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Intangible Assets, Net - Intangible Assets, Net (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Finite-Lived Intangible Assets [Line Items]    
Total $ 14,479 $ 12,146
Tradenames [Member]
   
Finite-Lived Intangible Assets [Line Items]    
Total 9,814 7,973
Referral relationships [Member]
   
Finite-Lived Intangible Assets [Line Items]    
Total 3,959 3,501
Non competition agreements [Member]
   
Finite-Lived Intangible Assets [Line Items]    
Total $ 706 $ 672