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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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