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Commitments and Contingencies - Additional Information (Detail) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Commitments And Contingencies Disclosure [Abstract]      
Facility rent expense $ 3,700,000 $ 3,900,000 $ 3,500,000
Health plan annual stop-loss insurance per claim 200,000    
Workers compensation insurance with no stop-loss for prior claim years 350,000    
Accruals for health and workers' compensation plans $ 2,200,000 $ 2,800,000