Significant Transactions - Consideration and Allocation (Details) - USD ($)	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019	Mar. 02, 2020	Jan. 02, 2020	Dec. 31, 2019	Jan. 02, 2019
Business Combination, Consideration Transferred, Including Equity Interest in Acquiree Held Prior to Combination [Abstract]
Equity consideration issued in connection with an acquisition	$ 6,248,015
Liability incurred		$ 2,000,000
Deferred payments/contingent consideration		1,500,000
Receipt of working capital adjustment from 2018 acquisitions		564,152
Estimated fair values of net assets acquired
Cash		117,000
Accounts receivables		3,691,030
Inventory		2,468,427
Prepaid and other current assets		11,835
Equipment and other fixed assets		1,658,714
Goodwill	340,806,853	19,381,515			$ 266,790,518
Accounts payable and accrued expenses		(2,266,026)
Net assets acquired		25,062,495
Significant Acquisitions In 2020 [Member]
Business Combination, Consideration Transferred, Including Equity Interest in Acquiree Held Prior to Combination [Abstract]
Cash payment	106,178,017
Equity consideration issued in connection with an acquisition	6,248,015
Deferred payments/contingent consideration	14,250
Total consideration	112,440,282
Estimated fair values of net assets acquired
Cash	337,087
Accounts receivables	19,573,766
Inventory	4,780,439
Prepaid and other current assets	1,334,306
Equipment and other fixed assets	24,406,410
Goodwill	74,016,335
Accounts payable and accrued expenses	(6,494,599)
Contract liabilities	(2,467,643)
Unfavorable lease liability	(1,418,931)
Capital lease obligations	(1,626,888)
Net assets acquired	$ 112,440,282
Patient Care Solutions (PCS) [Member]
Business Acquisition
Interest acquired, as a percent				100.00%
Estimated fair values of net assets acquired
Accounts receivables				$ 16,300,000
Equipment and other fixed assets				500,000
Goodwill				1,400,000
Accounts payable and accrued expenses				$ (3,200,000)
Advanced Home Care Inc [Member]
Business Acquisition
Potential contingent payment			$ 9,000,000
Estimated fair values of net assets acquired
Equipment and other fixed assets			18,500,000
Other assets			1,500,000
Goodwill			$ 38,500,000
Significant acquisitions in 2019
Business Combination, Consideration Transferred, Including Equity Interest in Acquiree Held Prior to Combination [Abstract]
Cash payment		21,562,495
Liability incurred		2,000,000
Deferred payments/contingent consideration		1,500,000
Total consideration		$ 25,062,495
Gould’s
Business Acquisition
Interest acquired, as a percent						100.00%
Estimated fair values of net assets acquired
Accounts receivables						$ 3,700,000
Inventory						2,400,000
Equipment and other fixed assets						1,700,000
Goodwill						18,600,000
Accounts payable and accrued expenses						$ (2,100,000)