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Summary of Significant Accounting Policies - Additional Information (Detail) - USD ($) | 3 Months Ended | 12 Months Ended |  |  |
--- | --- | --- | --- | --- | ---
Sep. 30, 2019 | Jun. 30, 2019 | Sep. 30, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Sep. 01, 2019 | Jan. 01, 2019 | Dec. 31, 2017
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Allowance for doubtful accounts receivable |  |  |  | $ 767,464 | $ 929,339 |  |  | $ 699,102
Impairment of goodwill | $ 0 | $ 0 | $ 0 |  |  |  |  |
Bank cash balances on deposit exceeded federally insured limits |  |  |  | $ 3,188,540 |  |  |  |
Tax benefit percentage of being realized upon ultimate settlement |  |  |  | 50.00% |  |  |  |
Advertising expense |  |  |  | $ 20,364 | 38,570 |  |  |
Operating lease right-of-use asset |  |  |  | 1,595,044 |  |  |  |
Operating lease liability |  |  |  | 1,764,479 |  |  |  |
Accumulated deficit |  |  |  | $ (99,229,393) | $ (99,174,153) |  |  |
ASU 2016-02 [Member] |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Operating lease right-of-use asset |  |  |  |  |  |  | $ 2,000,000 |
Operating lease liability |  |  |  |  |  |  | 2,200,000 |
Accumulated deficit |  |  |  |  |  |  | $ 0 |
Deferred Stock Units [Member] |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Number of stock unit received |  |  |  |  |  | 1 |  |
Deferred stock units |  |  |  | 14,451 |  |  |  |

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