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Segment Disclosures - Summary of Segment Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Mar. 31, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Segment Reporting Information [Line Items]          
Revenue $ 232,641 $ 232,641 $ 211,016 $ 498,731 $ 452,475
Operating expenses 205,102   188,120 409,852 380,886
Gross margin 27,539   22,896 88,879 71,589
Corporate general & admin 9,993   9,232 20,021 18,000
Operating income (loss) 17,546   13,664 68,858 53,589
Other (expense) income:          
Interest expense (1,817)   (1,692) (3,597) (3,209)
Other (expense) income, net 630   3,764 (599) 6,501
Gain on sale of operations, net     23 663 45
Total other (expense) income, net (1,187)   2,095 (3,533) 3,337
Income from continuing operations before income tax expense 16,359   15,759 65,325 56,926
Financial Services [Member]          
Segment Reporting Information [Line Items]          
Revenue   151,737   332,340  
Benefits and Insurance Services [Member]          
Segment Reporting Information [Line Items]          
Revenue   72,753   150,083  
National Practices [Member]          
Segment Reporting Information [Line Items]          
Revenue   $ 8,151   16,308  
Operating Segments [Member] | Financial Services [Member]          
Segment Reporting Information [Line Items]          
Revenue 151,737   132,591 332,340 291,224
Operating expenses 129,070   115,851 262,103 235,240
Gross margin 22,667   16,740 70,237 55,984
Operating income (loss) 22,667   16,740 70,237 55,984
Other (expense) income:          
Other (expense) income, net (17)   28 248 43
Total other (expense) income, net (17)   28 248 43
Income from continuing operations before income tax expense 22,650   16,768 70,485 56,027
Operating Segments [Member] | Benefits and Insurance Services [Member]          
Segment Reporting Information [Line Items]          
Revenue 72,753   70,559 150,083 145,723
Operating expenses 61,165   59,877 122,298 120,019
Gross margin 11,588   10,682 27,785 25,704
Operating income (loss) 11,588   10,682 27,785 25,704
Other (expense) income:          
Interest expense (15)   (9) (89) (20)
Other (expense) income, net 30   120 222 216
Total other (expense) income, net 15   111 133 196
Income from continuing operations before income tax expense 11,603   10,793 27,918 25,900
Operating Segments [Member] | National Practices [Member]          
Segment Reporting Information [Line Items]          
Revenue 8,151   7,866 16,308 15,528
Operating expenses 7,567   7,235 14,842 14,242
Gross margin 584   631 1,466 1,286
Operating income (loss) 584   631 1,466 1,286
Other (expense) income:          
Other (expense) income, net     (9)   (9)
Total other (expense) income, net     (9)   (9)
Income from continuing operations before income tax expense 584   622 1,466 1,277
Corporate and Other [Member]          
Segment Reporting Information [Line Items]          
Operating expenses 7,300   5,157 10,609 11,385
Gross margin (7,300)   (5,157) (10,609) (11,385)
Corporate general & admin 9,993   9,232 20,021 18,000
Operating income (loss) (17,293)   (14,389) (30,630) (29,385)
Other (expense) income:          
Interest expense (1,802)   (1,683) (3,508) (3,189)
Other (expense) income, net 617   3,625 (1,069) 6,251
Gain on sale of operations, net     23 663 45
Total other (expense) income, net (1,185)   1,965 (3,914) 3,107
Income from continuing operations before income tax expense $ (18,478)   $ (12,424) $ (34,544) $ (26,278)