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Refundable Reserach Development and Income Taxes - Schedule of Effective Income Tax Rate Provision Amount Differs from Statutory U.S. Federal Income Tax Rate (Detail) - USD ($)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Tax Expense Benefit Continuing Operations [Abstract]      
Statutory U.S. federal income tax, Amount $ (17,852,133) $ (9,222,377) $ (15,815,425)
State income taxes, net of federal benefit, Amount (1,634,924) (992,768) (685,158)
Change in valuation allowances, Amount 11,176,291 12,923,538 6,932,927
Re-measurement of deferred taxes, Amount 15,659,916    
Tax credits, Amount (3,316,729) (2,933,836) (488,588)
Acquisition Accounting, Amount     9,005,240
Permanent and other, Amount $ (4,032,421) $ 225,443 $ 1,051,004