Business Segments - Additional Information (Detail)	9 Months Ended
Sep. 30, 2018
Patient Experience Solutions [Member]
Segment Reporting Information [Line Items]
Date of business segment sold	Feb. 12, 2018

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

No definition available.

Name:	us-gaap_SegmentReportingInformationLineItems
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration