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v3.20.1

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details - Narrative) |  |  |  |  |  |  |  |  | 1 Months Ended | 9 Months Ended | 12 Months Ended |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Dec. 31, 2019 USD ($) joint_venture shares | Nov. 05, 2019 USD ($) | Aug. 01, 2019 USD ($) | Jan. 01, 2019 USD ($) | Apr. 12, 2018 USD ($) | Mar. 01, 2018 USD ($) | Feb. 01, 2018 USD ($) shares | Mar. 24, 2017 USD ($) | Sep. 30, 2019 USD ($) | Nov. 06, 2014 USD ($) | Sep. 30, 2019 | Dec. 31, 2019 USD ($) joint_venture shares | Dec. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) | Oct. 11, 2019 shares | Jun. 30, 2019 USD ($) | Feb. 28, 2019 USD ($) | Aug. 01, 2017 | Apr. 01, 2017 | Nov. 30, 2006 USD ($)
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Factored accounts receivable |  |  |  |  |  |  |  |  |  |  |  | $ 9,000,000.0 | $ 20,500,000 |  |  |  |  |  |  |
Factoring receivable | $ 24,200,000 |  |  |  |  |  |  |  |  |  |  | 24,200,000 |  |  |  |  |  |  |  |
Meaningful use incentive income |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 250,000 |  |  |  |  |  |
Service fee revenue, net of contractual allowances and discounts |  |  |  |  |  |  |  |  |  |  |  | 1,028,236,000 | 868,741,000 |  |  |  |  |  |  |
Deferred revenue liability | 1,300,000 |  |  |  |  |  |  |  |  |  |  | 1,300,000 |  |  |  |  |  |  |  |
Deferred financing costs, net of accumulated amortization | 1,600,000 |  |  |  |  |  |  |  |  |  |  | 1,600,000 | 1,400,000 |  |  |  |  |  |  |
Goodwill | 440,981,000 |  |  |  |  |  |  |  |  |  |  | 440,981,000 | 418,093,000 | 256,776,000 |  |  |  |  |  |
Indefinite lived intangible assets | 11,300,000 |  |  |  |  |  |  |  |  |  |  | 11,300,000 | 9,800,000 |  |  |  |  |  |  |
Loss on impairment |  |  |  |  |  |  |  |  |  |  |  | 0 | 3,937,000 | 0 |  |  |  |  |  |
Goodwill impairment |  |  |  |  |  |  |  |  |  |  |  |  | 3,800,000 |  |  |  |  |  |  |
Workers' compensation liability, current | 3,800,000 |  |  |  |  |  |  |  |  |  |  | 3,800,000 | 2,800,000 |  |  |  |  |  |  |
Medical malpractice deductible per incidence | 10,000 |  |  |  |  |  |  |  |  |  |  | $ 10,000 | 10,000 |  |  |  |  |  |  |
Employer matching contribution, percent |  |  |  |  |  |  |  |  |  |  |  | 1.00% |  |  |  |  |  |  |  |
Employee contribution, percent |  |  |  |  |  |  |  |  |  |  |  | 4.00% |  |  |  |  |  |  |  |
Expected employee contribution |  |  |  |  |  |  |  |  |  |  |  | $ 3,000,000.0 | 2,600,000 |  |  |  |  |  |  |
Contract loss accrual |  |  |  |  |  |  |  |  |  |  |  |  | 4,600,000 |  |  |  |  |  |  |
Contract loss accrual, written off |  |  |  |  |  |  |  |  |  |  |  |  | 558,000 |  |  |  |  |  |  |
Unfavorable contract liability | 2,200,000 |  |  |  |  |  |  |  |  |  |  | 2,200,000 |  |  |  |  |  |  |  |
Total net assets | $ 60,375,000 |  |  |  |  |  |  |  |  |  |  | $ 60,375,000 | 65,031,000 |  |  |  |  |  |  |
Number of unconsolidated joint ventures | joint_venture | 12 |  |  |  |  |  |  |  |  |  |  | 12 |  |  |  |  |  |  |  |
Loss on equity method investment |  |  |  |  |  |  |  |  |  |  |  | $ 134,000 |  |  |  |  |  |  |  |
Medic Vision |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity interest percentage | 14.21% |  |  |  |  |  |  | 12.50% |  |  |  | 14.21% |  |  |  |  |  |  |  |
Investment at cost |  |  |  |  |  | $ 200,000 |  | $ 1,000,000.0 |  |  |  |  |  |  |  |  |  |  |  |
Option to purchase additional equity method investment |  |  |  |  |  |  |  | $ 1,400,000 |  |  |  |  |  |  |  |  |  |  |  |
Ownership interest percentage acquired |  |  |  |  |  | 1.96% |  |  |  |  |  |  |  |  |  |  |  |  |  |
Initial ownership percentage after dilution |  |  |  |  |  | 12.25% |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total net assets | $ 1,200,000 |  |  |  |  |  |  |  |  |  |  | $ 1,200,000 |  |  |  |  |  |  |  |
Turner Imaging Systems |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment at cost |  |  |  |  |  |  | $ 2,000,000.0 |  |  |  |  |  |  |  |  |  |  |  |  |
Shares purchased | shares |  |  |  |  |  |  | 2,100,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Turner Imaging |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Preferred stock issued upon conversion (in shares) | shares |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 80,000 |  |  |  |  |
WhiteRabbit.ai Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment at cost |  | $ 1,000,000.0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to fund loan to related parties | $ 2,500,000 | $ 2,500,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Santa Monica Imaging Group | RadNet |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity interest percentage |  |  |  | 35.00% |  |  |  |  |  |  |  |  |  |  |  |  |  | 40.00% | 40.00% |
Loss on equity method investment |  |  |  | $ 2,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Santa Monica Imaging Group | Cedars Sinai Medical Center |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity interest percentage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 60.00% | 60.00% |
Additional equity interest acquired |  |  |  | 5.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment owned, at fair value |  |  |  | $ 134,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
2016 Caps | LIBOR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate | 2.00% |  |  |  |  |  |  |  |  |  |  | 2.00% |  |  |  |  |  |  |  |
September 2020 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts | $ 150,000,000 |  |  |  |  |  |  |  |  |  |  | $ 150,000,000 |  |  |  |  |  |  |  |
October 2020 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts | 350,000,000 |  |  |  |  |  |  |  |  |  |  | 350,000,000 |  |  |  |  |  |  |  |
Radiologix |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contract loss accrual |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,900,000
Hudson Valley Radiology Associates |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 3,100,000 |  |  |
Hudson Valley Radiology Associates | Primedex Health Systems Inc. and Radiologix |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Unfavorable lease contracts acquired, gross |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4,000,000.0 |  |  |
Unfavorable lease contracts acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 2,800,000 |  |  |
Garden State Radiology Network LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill |  |  | $ 2,000,000.0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity interest percentage |  |  | 49.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment at cost |  |  |  |  |  |  |  |  |  | $ 2,200,000 |  |  |  |  |  |  |  |  |  |
Loss on equity method investment |  |  | $ (1,300,000) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Nulogix, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity interest percentage |  |  | 75.00% |  | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment at cost |  |  | $ 1,500,000 |  | $ 2,000,000.0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss on equity method investment |  |  | $ 504,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Health Insurance |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Self-insurance accrual | 4,900,000 |  |  |  |  |  |  |  |  |  |  | $ 4,900,000 | 4,800,000 |  |  |  |  |  |  |
Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Share-based payment award, award vesting period |  |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |  |  |  |  |  |
Share-based payment award, expiration period |  |  |  |  |  |  |  |  |  |  |  | 5 years |  |  |  |  |  |  |  |
Minimum | Blue Shield |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stop loss policy claim amount | 250,000 |  |  |  |  |  |  |  |  |  |  | $ 250,000 |  |  |  |  |  |  |  |
Minimum | Dignity Health | Glendale Advanced Imaging | Joint Venture |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Economic interest |  |  |  |  |  |  |  |  |  |  |  | 35.00% |  |  |  |  |  |  |  |
Minimum | Property and equipment, net |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PP&E useful life |  |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |  |  |  |  |  |
Minimum | Leasehold improvements |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PP&E useful life |  |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |  |  |  |  |  |
Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Share-based payment award, award vesting period |  |  |  |  |  |  |  |  |  |  |  | 5 years |  |  |  |  |  |  |  |
Share-based payment award, expiration period |  |  |  |  |  |  |  |  |  |  |  | 10 years |  |  |  |  |  |  |  |
Maximum | Blue Shield |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stop loss policy claim amount | 1,000,000.0 |  |  |  |  |  |  |  |  |  |  | $ 1,000,000.0 |  |  |  |  |  |  |  |
Maximum | Dignity Health | Glendale Advanced Imaging | Joint Venture |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Economic interest |  |  |  |  |  |  |  |  |  |  |  | 55.00% |  |  |  |  |  |  |  |
Maximum | Property and equipment, net |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PP&E useful life |  |  |  |  |  |  |  |  |  |  |  | 15 years |  |  |  |  |  |  |  |
Maximum | Leasehold improvements |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PP&E useful life |  |  |  |  |  |  |  |  |  |  |  | 15 years |  |  |  |  |  |  |  |
Barclays |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total credit facilities outstanding | 0 |  |  |  |  |  |  |  |  |  |  | $ 0 | 28,000,000.0 |  |  |  |  |  |  |
SunTrust |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total credit facilities outstanding | 0 |  |  |  |  |  |  |  |  |  |  | 0 | 0 |  |  |  |  |  |  |
Software developed for internal use |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Capitalized software costs, gross | $ 6,400,000 |  |  |  |  |  |  |  |  |  |  | 6,400,000 |  |  |  |  |  |  |  |
Imaging On Call |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss on impairment |  |  |  |  |  |  |  |  |  |  |  |  | 3,900,000 |  |  |  |  |  |  |
Goodwill impairment |  |  |  |  |  |  |  |  |  |  |  |  | 3,800,000 |  |  |  |  |  |  |
Write off of the reporting unit trade name |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 |  |  |  |  |  |  |
Net service fee revenue |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Service fee revenue, net of contractual allowances and discounts |  |  |  |  |  |  |  |  |  |  |  | 1,028,236,000 | 868,741,000 | 810,623,000 |  |  |  |  |  |
Net service fee revenue | eRAD |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Service fee revenue, net of contractual allowances and discounts |  |  |  |  |  |  |  |  |  |  |  | 10,100,000 | 6,800,000 | 6,100,000 |  |  |  |  |  |
Investment Advisory, Management and Administrative Service |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Service fee revenue, net of contractual allowances and discounts |  |  |  |  |  |  |  |  |  |  |  | $ 11,400,000 | 13,800,000 | $ 13,100,000 |  |  |  |  |  |
Investment Advisory, Management and Administrative Service | Minimum | Property and equipment, net |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PP&E useful life |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |  |  |  |  |  |  |
Investment Advisory, Management and Administrative Service | Minimum | Leasehold improvements |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
PP&E useful life |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |  |  |  |  |  |  |
Restated Plan |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Shares authorized | shares | 14,000,000 |  |  |  |  |  |  |  |  |  |  | 14,000,000 |  |  |  |  |  |  |  |
Restated Plan | Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Share-based payment award, award vesting period |  |  |  |  |  |  |  |  |  |  |  | 3 years |  |  |  |  |  |  |  |
Share-based payment award, expiration period |  |  |  |  |  |  |  |  |  |  |  | 5 years |  |  |  |  |  |  |  |
Restated Plan | Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Share-based payment award, award vesting period |  |  |  |  |  |  |  |  |  |  |  | 5 years |  |  |  |  |  |  |  |
Share-based payment award, expiration period |  |  |  |  |  |  |  |  |  |  |  | 10 years |  |  |  |  |  |  |  |
US Attorneys Office For The Western District of New York |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss contingency accrual liability |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 2,300,000 |  |  |  |
Settled Litigation | US Attorneys Office For The Western District of New York |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Litigation settlement |  |  |  |  |  |  |  |  | $ 2,200,000 |  |  |  |  |  |  |  |  |  |  |
2016 Caps |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Interest rate caps premium liability | $ 5,300,000 |  |  |  |  |  |  |  |  |  |  | $ 5,300,000 |  |  |  |  |  |  |  |
2019 SWAPS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 500,000,000 |  |  |  |
2019 SWAPS | Interest Rate Swap |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 50,000,000 |  |  |  |
2019 SWAPS | Interest Rate Swap | LIBOR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1.96% |  |  |  |
2019 SWAPS | October 2023 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 50,000,000 |  |  |  |
2019 SWAPS | October 2025 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 200,000,000 |  |  |  |
2019 SWAPS1 | Interest Rate Swap |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Notional amounts |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 200,000,000 |  |  |  |
2019 SWAPS1 | Interest Rate Swap | LIBOR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2.05% |  |  |  |
Promissory note |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Convertible promissory note | $ 0 |  |  |  |  |  |  |  |  |  |  | $ 0 | $ 199,000 |  |  |  |  |  |  |
Promissory note | Turner Imaging |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Convertible promissory note |  |  |  | $ 143,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

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