Debt Instrument, Approval Threshold Of Shareholders For Use Of Funds, Percentage

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- Definition

Debt Instrument, Approved Threshold Use Of Funds

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No definition available.

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- Definition

Debt Instrument, Covenant, Interest Coverage Ratio, Minimum

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- Definition

Debt Instrument, Covenant, Leverage Ratio, Incremental Change

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- Definition

Debt Instrument, Covenant, Leverage Ratio, Maximum

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- Definition

Debt Instrument, Covenant, Leverage Ratio, Minimum

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No definition available.

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- Definition

Line Of Credit Facility, Expiration Period, Period Of Notification

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No definition available.

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- Definition

The amount of guarantee given by related parties for line of credit facility.

+ References

No definition available.

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- Definition

Amount of outstanding long-term debt or borrowing associated with any securities or credit agreement for which there has been a default in principal, interest, sinking fund, or redemption provisions, or any breach of covenant that existed at the end of the period and subsequently has not been cured.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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-Name Accounting Standards Codification
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-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(c))
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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.

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- Definition

Face (par) amount of debt instrument at time of issuance.

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- Definition

The average effective interest rate during the reporting period.

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- Definition

Contractual interest rate for funds borrowed, under the debt agreement.

+ References

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

+ References

No definition available.

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- Definition

Period of time between issuance and maturity of debt instrument, 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

Amount, after accumulated amortization, of debt issuance costs related to line of credit arrangements. Includes, but is not limited to, legal, accounting, underwriting, printing, and registration costs.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition

The total amount of the contingent obligation under letters of credit outstanding as of the reporting date.

+ References

No definition available.

+ 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.

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- Definition

The fee, expressed as a percentage of the line of credit facility, for the line of credit facility regardless of whether the facility has been used.

+ References

No definition available.

+ 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.

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- Definition

The effective interest rate at the end of the reporting period.

+ References

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- Definition

Maximum amount borrowed under the credit facility at any time during the period.

+ References

No definition available.

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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

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- Definition

Amount of the required periodic payment applied to principal.

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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

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- Definition

Net amount of the investment in a contractual right to receive money on demand or on fixed or determinable dates that is recognized as an asset in the creditor's statement of financial position. Examples include, but are not limited to, credit card receivables, notes receivable and receivables relating to lessor's rights to payments from leases other than operating leases that have been recorded as assets. Excludes trade accounts receivable with contractual maturity of one year or less and arose from the sale of goods or services.

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Credit Facility, Bank Loan and Lines of Credit - Additional Information (Details)					1 Months Ended	3 Months Ended	9 Months Ended
	Sep. 11, 2019 USD ($)	Oct. 03, 2018 USD ($)	Sep. 05, 2018 USD ($)	Mar. 03, 2017 USD ($)	May 31, 2019 USD ($)	Sep. 30, 2019 USD ($)	Sep. 30, 2019 USD ($)	Sep. 10, 2019 USD ($)	Aug. 14, 2019 USD ($)	Aug. 01, 2019 USD ($)	Jul. 29, 2019 USD ($)	Jun. 30, 2019 USD ($)	Jun. 11, 2019 USD ($)	Apr. 17, 2019 USD ($)	Dec. 31, 2018 USD ($)	Sep. 01, 2018 USD ($)	Jun. 14, 2018 USD ($)	Dec. 31, 2010 USD ($)
Debt Instrument [Line Items]
Amount outstanding						$ 250,000,000	$ 250,000,000
Credit Agreement
Debt Instrument [Line Items]
Maximum consolidated leverage ratio						0.0375	0.0375
Consolidated leverage ratio, annual change						0.0025	0.0025
Consolidated leverage ratio						0.0300	0.0300
Minimum consolidated interest coverage ratio							0.0325
Default amount of debt instrument	$ 10,000,000
Interest rate during period						1.02%	0.56%
NMM Line of Credit Agreement
Debt Instrument [Line Items]
Default amount of debt instrument						$ 50,000,000	$ 50,000,000
Approved use of funds						125,000,000	$ 125,000,000
Shareholder approval percentage							50.01%
ICC \| Bank Loan
Debt Instrument [Line Items]
Face amount of debt																		$ 4,600,000.0
Interest rate on debt															5.50%
Revolver loan
Debt Instrument [Line Items]
Amount outstanding						60,000,000	$ 60,000,000
Revolver loan \| Credit Agreement
Debt Instrument [Line Items]
Revolving credit facility term	5 years
Maximum loan availability						60,000,000	60,000,000
Deferred financing costs	$ 6,400,000
Revolver loan \| NMM \| NMM Business Loan Agreement
Debt Instrument [Line Items]
Letters of credit outstanding						10,200,000	10,200,000
Letter of Credit \| NMM \| NMM Business Loan Agreement
Debt Instrument [Line Items]
Letters of credit outstanding						14,800,000	14,800,000
Term loan A
Debt Instrument [Line Items]
Amount outstanding						190,000,000	190,000,000
Standby Letters of Credit \| APC
Debt Instrument [Line Items]
Maximum loan availability						305,016	$ 305,016
Term of facility							1 year
Standby Letters of Credit \| APC and APC-LSMA
Debt Instrument [Line Items]
Maximum loan availability						$ 3,800,000.0	$ 3,800,000.0
Preferred Bank \| Line of Credit \| NMM \| NMM Line of Credit Agreement
Debt Instrument [Line Items]
Maximum loan availability			$ 20,000,000								$ 2,200,000			$ 16,000,000
interest rate at end of period						5.125%	5.125%								5.625%
Term of converted loan			5 years
Term of facility			5 years
Preferred Bank \| Line of Credit \| NMM \| NMM Business Loan Agreement
Debt Instrument [Line Items]
Maximum loan availability																$ 27,000,000	$ 20,000,000
interest rate at end of period						5.125%	5.125%								5.625%
Amount outstanding												$ 5,000,000
Preferred Bank \| Line of Credit \| APC \| APC Business Loan Agreement
Debt Instrument [Line Items]
Maximum loan availability								$ 4,105,016		$ 43,800,000			$ 40,000,000				$ 10,000,000
interest rate at end of period						5.125%	5.125%								5.625%
Amount drawn during period					$ 39,600,000
Amount outstanding						$ 0	$ 0								$ 0
Amount available						$ 0	$ 0								$ 9,700,000
Preferred Bank \| Standby Letters of Credit \| APAACO
Debt Instrument [Line Items]
Maximum loan availability		$ 6,601,612.57		$ 6,699,328.68					$ 14,843,767.57
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 Line of Credit Agreement
Debt Instrument [Line Items]
Basis spread on variable rate							0.125%
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 \| APC \| APC Business Loan Agreement
Debt Instrument [Line Items]
Basis spread on variable rate							0.125%
AP-AMH Medical Corporation \| Affiliated Entity
Debt Instrument [Line Items]
Amount of loan	545,000,000
Minimum \| Credit Agreement
Debt Instrument [Line Items]
Required annual facility fee							0.20%
Minimum \| NMM \| Credit Agreement
Debt Instrument [Line Items]
Basis spread on variable rate							1.00%
Minimum \| Standby Letters of Credit \| NMM \| Credit Agreement
Debt Instrument [Line Items]
Required annual facility fee							2.00%
Minimum \| London Interbank Offered Rate (LIBOR) \| NMM \| Credit Agreement
Debt Instrument [Line Items]
Basis spread on variable rate							2.00%
Maximum \| Credit Agreement
Debt Instrument [Line Items]
Required annual facility fee							0.35%
Maximum \| NMM \| Credit Agreement
Debt Instrument [Line Items]
Basis spread on variable rate							2.00%
Maximum \| Standby Letters of Credit \| NMM \| Credit Agreement
Debt Instrument [Line Items]
Required annual facility fee							3.00%
Maximum \| London Interbank Offered Rate (LIBOR) \| NMM \| Credit Agreement
Debt Instrument [Line Items]
Basis spread on variable rate							3.00%
Line of Credit \| Revolver loan \| Credit Agreement
Debt Instrument [Line Items]
Maximum loan availability	100,000,000
Line of Credit \| Letter of Credit \| Credit Agreement
Debt Instrument [Line Items]
Maximum loan availability	25,000,000
Line of Credit \| Term loan A \| Credit Agreement
Debt Instrument [Line Items]
Maximum loan availability	190,000,000
Payment Period One \| Credit Agreement
Debt Instrument [Line Items]
Principal payment on Credit Agreement	2,400,000
Payment Period Two \| Credit Agreement
Debt Instrument [Line Items]
Principal payment on Credit Agreement	3,600,000
Payment Period Three \| Credit Agreement
Debt Instrument [Line Items]
Principal payment on Credit Agreement	$ 4,800,000
Alpha Care Medical Group, Inc. \| Standby Letters of Credit \| APC and APC-LSMA
Debt Instrument [Line Items]
Term of facility							1 year