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Debt - Long-Term Debt (Detail) - USD ($) | Dec. 31, 2015 | Dec. 31, 2014 | Nov. 21, 2014 | Mar. 20, 2014 | Mar. 17, 2014 | Aug. 30, 2013 | Jul. 30, 2013
--- | --- | --- | --- | --- | --- | --- | ---
Debt Instrument [Line Items] |  |  |  |  |  |  |
Note payable related to software license purchases | $ 189,000 | $ 250,000 |  |  |  |  |
Financing agreements for premiums on insurance policies | 1,599,000 | 1,580,000 |  |  |  |  |
Total | 84,587,000 | 88,220,000 |  |  |  |  |
Add: capital leases | 1,277,000 | 1,784,000 |  |  |  |  |
Less: debt discount | (5,279,000) | (7,331,000) |  |  |  |  |
Total long term debt and capital lease obligations | 80,585,000 | 82,673,000 |  |  |  |  |
Less: current portion of long-term debt | (80,105,000) | (8,076,000) |  |  |  |  |
Total long-term debt, net of current portion | 480,000 | 74,597,000 |  |  |  |  |
Amended Credit Facility with MidCap [Member] |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |
Maximum borrowing capacity | 56,799,000 | 60,390,000 |  |  |  | $ 73,000,000 | $ 50,000,000
Deerfield [Member] |  |  |  |  |  |  |
Debt Instrument [Line Items] |  |  |  |  |  |  |
Maximum borrowing capacity | $ 26,000,000 | $ 26,000,000 |  |  | $ 50,000,000 |  |
Less: debt discount |  |  | $ (200,000) | $ (500,000) |  |  |

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- Definition Amount of long-term debt before deduction of unamortized discount or premium. Includes, but is not limited to, notes payable, bonds payable, commercial loans, mortgage loans, convertible debt, subordinated debt and other types of debt, with initial maturities beyond one year or the normal operating cycle, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 20 -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 16 -Article 9 + Details
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