Quarterly report pursuant to Section 13 or 15(d)

Credit Facility, Bank Loans and Lines of Credit - Additional Information (Details)

v3.21.2
Credit Facility, Bank Loans and Lines of Credit - Additional Information (Details)
1 Months Ended 3 Months Ended 5 Months Ended 9 Months Ended 11 Months Ended
Jun. 16, 2021
USD ($)
Aug. 05, 2020
Jul. 03, 2020
Sep. 30, 2019
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Sep. 30, 2021
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financial_ratio
Sep. 30, 2020
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Dec. 31, 2020
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Sep. 30, 2021
USD ($)
financial_ratio
Sep. 30, 2020
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Dec. 01, 2023
Jun. 30, 2021
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Apr. 30, 2021
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Aug. 31, 2020
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Sep. 10, 2019
USD ($)
Debt Instrument [Line Items]                            
Unamortized financing costs         $ 4,504,000   $ 4,605,000 $ 4,504,000            
Interest expense         967,000 $ 2,466,000   4,343,000 $ 8,007,000          
APC | Medical Property Partners LLC                            
Debt Instrument [Line Items]                            
Asset acquisition, percentage of shares acquired             100.00%              
APC | AMG Properties LLC                            
Debt Instrument [Line Items]                            
Asset acquisition, percentage of shares acquired             100.00%              
APC | ZLL Partners LLC                            
Debt Instrument [Line Items]                            
Asset acquisition, percentage of shares acquired             100.00%              
Medical Property Partners LLC                            
Debt Instrument [Line Items]                            
Debt, principal sum             $ 6,400,000              
Long-term debt, net of current portion and deferred financing costs         6,100,000     6,100,000            
Debt instrument, covenant, debt coverage ratio, minimum     1.25                      
Medical Property Partners LLC | Prime Rate                            
Debt Instrument [Line Items]                            
Basis spread on variable rate     (0.50%)                      
AMG Properties LLC                            
Debt Instrument [Line Items]                            
Debt, principal sum             700,000              
Long-term debt, net of current portion and deferred financing costs         700,000     700,000            
Debt instrument, covenant, debt coverage ratio, minimum   1.25                        
AMG Properties LLC | Prime Rate                            
Debt Instrument [Line Items]                            
Basis spread on variable rate   (0.30%)                        
ZLL Partners LLC                            
Debt Instrument [Line Items]                            
Debt, principal sum             $ 700,000              
Long-term debt, net of current portion and deferred financing costs         $ 600,000     $ 600,000            
Debt instrument, covenant, debt coverage ratio, minimum             1.25              
ZLL Partners LLC | Prime Rate                            
Debt Instrument [Line Items]                            
Basis spread on variable rate             (0.50%)              
Credit Agreement                            
Debt Instrument [Line Items]                            
Number of key financial ratios | financial_ratio         2     2            
Maximum consolidated leverage ratio (not greater than)         0.0375     0.0375            
Minimum consolidated interest coverage ratio (not less than)               0.0325            
Average effective interest rate               2.15% 3.79%          
Interest expense         $ 200,000 $ 900,000   $ 300,000 $ 1,000,000          
Credit Agreement | Minimum                            
Debt Instrument [Line Items]                            
Basis spread on variable rate       1.00%                    
Credit Agreement | Minimum | London Interbank Offered Rate (LIBOR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate       2.00%                    
Credit Agreement | Maximum                            
Debt Instrument [Line Items]                            
Basis spread on variable rate       2.00%                    
Credit Agreement | Maximum | London Interbank Offered Rate (LIBOR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate       3.00%                    
Amended Credit Agreement                            
Debt Instrument [Line Items]                            
Annual agent fee $ 50,000                          
Amended Credit Agreement | Minimum                            
Debt Instrument [Line Items]                            
Basis spread on variable rate 0.25%                          
Required annual facility fee 0.175%                          
Amended Credit Agreement | Minimum | London Interbank Offered Rate (LIBOR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate 1.25%                          
Amended Credit Agreement | Maximum                            
Debt Instrument [Line Items]                            
Basis spread on variable rate 1.50%                          
Required annual facility fee 0.35%                          
Amended Credit Agreement | Maximum | London Interbank Offered Rate (LIBOR)                            
Debt Instrument [Line Items]                            
Basis spread on variable rate 2.50%                          
Construction Loan | Tag-8 Medical Investment Group, LLC                            
Debt Instrument [Line Items]                            
Debt, principal sum                       $ 10,700,000    
Long-term debt, net of current portion and deferred financing costs         $ 100,000     $ 100,000            
Debt instrument, covenant, cash flow coverage ratio, minimum         1.25     1.25            
Construction Loan | Tag-8 Medical Investment Group, LLC | London Interbank Offered Rate (LIBOR) | Forecast                            
Debt Instrument [Line Items]                            
Basis spread on variable rate                   2.00%        
Revolver Loan | Credit Agreement                            
Debt Instrument [Line Items]                            
Revolving credit facility term       5 years                    
Deferred financing costs       $ 6,500,000                    
Revolver Loan | Credit Agreement | Line of Credit                            
Debt Instrument [Line Items]                            
Maximum loan availability       100,000,000                    
Revolver Loan | Amended Credit Agreement                            
Debt Instrument [Line Items]                            
Revolving credit facility term 5 years                          
Interest rate         1.65%     1.65%            
Deferred financing costs                     $ 700,000      
Revolver Loan | Amended Credit Agreement | Preferred Bank                            
Debt Instrument [Line Items]                            
Amount outstanding         $ 0     $ 0            
Revolver Loan | Amended Credit Agreement | Line of Credit                            
Debt Instrument [Line Items]                            
Maximum loan availability $ 400,000,000                          
Line of Credit | APC Business Loan Agreement | APC | Preferred Bank                            
Debt Instrument [Line Items]                            
Maximum loan availability                           $ 4,100,000
Term Loan A | Credit Agreement | Line of Credit                            
Debt Instrument [Line Items]                            
Maximum loan availability       190,000,000                    
Letter of Credit | Credit Agreement | Line of Credit                            
Debt Instrument [Line Items]                            
Maximum loan availability       $ 25,000,000                    
Letter of Credit | Amended Credit Agreement | Preferred Bank                            
Debt Instrument [Line Items]                            
Amount available         25,000,000     25,000,000            
Letter of Credit | Amended Credit Agreement | Line of Credit                            
Debt Instrument [Line Items]                            
Maximum loan availability 25,000,000                          
Bridge Loan | Amended Credit Agreement | Line of Credit                            
Debt Instrument [Line Items]                            
Maximum loan availability $ 25,000,000                          
Standby Letters of Credit | APC                            
Debt Instrument [Line Items]                            
Maximum loan availability         300,000     $ 300,000            
Term of facility               1 year            
Standby Letters of Credit | APAACO | Preferred Bank                            
Debt Instrument [Line Items]                            
Maximum loan availability         14,800,000     $ 14,800,000         $ 14,800,000  
Standby Letters of Credit | Alpha Care Medical Group, Inc. | Preferred Bank                            
Debt Instrument [Line Items]                            
Maximum loan availability         $ 3,800,000     $ 3,800,000            
Term of facility               1 year            
Standby Letters of Credit | Amended Credit Agreement | Minimum                            
Debt Instrument [Line Items]                            
Required annual facility fee 1.25%                          
Standby Letters of Credit | Amended Credit Agreement | Maximum                            
Debt Instrument [Line Items]                            
Required annual facility fee 2.50%