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Schedule of Prospective Adoption of New Accounting Pronouncements (Detail) - USD ($) | Dec. 31, 2018 | Dec. 31, 2017
--- | --- | ---
Current assets |  |
Receivables | $ 7,734,631 | $ 7,602,812
Noncurrent liabilities |  |
Deferred tax liability | 19,615,935 | 24,916,598
Mezzanine equity |  |
Noncontrolling interest in Allied Pacific of California IPA | 225,117,029 | 172,129,744
Shareholders' equity |  |
Retained earnings | 17,788,203 | 1,734,531
Accounting Standards Update 2014-09 [Member] |  |
Current assets |  |
Receivables | $ 11,600,000 | 11,600,000
Noncurrent liabilities |  |
Deferred tax liability |  | 3,246,098
Mezzanine equity |  |
Noncontrolling interest in Allied Pacific of California IPA |  | 7,351,434
Shareholders' equity |  |
Retained earnings |  | 1,002,468
Adjustments for New Accounting Principle, Early Adoption [Member] |  |
Current assets |  |
Receivables |  | 24,114,492
Noncurrent liabilities |  |
Deferred tax liability |  | 28,162,696
Mezzanine equity |  |
Noncontrolling interest in Allied Pacific of California IPA |  | 179,481,178
Shareholders' equity |  |
Retained earnings |  | $ 2,736,999

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