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Income Taxes - Schedule of Components of Deferred Tax Assets and Liabilities (Detail) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Deferred tax assets:
Allowance for doubtful accounts	$ 530,744	$ 427,484
Other assets	(1,647,113)	(2,047,104)
Accrued expenses	412,165	355,361
Other long-term liabilities	2,729,442	2,918,611
Stock-based compensation	141,960	107,715
Net operating losses	3,726,364	5,506,040
Subtotal	5,893,562	7,268,107
Valuation allowance	(3,760,454)	(328,170)
Total	2,133,108	6,939,937
Deferred tax liabilities:
Prepaid expenses	(99,187)	(96,085)
Property and equipment	(2,858,163)	(2,743,550)
Intangibles	(122,088,303)	(119,383,233)
Total	(125,045,653)	(122,222,868)
Net deferred tax liabilities	$ (122,912,545)	$ (115,282,931)

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