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Goodwill and Intangible Assets - Summary of Intangible Assets, Net (Detail) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value $ 112,443 $ 103,510
Accumulated Amortization (85,801) (74,923)
Net Carrying Value 26,642 28,587
Physician And Hospital Agreements [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value 107,246 99,828
Accumulated Amortization (83,089) (73,506)
Net Carrying Value 24,157 26,322
Other Technology [Member]    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value 5,197 3,682
Accumulated Amortization (2,712) (1,417)
Net Carrying Value $ 2,485 $ 2,265