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Revenue Recognition - Additional Information (Detail) - USD ($)
9 Months Ended
Sep. 30, 2018
Oct. 31, 2018
Oct. 01, 2018
Jan. 31, 2018
Dec. 31, 2017
Equity, Fair Value Adjustment $ 10,208,000        
Cumulative Effect on Retained Earnings, Net of Tax 1,392,000        
Fresh-Start Adjustment, Increase (Decrease), Deferred Income Tax Liabilities, Noncurrent 3,246,098        
Deferred Revenue, Current 250,000       $ 250,000
All-Inclusive Population-Based Payments to be Received     $ 5,500,000 $ 7,300,000  
Accounts Receivable, Net, Current, Total 70,084,171       20,117,304
Subsequent Event [Member]          
Billings in Excess of Cost   $ 34,500,000      
Accounting Standards Update 2014-09 [Member]          
Accounts Receivable, Net, Current, Total $ 11,600,000       $ 11,600,000