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Asset acquisitions - Summary of Fair Value of Consideration Transferred and Allocated Costs of Assets and Liabilities Acquired at Acquisition Date (Detail) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Assets and liabilities acquired:    
CRH ownership interest 100.00%  
Anesthesia Services [Member]    
Business Acquisition [Line Items]    
Cash $ 15,032,311 $ 27,193,148
Acquisition costs 251,469 316,663
Deferred consideration 627,645  
Pre-transaction equity interest 1,595,275  
Purchase consideration 17,506,700 27,509,811
Non-controlling interest 11,419,673 13,241,061
Fair value of net identifiable assets and liabilities acquired 28,926,373 40,750,872
Assets and liabilities acquired:    
Exclusive professional services agreements 27,182,915 40,646,723
Cash 115,397  
Accounts receivable 1,950,219  
Prepaid expenses and deposits 1,518 104,149
Trade payables and other accruals (323,676)  
Pre-close accounts receivable 50,000 652,506
Pre-close accounts payable (50,000) (652,506)
Fair value of net identifiable assets and liabilities acquired 28,926,373 40,750,872
Anesthesia Services [Member] | ACA [Member]    
Business Acquisition [Line Items]    
Cash 5,239,003  
Acquisition costs 116,025  
Purchase consideration 5,355,028  
Fair value of net identifiable assets and liabilities acquired 5,355,028  
Assets and liabilities acquired:    
Exclusive professional services agreements 5,355,028  
Pre-close accounts receivable 50,000  
Pre-close accounts payable (50,000)  
Fair value of net identifiable assets and liabilities acquired $ 5,355,028  
Exclusive professional services agreements – amortization term 6 years  
CRH ownership interest 100.00%  
Anesthesia Services [Member] | SMAA [Member]    
Business Acquisition [Line Items]    
Cash $ 1,752,465  
Acquisition costs 38,966  
Purchase consideration 1,791,431  
Non-controlling interest 1,465,716  
Fair value of net identifiable assets and liabilities acquired 3,257,147  
Assets and liabilities acquired:    
Exclusive professional services agreements 3,257,147  
Fair value of net identifiable assets and liabilities acquired $ 3,257,147  
Exclusive professional services agreements – amortization term 5 years  
CRH ownership interest 55.00%  
Anesthesia Services [Member] | CRAA [Member]    
Business Acquisition [Line Items]    
Cash $ 2,130,000  
Acquisition costs 44,003  
Purchase consideration 2,174,003  
Non-controlling interest 2,088,748  
Fair value of net identifiable assets and liabilities acquired 4,262,751  
Assets and liabilities acquired:    
Exclusive professional services agreements 4,262,751  
Fair value of net identifiable assets and liabilities acquired $ 4,262,751  
Exclusive professional services agreements – amortization term 5 years  
CRH ownership interest 51.00%  
Anesthesia Services [Member] | TSA [Member]    
Business Acquisition [Line Items]    
Cash $ 3,185,843  
Acquisition costs 15,173  
Deferred consideration 627,645  
Pre-transaction equity interest 1,595,275  
Purchase consideration 5,423,936  
Non-controlling interest 5,211,233  
Fair value of net identifiable assets and liabilities acquired 10,635,169  
Assets and liabilities acquired:    
Exclusive professional services agreements 8,891,711  
Cash 115,397  
Accounts receivable 1,950,219  
Prepaid expenses and deposits 1,518  
Trade payables and other accruals (323,676)  
Fair value of net identifiable assets and liabilities acquired $ 10,635,169  
Exclusive professional services agreements – amortization term 5 years  
CRH ownership interest 51.00%  
Anesthesia Services [Member] | FPAA [Member]    
Business Acquisition [Line Items]    
Cash $ 2,725,000  
Acquisition costs 37,302  
Purchase consideration 2,762,302  
Non-controlling interest 2,653,976  
Fair value of net identifiable assets and liabilities acquired 5,416,278  
Assets and liabilities acquired:    
Exclusive professional services agreements 5,416,278  
Fair value of net identifiable assets and liabilities acquired $ 5,416,278  
Exclusive professional services agreements – amortization term 5 years  
CRH ownership interest 51.00%  
Anesthesia Services [Member] | Shreveport Sedation Associates LLC [Member]    
Business Acquisition [Line Items]    
Cash   9,404,148
Acquisition costs   91,036
Purchase consideration   9,495,184
Non-controlling interest   0
Fair value of net identifiable assets and liabilities acquired   9,495,184
Assets and liabilities acquired:    
Exclusive professional services agreements   9,391,036
Prepaid expenses and deposits   104,149
Pre-close accounts receivable   0
Pre-close accounts payable   0
Fair value of net identifiable assets and liabilities acquired   $ 9,495,185
Exclusive professional services agreements – amortization term   7 years
CRH ownership interest   100.00%
Anesthesia Services [Member] | Western Ohio Sedation Associates LLC [Member]    
Business Acquisition [Line Items]    
Cash   $ 6,409,000
Acquisition costs   74,698
Purchase consideration   6,483,698
Non-controlling interest   6,229,435
Fair value of net identifiable assets and liabilities acquired   12,713,133
Assets and liabilities acquired:    
Exclusive professional services agreements   12,713,133
Prepaid expenses and deposits   0
Pre-close accounts receivable   0
Pre-close accounts payable   0
Fair value of net identifiable assets and liabilities acquired   $ 12,713,133
Exclusive professional services agreements – amortization term   10 years
CRH ownership interest   51.00%
Anesthesia Services [Member] | Lake Washington Anesthesia LLC [Member]    
Business Acquisition [Line Items]    
Cash   $ 5,000,000
Acquisition costs   41,939
Purchase consideration   5,041,939
Non-controlling interest   4,844,217
Fair value of net identifiable assets and liabilities acquired   9,886,156
Assets and liabilities acquired:    
Exclusive professional services agreements   9,886,155
Prepaid expenses and deposits   0
Pre-close accounts receivable   652,506
Pre-close accounts payable   (652,506)
Fair value of net identifiable assets and liabilities acquired   $ 9,886,155
Exclusive professional services agreements – amortization term   7 years
CRH ownership interest   51.00%
Anesthesia Services [Member] | Lake Erie Sedation Associates LLC [Member]    
Business Acquisition [Line Items]    
Cash   $ 4,180,000
Acquisition costs   53,115
Purchase consideration   4,233,115
Non-controlling interest   0
Fair value of net identifiable assets and liabilities acquired   4,233,115
Assets and liabilities acquired:    
Exclusive professional services agreements   4,233,115
Prepaid expenses and deposits   0
Pre-close accounts receivable   0
Pre-close accounts payable   0
Fair value of net identifiable assets and liabilities acquired   $ 4,233,115
Exclusive professional services agreements – amortization term   10 years
CRH ownership interest   100.00%
Anesthesia Services [Member] | Tennessee Valley Anesthesia LLC [Member]    
Business Acquisition [Line Items]    
Cash   $ 2,200,000
Acquisition costs   55,875
Purchase consideration   2,255,875
Non-controlling interest   2,167,409
Fair value of net identifiable assets and liabilities acquired   4,423,284
Assets and liabilities acquired:    
Exclusive professional services agreements   4,423,284
Fair value of net identifiable assets and liabilities acquired   $ 4,423,284
Exclusive professional services agreements – amortization term   7 years
CRH ownership interest   51.00%