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Asset acquisitions - Additional Information (Detail)
3 Months Ended 12 Months Ended
Nov. 01, 2019
USD ($)
Aug. 31, 2019
USD ($)
Apr. 03, 2019
USD ($)
Sep. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Acquisition
Dec. 31, 2018
USD ($)
Acquisition
Oct. 30, 2019
Aug. 30, 2019
Apr. 02, 2019
Business Acquisition [Line Items]                  
Number of asset acquisitions completed | Acquisition         5 5      
Asset acquired control, description         The Company has obtained control over the acquired assets via the Company’s majority ownership in the shares of the entities and its agreements with the non-controlling interest shareholders.        
Ownership interest acquired         100.00%        
Business combination loan contribution description         For those asset acquisitions where CRH ownership interest is less than 100%, in conjunction with the acquisition, both the Company and the non-controlling interest shareholder contributed loans. The terms of the loans are such that they will be repaid first, prior to any future distributions and are non-interest bearing.        
Total cash consideration         $ 15,052,058 $ 27,509,811      
Deferred asset acquisition costs         59,249 $ 116,025      
Purchase adjustment relating to anesthesia service providers acquired in prior periods         4,366,000        
Gain from equity investments         $ 1,766,968        
Arapahoe [Member]                  
Business Acquisition [Line Items]                  
Ownership interest acquired     49.00%           51.00%
Total cash consideration     $ 2,300,000            
Percentage of working capital paid for acquisition of remaining ownership interest     49.00%            
Deferred asset acquisition costs     $ 26,086            
CCAA [Member]                  
Business Acquisition [Line Items]                  
Ownership interest acquired   49.00%           51.00%  
Total cash consideration   $ 7,000,000              
Percentage of working capital paid for acquisition of remaining ownership interest   49.00%              
Deferred asset acquisition costs   $ 18,658              
Lake Washington Anesthesia LLC [Member]                  
Business Acquisition [Line Items]                  
Purchase adjustment relating to anesthesia service providers acquired in prior periods       $ 4,366,000          
TSA [Member]                  
Business Acquisition [Line Items]                  
Options to acquire additional interest percent 36.00%                
Percentage of equity interest             15.00%    
Gain from equity investments $ 1,318,769