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Reportable Segments and Related Information - Additional Information (Detail) - Segment
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Segment Reporting Information [Line Items]        
Number of reportable segments     1  
Customer Concentration Risk | Consolidated Revenues        
Segment Reporting Information [Line Items]        
Concentration risk percentage 64.00%   63.00%  
Texas NICUSA, LLC | Customer Concentration Risk | Consolidated Revenues        
Segment Reporting Information [Line Items]        
Concentration risk percentage 21.00% 22.00% 21.00% 22.00%