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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- Definition

Debt Instrument, Covenant, Interest Coverage Ratio, Minimum

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- Definition

Debt Instrument, Covenant, Leverage Ratio, Incremental Change

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Debt Instrument, Covenant, Leverage Ratio, Maximum

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- Definition

Debt Instrument, Covenant, Leverage Ratio, Minimum

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- Definition

Line Of Credit Facility, Expiration Period, Period Of Notification

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- Definition

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

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No definition available.

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- Definition

Amount of amortization expense attributable to debt issuance costs.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 28
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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.

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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.

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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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- Definition

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

+ References

No definition available.

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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.

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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.

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No definition available.

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- Definition

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

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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.

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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).

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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 - Related Party - Additional Information (Detail)						12 Months Ended
	Sep. 11, 2019 USD ($)	Oct. 03, 2018	Oct. 02, 2018 USD ($)	Sep. 05, 2018 USD ($)	Mar. 03, 2017 USD ($)	Dec. 31, 2019 USD ($)	Dec. 31, 2018	Dec. 31, 2017	Sep. 10, 2019 USD ($)	Aug. 14, 2019 USD ($)	Aug. 01, 2019 USD ($)	Jul. 29, 2019 USD ($)	Jun. 30, 2019 USD ($)	Jun. 11, 2019 USD ($)	Apr. 17, 2019 USD ($)	Sep. 01, 2018 USD ($)	Jun. 14, 2018 USD ($)	Dec. 31, 2010 USD ($)
Debt Instrument [Line Items]
Long-term line of credit						$ 247,625,000
AP-AMH \| Affiliated Entity
Debt Instrument [Line Items]
Amount of loan	$ 545,000,000
Revolver Loan
Debt Instrument [Line Items]
Long-term line of credit						60,000,000
Term loan A
Debt Instrument [Line Items]
Long-term line of credit						187,625,000
Standby Letters of Credit \| APC
Debt Instrument [Line Items]
Maximum loan availability						$ 300,000
Term of facility						1 year
Standby Letters of Credit \| APAACO \| Preferred Bank
Debt Instrument [Line Items]
Maximum loan availability			$ 6,600,000		$ 6,700,000					$ 14,800,000
Term of facility		1 year			1 year
Expiration period, period of notification			90 days		90 days
Standby Letters of Credit \| Alpha Care \| Preferred Bank
Debt Instrument [Line Items]
Maximum loan availability						$ 3,800,000
Term of facility						1 year
Credit Agreement
Debt Instrument [Line Items]
Maximum consolidated leverage ratio						3.75
Consolidated leverage ratio, annual change						0.25
Consolidated leverage ratio						3
Minimum consolidated interest coverage ratio						3.25
Default amount of debt instrument	10,000,000.0
Interest rate during period						3.39%	4.72%	2.27%
Credit Agreement \| Minimum
Debt Instrument [Line Items]
Required annual facility fee						0.20%
Credit Agreement \| Minimum \| Network Medical Management
Debt Instrument [Line Items]
Basis spread on variable rate						1.00%
Credit Agreement \| Minimum \| Network Medical Management \| LIBOR
Debt Instrument [Line Items]
Basis spread on variable rate						2.00%
Credit Agreement \| Maximum
Debt Instrument [Line Items]
Required annual facility fee						0.35%
Credit Agreement \| Maximum \| Network Medical Management
Debt Instrument [Line Items]
Basis spread on variable rate						2.00%
Credit Agreement \| Maximum \| Network Medical Management \| LIBOR
Debt Instrument [Line Items]
Basis spread on variable rate						3.00%
Credit Agreement \| Payment Period One
Debt Instrument [Line Items]
Principal payment on credit agreement	2,400,000
Credit Agreement \| Payment Period Two
Debt Instrument [Line Items]
Principal payment on credit agreement	3,600,000
Credit Agreement \| Payment Period Three
Debt Instrument [Line Items]
Principal payment on credit agreement	$ 4,800,000
Credit Agreement \| Revolver Loan
Debt Instrument [Line Items]
Revolving credit facility term	5 years
Maximum loan availability						$ 60,000,000
Deferred financing costs	$ 6,400,000
Amortization deferred financing costs						500,000
Credit Agreement \| Revolver Loan \| Preferred Bank
Debt Instrument [Line Items]
Outstanding letters of credit						14,800,000
Credit Agreement \| Revolver Loan \| Line of Credit
Debt Instrument [Line Items]
Maximum loan availability	100,000,000
Available borrowing capacity						$ 25,200,000
Interest rate at end of period						4.54%
Credit Agreement \| Letter of Credit \| Line of Credit
Debt Instrument [Line Items]
Maximum loan availability	25,000,000
Credit Agreement \| Term loan A \| Line of Credit
Debt Instrument [Line Items]
Maximum loan availability	$ 190,000,000
Credit Agreement \| Standby Letters of Credit \| Minimum \| Network Medical Management
Debt Instrument [Line Items]
Required annual facility fee						2.00%
Credit Agreement \| Standby Letters of Credit \| Maximum \| Network Medical Management
Debt Instrument [Line Items]
Required annual facility fee						3.00%
NMM Line Of Credit Agreement
Debt Instrument [Line Items]
Default amount of debt instrument						$ 50,000,000.0
Shareholder approval percentage						50.01%
Approved use of funds						$ 125,000,000.0
NMM Line Of Credit Agreement \| Line of Credit \| Network Medical Management \| Preferred Bank
Debt Instrument [Line Items]
Maximum loan availability				$ 20,000,000								$ 2,200,000			$ 16,000,000
Interest rate at end of period						4.875%
Term of converted loan				5 years
Term of facility				5 years
NMM Line Of Credit Agreement \| Line of Credit \| Network Medical Management \| Prime Rate \| Preferred Bank
Debt Instrument [Line Items]
Basis spread on variable rate						0.125%
Bank Loan \| ICC
Debt Instrument [Line Items]
Face amount of debt																		$ 4,600,000
Interest rate on debt							5.50%
NMM Business Loan Agreement \| Revolver Loan \| Network Medical Management \| Preferred Bank
Debt Instrument [Line Items]
Outstanding letters of credit						$ 10,200,000
NMM Business Loan Agreement \| Line of Credit \| Network Medical Management \| Preferred Bank
Debt Instrument [Line Items]
Maximum loan availability																$ 27,000,000	$ 20,000,000
Interest rate at end of period							5.625%
Long-term line of credit													$ 5,000,000
NMM Business Loan Agreement \| Line of Credit \| Network Medical Management \| Prime Rate \| Preferred Bank
Debt Instrument [Line Items]
Basis spread on variable rate							0.125%
APC Business Loan Agreement \| Line of Credit \| APC \| Preferred Bank
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						4.875%	5.625%
APC Business Loan Agreement \| Line of Credit \| APC \| Prime Rate \| Preferred Bank
Debt Instrument [Line Items]
Basis spread on variable rate						0.125%