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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

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