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Bank Loan, Lines of Credit and Loan Payable - Additional Information (Detail) - USD ($) |  |  | 12 Months Ended |  |  |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Oct. 03, 2018 | Mar. 03, 2017 | Dec. 31, 2018 | Sep. 21, 2018 | Sep. 05, 2018 | Sep. 01, 2018 | Jun. 27, 2018 | Jun. 14, 2018 | Dec. 31, 2017 | Oct. 31, 2017 | Dec. 31, 2010
Short-term Bank Loans and Notes Payable |  |  | $ 40,257 |  |  |  |  |  | $ 510,391 |  |
Line of Credit Facility, Maximum Borrowing Capacity |  | $ 6,700,000 |  |  |  |  |  |  |  |  |
Long-term Line of Credit |  |  | $ 5,000,000 |  |  |  |  |  |  |  |
Line of Credit Facility, Description | The letter of credit expires on December 31, 2019 and is deemed 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. | The letter of credit expired on December 31, 2018 and is deemed 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. |  |  |  |  |  |  |  |  |
ICC [Member] |  |  |  |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  |  |  |  |  |  |  |  |  |  | $ 4,600,000
Debt Instrument, Interest Rate, Stated Percentage |  |  | 5.50% |  |  |  |  |  | 4.50% |  |
Short-term Bank Loans and Notes Payable |  |  | $ 40,257 |  |  |  |  |  | $ 510,391 |  |
APC [Member] |  |  |  |  |  |  |  |  |  |  |
Long-term Line of Credit |  |  |  | $ 5,000,000 |  |  |  |  |  | $ 5,000,000 |
APC [Member] | Standby Letters of Credit [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  | $ 300,000 |  |  |  |  |  |  |  |
NMM Business Loan Agreement [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  |  |  |  |  |  | $ 20,000,000 |  |  |
Line of Credit Facility, Interest Rate at Period End |  |  | 5.625% |  |  |  |  |  | 4.625% |  |
Line of Credit Facility, Expiration Date |  |  | Jun. 22, 2020 |  |  |  |  |  |  |  |
Long-term Line of Credit |  |  | $ 13,000,000 | $ 5,000,000 |  |  | $ 8,000,000 |  | $ 5,000,000 |  |
Line of Credit Facility, Remaining Borrowing Capacity |  |  | $ 700,000 |  |  |  |  |  | $ 8,300,000 |  |
Line of Credit Facility, Description |  |  | prime rate plus 0.125% |  |  |  |  |  |  |  |
Line of Credit Facility, Guarantee Given by Related Parties |  |  | $ 5.0 |  |  |  |  |  |  |  |
NMM Business Loan Agreement [Member] | Minimum [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  |  |  |  | $ 20,000,000 |  |  |  |  |
NMM Business Loan Agreement [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  |  |  |  | $ 27,000,000 |  |  |  |  |
APC Business Loan Agreement [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  |  |  |  |  |  | $ 10,000,000 |  |  |
Line of Credit Facility, Interest Rate at Period End |  |  | 5.625% |  |  |  |  |  | 4.625% |  |
Line of Credit Facility, Remaining Borrowing Capacity |  |  | $ 9,700,000 |  |  |  |  |  | $ 9,700,000 |  |
Line of Credit Facility, Description |  |  | prime rate plus 0.125% |  |  |  |  |  |  |  |
APAACO [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity | $ 6,600,000 |  |  |  |  |  |  |  |  |  |
APAACO [Member] | Standby Letters of Credit [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Expiration Date |  |  | Dec. 31, 2018 |  |  |  |  |  |  |  |
Net work Medical Management [Member] |  |  |  |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  |  |  | $ 20,000,000 |  |  |  |  |  |
Line of Credit Facility, Interest Rate at Period End |  |  | 5.625% |  |  |  |  |  |  |  |
Line of Credit Facility, Remaining Borrowing Capacity |  |  | $ 20,000,000 |  |  |  |  |  |  |  |
Line of Credit Facility, Description |  |  | prime rate plus 0.125% |  |  |  |  |  |  |  |

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- Definition The amount of guarantee given by related parties for line of credit facility. + References No definition available. + Details
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- Definition Face (par) amount of debt instrument at time of issuance. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28551-108399 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 55 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=114775985&loc=d3e28878-108400 + Details
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- Definition Contractual interest rate for funds borrowed, under the debt agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22(a)(1)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(16)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 + Details
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- Definition Description of the terms of a credit facility arrangement. Terms typically include interest rate, collateral required, guarantees required, repayment requirements, and restrictions on use of assets and activities of the entity. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Date the credit facility terminates, in CCYY-MM-DD format. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition The effective interest rate at the end of the reporting period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Maximum borrowing capacity under the credit facility without consideration of any current restrictions on the amount that could be borrowed or the amounts currently outstanding under the facility. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Amount of borrowing capacity currently available under the credit facility (current borrowing capacity less the amount of borrowings outstanding). + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19(b),22(b)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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