars per share)	0
Warrants outstanding, ending balance (in dollars per share)	$ 10.02	$ 9.96
Weighted Average Remaining Contractual Term (Years)
Warrants outstanding	1 year 7 months 9 days	2 years 3 days
Aggregate Intrinsic Value (in thousands)
Warrants outstanding, beginning balance	$ 26,700
Warrants granted	0
Warrants exercised	2,000
Warrants expired/forfeited	0
Warrants outstanding, ending balance	$ 18,700	$ 26,700

Mezzanine and Stockholders' E_7

Mezzanine and Stockholders' Equity - Warrants (Details) - $ / shares	6 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
Class of Warrant or Right [Line Items]
Weighted Average Exercise Price Per Share (in dollars per share)	$ 10.02	$ 9.96
Warrant Exercise Price Range One
Class of Warrant or Right [Line Items]
Exercise Price Per Share (in dollars per share)	$ 9
Warrants Outstanding (in shares)	754,870
Weighted Average Remaining Contractual Life	3 months 14 days
Warrants Exercisable (in shares)	754,870
Weighted Average Exercise Price Per Share (in dollars per share)	$ 9
Warrant Exercise Price Range Two
Class of Warrant or Right [Line Items]
Exercise Price Per Share (in dollars per share)	$ 10
Warrants Outstanding (in shares)	1,313,345
Weighted Average Remaining Contractual Life	1 year 10 months 6 days
Warrants Exercisable (in shares)	1,313,345
Weighted Average Exercise Price Per Share (in dollars per share)	$ 10
Warrant Exercise Price Range Three
Class of Warrant or Right [Line Items]
Exercise Price Per Share (in dollars per share)	$ 11
Warrants Outstanding (in shares)	812,475
Weighted Average Remaining Contractual Life	2 years 5 months 8 days
Warrants Exercisable (in shares)	812,475
Weighted Average Exercise Price Per Share (in dollars per share)	$ 11
Warrant Exercise Price Range Four
Class of Warrant or Right [Line Items]
Warrants Outstanding (in shares)	2,880,690
Weighted Average Remaining Contractual Life	1 year 7 months 9 days
Warrants Exercisable (in shares)	2,880,690
Weighted Average Exercise Price Per Share (in dollars per share)	$ 10.02
Warrant Exercise Price Range Four | Minimum
Class of Warrant or Right [Line Items]
Exercise Price Per Share (in dollars per share)	9
Warrant Exercise Price Range Four | Maximum
Class of Warrant or Right [Line Items]
Exercise Price Per Share (in dollars per share)	$ 11

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Details) - USD ($)	Apr. 03, 2018	Jun. 30, 2020	Dec. 31, 2019	Dec. 31, 2018
Commitments And Contingencies [Line Items]
General amount of guarantee (as a percent)		2.00%
Amount outstanding		$ 245,250,000
Damages sought	$ 5,000,000
APC | Standby Letters of Credit
Commitments And Contingencies [Line Items]
Term of facility		1 year
Alpha Care Medical Group, Inc. | Standby Letters of Credit
Commitments And Contingencies [Line Items]
Term of facility		1 year
Standby letters of credit assumed		$ 3,800,000
Standby Letters of Credit | APC
Commitments And Contingencies [Line Items]
Amount outstanding		$ 300,000
Term of facility		1 year
Preferred Bank
Commitments And Contingencies [Line Items]
Amount outstanding			$ 8,200,000	$ 6,600,000

Related-Party Transactions - Ad

Related-Party Transactions - Additional Information (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2020USD ($)	Jun. 30, 2019USD ($)	Jun. 30, 2020USD ($)	Jun. 30, 2019USD ($)	Apr. 30, 2020	Dec. 31, 2019USD ($)	Nov. 28, 2018USD ($)agreement	Jun. 28, 2018USD ($)	Nov. 16, 2015USD ($)
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	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
Universal Care Acquisition Partners, LLC
Related Party Transaction [Line Items]
Amount of subordinated note receivable agreement							$ 5,000,000	$ 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	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	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	10,200,000	$ 25,000,000
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%

Related-Party Transactions - Fe

Related-Party Transactions - Fees Incurred and Income Received (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Related Party Transaction [Line Items]
Net total	$ 5,815	$ 15,985	$ 17,607	$ 26,835
AHMC
Related Party Transaction [Line Items]
AHMC – Risk pool, capitation, claims payment, net	6,057	16,350	18,056	27,950
Net total	10,200	21,000	10,200	25,000
HSMSO
Related Party Transaction [Line Items]
Management fees	(189)	(265)	(321)	(915)
Aurion
Related Party Transaction [Line Items]
Management fees	$ (53)	$ (100)	$ (128)	$ (200)

Earnings Per Share - Additional

Earnings Per Share - Additional Information (Details) - shares	6 Months Ended	12 Months Ended
	Jun. 30, 2020	Dec. 31, 2019
APC
Earnings Per Share [Line Items]
Treasury shares not included in the calculation of earnings per share (in shares)	17,307,214	17,290,317

Earnings Per Share - Earnings P

Earnings Per Share - Earnings Per Share Computations (Details) - $ / shares	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Earnings Per Share [Abstract]
Earnings per share – basic (in dollars per share)	$ 0.20	$ 0.10	$ 0.31	$ 0.11
Earnings per share – diluted (in dollars per share)	$ 0.19	$ 0.09	$ 0.30	$ 0.10
Weighted average shares of common stock outstanding – basic (in shares)	36,071,604	34,540,059	36,040,936	34,518,461
Weighted average shares of common stock outstanding – diluted (in shares)	37,285,585	37,962,555	37,296,913	37,896,837

Earnings Per Share - Shares Inc

Earnings Per Share - Shares Included in Diluted Earnings Per Share Computations (Details) - shares	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Earnings Per Share [Line Items]
Weighted average shares of common stock outstanding – basic (in shares)	36,071,604	34,540,059	36,040,936	34,518,461
Weighted average shares of common stock outstanding – diluted (in shares)	37,285,585	37,962,555	37,296,913	37,896,837
Shares held back in merger to secure indemnification (as a percent)	10.00%	10.00%	10.00%	10.00%
Stock options
Earnings Per Share [Line Items]
Adjustments to weighted average shares of common stock (in shares)	169,402	363,593	173,299	368,273
Restricted stock awards
Earnings Per Share [Line Items]
Adjustments to weighted average shares of common stock (in shares)	2,795	0	5,876	0
10% shares held back pursuant to indemnification clause
Earnings Per Share [Line Items]
Adjustments to weighted average shares of common stock (in shares)	0	1,519,805	0	1,519,805
Warrants
Earnings Per Share [Line Items]
Adjustments to weighted average shares of common stock (in shares)	1,041,784	1,539,098	1,076,802	1,490,298

Variable Interest Entities (V_3

Variable Interest Entities (VIEs) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019	Jun. 30, 2019	Dec. 31, 2018
Current assets
Cash and cash equivalents	$ 152,441	$ 103,189	$ 52,726
Restricted cash	0	75
Investment in marketable securities	117,656	116,539
Receivables, net	17,588	11,004
Receivables, net – related party	59,328	48,136
Other receivables	15,919	16,885
Prepaid expenses and other current assets	11,188	10,315
Loans receivable	6,425	6,425
Loans receivable – related parties	0	16,500
Total current assets	380,545	329,068
Noncurrent assets
Intangible assets, net	94,790	103,012
Goodwill	239,053	238,505
Investments in other entities – equity method	26,817	28,427
Restricted cash	746	746
Operating lease right-of-use assets	20,219	14,248
Other assets	22,487	1,681
Total noncurrent assets	452,672	399,645
Total assets	833,217	728,713
Current liabilities
Accounts payable and accrued expenses	24,788	27,279
Fiduciary accounts payable	1,853	2,027
Medical liabilities	70,273	58,725	$ 42,943	$ 33,642
Dividend payable	431	271
Finance lease liabilities	102	102
Operating lease liabilities	3,350	2,990
Total current liabilities	152,507	105,423
Noncurrent liabilities
Deferred tax liability	13,654	18,269
Long-term lease liabilities	355	416
Operating lease liabilities, net of current portion	17,418	11,373
Total noncurrent liabilities	261,882	262,230
Total liabilities	414,389	367,653
Variable Interest Entity, Primary Beneficiary
Current assets
Cash and cash equivalents	113,790	87,110
Restricted cash	0	75
Investment in marketable securities	117,611	123,948
Receivables, net	15,687	9,300
Receivables, net – related party	55,889	42,976
Other receivables	734	744
Prepaid expenses and other current assets	7,752	7,403
Loans receivable	6,425	6,425
Loans receivable – related parties	0	16,500
Total current assets	317,888	294,481
Noncurrent assets
Land, property and equipment, net	9,085	9,547
Intangible assets, net	75,177	81,439
Goodwill	109,460	108,913
Investment in affiliates	285,569	318,315
Investment in privately held entities	36,584	1,615
Investments in other entities – equity method	26,864	28,427
Restricted cash	746	746
Operating lease right-of-use assets	7,017	4,751
Other assets	20,750	1,057
Total noncurrent assets	571,252	554,810
Total assets	889,140	849,291
Current liabilities
Accounts payable and accrued expenses	11,822	11,187
Fiduciary accounts payable	1,853	2,027
Medical liabilities	47,304	49,019
Income taxes payable	42,211	4,530
Amount due to affiliate	21,533	28,058
Dividend payable	431	271
Finance lease liabilities	102	102
Operating lease liabilities	1,319	1,088
Total current liabilities	126,575	96,282
Noncurrent liabilities
Deferred tax liability	9,490	14,059
Long-term lease liabilities	355	416
Operating lease liabilities, net of current portion	5,833	3,742
Total noncurrent liabilities	15,678	18,217
Total liabilities	$ 142,253	$ 114,499

Leases - Additional information

Leases - Additional information (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Lessee, Lease, Description [Line Items]
Operating lease option to extend (up to)	10 years		10 years		10 years
Finance lease option to extend (up to)	10 years		10 years		10 years
Operating lease, termination period, if applicable					1 year
Finance lease, termination period, if applicable					1 year
Assets recorded under finance leases	$ 400	$ 500	$ 400		$ 400
Accumulated depreciation associated with finance leases	$ 300	$ 300	$ 35	$ 25	$ 61	$ 50
Minimum
Lessee, Lease, Description [Line Items]
Remaining lease term, operating	1 month		1 month		1 month
Remaining lease term, finance	1 month		1 month		1 month
Maximum
Lessee, Lease, Description [Line Items]
Remaining lease term, operating	5 years		5 years		5 years
Remaining lease term, finance	5 years		5 years		5 years

Leases - Components of Lease Ex

Leases - Components of Lease Expense (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Leases [Abstract]
Operating lease cost			$ 1,446	$ 1,240	$ 3,388	$ 2,343
Amortization of lease expense	$ 300	$ 300	35	25	61	50
Interest on lease liabilities			4	4	7	9
Sublease income			(226)	(106)	(360)	(206)
Total finance lease cost, net			$ 1,259	$ 1,163	$ 3,096	$ 2,196

Leases - Other Information Rela

Leases - Other Information Related to Leases (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$ 1,333	$ 1,239	$ 2,880	$ 2,273
Operating cash flows from finance leases	4	4	7	9
Financing cash flows from finance leases	35	25	61	50
Right-of-use assets obtained in exchange for lease liabilities:
Operating leases	$ 2,907	$ 6,441	$ 7,652	$ 15,417
Weighted Average Remaining Lease Term
Operating leases	7 years 21 days	6 years 10 months 13 days	7 years 21 days	6 years 10 months 13 days
Finance leases	4 years 2 months 1 day	5 years	4 years 2 months 1 day	5 years
Weighted Average Discount Rate
Operating leases	6.10%	6.18%	6.10%	6.18%
Finance leases	3.00%	3.00%	3.00%	3.00%

Leases - Future Minimum Payment

Leases - Future Minimum Payments Under Non-cancelable Leases (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Operating Leases
2020 (excluding the six months ended June 30, 2020)	$ 2,337
2021	4,297
2022	3,529
2023	3,303
2024	2,940
Thereafter	9,459
Total future minimum lease payments	25,865
Less: imputed interest	5,097
Total lease liabilities	20,768
Less: current portion	3,350	$ 2,990
Long-term lease liabilities	17,418	11,373
Finance Leases
2020 (excluding the six months ended June 30, 2020)	59
2021	119
2022	119
2023	119
2024	79
Thereafter	0
Total future minimum lease payments	495
Less: imputed interest	38
Total lease liabilities	457
Less: current portion	102	102
Long-term lease liabilities	$ 355	$ 416

Uncategorized Items - ameh-2020

Label	Element	Value
Dividends Payable	us-gaap_DividendsPayableCurrentAndNoncurrent	$ 0
Dividends Payable	us-gaap_DividendsPayableCurrentAndNoncurrent	$ 160,000