Amount of income (loss) for proportionate share of equity method investee's income (loss).

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Name:	us-gaap_IncomeLossFromEquityMethodInvestments
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

Equity investment - Additional Information (Detail) - USD ($)		10 Months Ended	12 Months Ended
	Nov. 01, 2019	Oct. 31, 2019	Dec. 31, 2019	Dec. 31, 2018	Oct. 31, 2018
Income/gain from equity investment			$ 1,766,968
Triad Sedation Associates LLC [Member] \| Anesthesia Services [Member]
Percentage of equity interest					15.00%
Options to acquire additional interest percent				36.00%
Exercise of options to acquire additional interest percent	36.00%
Income/gain from equity investment	$ 1,318,769	$ 448,199