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Mezzanine and Stockholders' Equity - Additional Information (Detail) - USD ($)	1 Months Ended		3 Months Ended
	Dec. 31, 2018	Dec. 18, 2018	Mar. 31, 2019	Mar. 31, 2018
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period			6,000	75,000
Stock Issued During Period, Shares, Merger			480,212
Treasury Stock, Common, Shares	1,850,603		1,944,054
Repurchase of common shares			$ 40,000	$ 0
Share based Compensation Arrangement By Share based Payment Award Cashless Options Exercises In Period			54,536
Share based Compensation Arrangement By Share based Payment Award Cashless Options Exercises In Period Net			43,201
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price			$ 4.50
Share based Compensation Arrangement By Share based Payment Award Warrants Exercises In Period			11,516
Warrant Issued During Period Value Stock Options Exercised			$ 100,000
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross			45,000
Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price				$ 2.10
Share based Compensation Arrangement By Share based Payment Award Warrant Exercisable Weighted Average Exercise Price			9.00
Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price				$ 10.00
Share based Compensation Arrangement By Share based Payment Award Warrant Exercisable Weighted Average Exercise Price			11.00
Allied Pacific of California [Member]
Treasury Stock, Common, Shares	1,682,110		1,775,561
Repurchase of common shares		$ 1,700,000
Stock Repurchased and Retired During Period, Shares		1,662,571
Stock Compensation Plan [Member]
Share based Compensation Arrangement By Share based Payment Award Options Grant Weighted Average Remaining Contractual Term			6 months
Restricted Stock Units (RSUs) [Member]
Share-based Compensation			$ 100,000
APC Stock Option [Member]
Stock Issued During Period, Value, Stock Options Exercised			27,000	$ 500,000
APC Common Stock [Member]
Payments of Ordinary Dividends, Common Stock			10,000,000	$ 2,000,000
APCN share Holder [Member]
Treasury Stock, Shares, Acquired	168,493
Network Medical Management, Inc 'NMM' [Member] | Stock Compensation Plan [Member]
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized			$ 400,000
Holdback Shares [Member]
Treasury Stock, Common, Shares			93,451

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