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Bank Loan and Lines of Credit (Details) - USD ($) |  |  |  | 6 Months Ended |  |  |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Oct. 03, 2018 | Sep. 05, 2018 | Mar. 03, 2017 | Jun. 30, 2019 | May 31, 2019 | Apr. 17, 2019 | Apr. 16, 2019 | Dec. 31, 2018 | Sep. 01, 2018 | Aug. 31, 2018 | Jun. 14, 2018 | Dec. 31, 2010
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Restricted cash |  |  |  | $ 3,537,470 |  |  |  | $ 0 |  |  |  |
ICC | Bank Loan |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Face amount of debt |  |  |  |  |  |  |  |  |  |  |  | $ 4,600,000.0
Interest rate on debt |  |  |  |  |  |  |  | 5.50% |  |  |  |
Standby Letters of Credit | APC |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Maximum loan availability |  |  |  | $ 300,000 |  |  |  |  |  |  |  |
Term of facility |  |  |  | 1 year |  |  |  |  |  |  |  |
Preferred Bank | Line of Credit | NMM | NMM Business Loan Agreement |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Maximum loan availability |  |  |  |  |  |  |  |  | $ 27,000,000.0 | $ 20,000,000.0 | $ 20,000,000.0 |
interest rate at end of period |  |  |  | 5.625% |  |  |  | 5.625% |  |  |  |
Amount outstanding |  |  |  | $ 5,000,000 |  |  |  | $ 13,000,000 |  |  |  |
Amount available |  |  |  | $ 15,400,000 |  |  |  | $ 700,000 |  |  |  |
Preferred Bank | Line of Credit | NMM | NMM Line of Credit Agreement |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Maximum loan availability |  | $ 20,000,000.0 |  |  |  | $ 16,000,000.0 | $ 20,000,000.0 |  |  |  |  |
interest rate at end of period |  |  |  | 5.625% |  |  |  | 5.625% |  |  |  |
Amount available |  |  |  | $ 16,000,000 |  |  |  | $ 20,000,000 |  |  |  |
Term of converted loan |  | 5 years |  |  |  |  |  |  |  |  |  |
Term of facility |  | 5 years |  |  |  |  |  |  |  |  |  |
Preferred Bank | Line of Credit | APC | APC Business Loan Agreement |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Maximum loan availability |  |  |  |  |  | $ 40,000,000.0 | $ 10,000,000.0 |  |  |  | $ 10,000,000.0 |
interest rate at end of period |  |  |  | 5.625% |  |  |  | 5.625% |  |  |  |
Amount outstanding |  |  |  | $ 39,600,000 |  |  |  | $ 0 |  |  |  |
Amount available |  |  |  | 100,000 |  |  |  | $ 9,700,000 |  |  |  |
Amount drawn during period |  |  |  | $ 39,600,000 |  |  |  |  |  |  |  |
Preferred Bank | Standby Letters of Credit | APAACO |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Maximum loan availability | $ 6,600,000.0 |  | $ 6,700,000.0 |  |  |  |  |  |  |  |  |
Term of facility | 1 year |  | 1 year |  |  |  |  |  |  |  |  |
Period of notification of termination | 90 days |  | 90 days |  |  |  |  |  |  |  |  |
Prime Rate | Preferred Bank | Line of Credit | NMM | NMM Business Loan Agreement |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  |  | 0.125% |  |  |  |  |  |  |  |
Prime Rate | Preferred Bank | Line of Credit | NMM | NMM Line of Credit Agreement |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  |  | 0.125% |  |  |  |  |  |  |  |
Prime Rate | Preferred Bank | Line of Credit | APC | APC Business Loan Agreement |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Basis spread on variable rate |  |  |  | 0.125% |  |  |  |  |  |  |  |
Alpha Care Medical Group, Inc. | Standby Letters of Credit | APC and APC-LSMA |  |  |  |  |  |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Term of facility | 1 year |  |  |  |  |  |  |  |  |  |  |
Standby letters of credit assumed |  |  |  |  | $ 3,500,000 |  |  |  |  |  |  |

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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 The amount of financial liabilities assumed (as defined) which have been recognized as of the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 55 -Paragraph 37 -URI http://asc.fasb.org/extlink&oid=108330185&loc=d3e2207-128464 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=84161108&loc=d3e4845-128472 + Details
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- Definition Percentage points added to the reference rate to compute the variable rate on the debt instrument. + References No definition available. + 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 Period remaining on line of credit facility before it terminates, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + 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 cash restricted as to withdrawal or usage, classified as current. Cash includes, but is not limited to, currency on hand, demand deposits with banks or financial institutions, and other accounts with general characteristics of demand deposits. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=98513485&loc=SL98516268-108586 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(1)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section 45 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=82887183&loc=d3e6676-107765 + Details
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