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Segments and Related Information - Additional Information (Detail)
3 Months Ended 9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Sep. 30, 2012
Sep. 30, 2011
Segment Reporting Information [Line Items]        
Number of reportable segments     1  
Texas NICUSA, LLC
       
Segment Reporting Information [Line Items]        
Percentage of total consolidated revenues 21.00% 20.00% 21.00% 21.00%