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Income Taxes - Reconciliation of Federal Statutory Income Tax Rate to Effective Income Tax Rate (Detail)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Tax Disclosure [Abstract]      
Tax completed at federal statutory rate 21.00% 21.00% 21.00%
State tax net of federal benefit 1.32% 2.51% 4.96%
Non- deductible expenses (1.05%) (1.38%) (0.91%)
Equity compensation (0.59%) (2.41%) (0.83%)
Embedded derivatives and warrant options (7.43%) (8.79%)  
Foreign taxes (0.77%) (0.15%)  
Change in valuation allowance (14.30%)    
Other 0.34% 0.92% (1.03%)
Effective income tax rate (1.48%) 11.70% 23.19%