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Discontinued Operations - Additional information (Detail) - USD ($) $ in Thousands |  | 3 Months Ended | 6 Months Ended
--- | --- | --- | ---
May 06, 2020 | Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019
Net incremental loss on the sale of MedData |  | $ (680,036) | $ (28,292) | $ (684,999) | $ (293,710)
North American Partners In Anesthesia [Member] |  |  |  |  |
Preliminary and incremental gain loss on sale |  | 644,200 |  |  |
Increase decrease in valuation allowance deferred tax assets |  | 419,000 |  |  |
Proceeds from Divestiture of Businesses | $ 50,000 |  |  |  |
Maximum consideration receivable | 250,000 |  |  |  |
Accounts receivable retained | 110,000 |  |  |  |
North American Partners In Anesthesia [Member] | Tax Year Two Thousand and Twenty Five [Member] |  |  |  |  |
Capital loss carry forward |  | 1,680,000 |  | 1,680,000 |
North American Partners In Anesthesia [Member] | Maximum [Member] |  |  |  |  |
Maximum consideration receivable | 250,000 |  |  |  |
North American Partners In Anesthesia [Member] | Minimum [Member] |  |  |  |  |
Maximum consideration receivable | $ 0 |  |  |  |
Divestiture of MedData [Member] |  |  |  |  |
Net incremental loss on the sale of MedData |  | $ 3,000 |  | $ 5,600 |

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