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Segment Disclosures - Summary of Segment Information (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Segment Reporting Information [Line Items]    
Revenue $ 266,090 $ 241,459
Operating expenses 204,750 192,766
Gross margin 61,340 48,693
Corporate general and administrative expenses 10,028 8,768
Operating income 51,312 39,925
Other (expense) income:    
Interest expense (1,780) (1,517)
Gain on sale of operations, net 663 22
Other (expense) income, net (1,229) 2,737
Total other (expense) income, net (2,346) 1,242
Income from continuing operations before income tax expense 48,966 41,167
Financial Services [Member]    
Segment Reporting Information [Line Items]    
Revenue 180,603  
Benefits and Insurance Services [Member]    
Segment Reporting Information [Line Items]    
Revenue 77,330  
National Practices [Member]    
Segment Reporting Information [Line Items]    
Revenue 8,157  
Operating Segments [Member] | Financial Services [Member]    
Segment Reporting Information [Line Items]    
Revenue 180,603 158,633
Operating expenses 133,033 119,389
Gross margin 47,570 39,244
Operating income 47,570 39,244
Other (expense) income:    
Other (expense) income, net 265 15
Total other (expense) income, net 265 15
Income from continuing operations before income tax expense 47,835 39,259
Operating Segments [Member] | Benefits and Insurance Services [Member]    
Segment Reporting Information [Line Items]    
Revenue 77,330 75,164
Operating expenses 61,133 60,142
Gross margin 16,197 15,022
Operating income 16,197 15,022
Other (expense) income:    
Interest expense (75) (11)
Gain on sale of operations, net 663  
Other (expense) income, net 193 96
Total other (expense) income, net 781 85
Income from continuing operations before income tax expense 16,978 15,107
Operating Segments [Member] | National Practices [Member]    
Segment Reporting Information [Line Items]    
Revenue 8,157 7,662
Operating expenses 7,275 7,007
Gross margin 882 655
Operating income 882 655
Other (expense) income:    
Income from continuing operations before income tax expense 882 655
Corporate and Other [Member]    
Segment Reporting Information [Line Items]    
Operating expenses 3,309 6,228
Gross margin (3,309) (6,228)
Corporate general and administrative expenses 10,028 8,768
Operating income (13,337) (14,996)
Other (expense) income:    
Interest expense (1,705) (1,506)
Gain on sale of operations, net   22
Other (expense) income, net (1,687) 2,626
Total other (expense) income, net (3,392) 1,142
Income from continuing operations before income tax expense $ (16,729) $ (13,854)