Revenue Recognition and Accounts Receivable (Details) - USD ($)	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019	Dec. 31, 2019
Revenue Recognition
Total net revenues	$ 191,439,034	$ 119,498,274
Unbilled revenue	18,064,863		$ 8,611,272
Transferred at Point in Time [Member]
Revenue Recognition
Total net revenues	128,973,725	68,955,964
Transferred over Time [Member]
Revenue Recognition
Total net revenues	62,465,309	50,542,310
Sleep
Revenue Recognition
Total net revenues	91,562,523	65,184,027
Sleep | Transferred at Point in Time [Member]
Revenue Recognition
Total net revenues	68,893,964	47,127,169
Sleep | Transferred over Time [Member]
Revenue Recognition
Total net revenues	22,668,559	18,056,858
Supplies To The Home [Member]
Revenue Recognition
Total net revenues	33,338,901	2,028,936
Supplies To The Home [Member] | Transferred at Point in Time [Member]
Revenue Recognition
Total net revenues	33,338,901	2,028,936
HME
Revenue Recognition
Total net revenues	23,756,404	20,731,645
HME | Transferred at Point in Time [Member]
Revenue Recognition
Total net revenues	11,579,127	10,489,009
HME | Transferred over Time [Member]
Revenue Recognition
Total net revenues	12,177,277	10,242,636
Respiratory
Revenue Recognition
Total net revenues	27,775,378	21,708,264
Respiratory | Transferred at Point in Time [Member]
Revenue Recognition
Total net revenues	2,768,427	1,279,075
Respiratory | Transferred over Time [Member]
Revenue Recognition
Total net revenues	25,006,951	20,429,189
Other
Revenue Recognition
Total net revenues	15,005,828	9,845,402
Other | Transferred at Point in Time [Member]
Revenue Recognition
Total net revenues	12,393,306	8,031,775
Other | Transferred over Time [Member]
Revenue Recognition
Total net revenues	2,612,522	1,813,627
Government payor
Revenue Recognition
Total net revenues	51,244,994	38,100,765
Insurance payor
Revenue Recognition
Total net revenues	114,450,697	67,717,162
Patient payor
Revenue Recognition
Total net revenues	$ 25,743,343	$ 13,680,347