Goodwill (Details) - USD ($)	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Gross carrying amount
Beginning balance	$ 202,436,212	$ 38,628,391
Acquired goodwill during the period	65,269,470	164,757,821
Receipt of prior escrow payment	(504,000)
Decrease	(411,164)	(950,000)
Ending balance	266,790,518	202,436,212
Net carrying amount
Beginning balance	202,436,212	38,628,391
Acquired goodwill during the period	65,269,470	164,757,821
Receipt of prior escrow payment	(504,000)
Decrease	(411,164)	(950,000)
Ending balance	$ 266,790,518	202,436,212
Escrow payment due period	1 year
Home Medical Express, Inc
Net carrying amount
Escrow payment		$ 1,000,000