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Debt - 2017 Credit Facility (Details) - USD ($)
1 Months Ended 12 Months Ended
May 05, 2017
May 31, 2017
Dec. 31, 2019
Dec. 31, 2018
Long-term debt        
Long-term debt     $ 293,859,000 $ 141,347,000
Current portion of long-term debt     20,000,000 $ 11,667,000
MidCap Financial Trust        
Long-term debt        
Line of credit facility, maximum borrowing capacity   $ 60,000,000.0    
Proceeds from lines of credit $ 40,000,000.0      
Additional capacity available   20,000,000.0    
Debt issuance costs, line of credit arrangements   $ 400,000    
Repayments of debt     11,700,000  
Interest payment period   24 months    
Net carrying amount     28,300,000  
Long-term debt     20,000,000.0  
Current portion of long-term debt     $ 8,300,000  
MidCap Financial Trust | LIBOR        
Long-term debt        
Floor interest rate   1.00%    
Basis spread on variable rate   6.15%