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Percentage of Net Revenue and Total Accounts Receivable (Detail) | 3 Months Ended | 6 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017 | Dec. 31, 2017
Sales Revenue, Net | Payor A [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage | 0.00% | [1] | 13.40% | 0.00% | [1] | 13.10% |  |
Sales Revenue, Net | Payor B [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage | 15.40% |  | 17.50% | 13.70% |  | 20.80% |  |
Sales Revenue, Net | Payor C [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage | 0.00% | [1] | 12.00% | 0.00% | [1] | 11.90% |  |
Sales Revenue, Net | Payor D [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage | 0.00% | [1] | 12.10% | 10.20% |  | 12.40% |  |
Accounts Receivable | Payor E [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage |  |  |  | 21.60% |  |  | 23.80% |
Accounts Receivable | Payor F [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage |  |  |  | 32.50% |  |  | 30.50% |
Accounts Receivable | Payor G [Member] |  |  |  |  |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |  |  |  |  |
Concentration Risk, Percentage |  |  |  | 14.10% |  |  | 0.00% | [2]
[1] | Less than 10% of total net revenues
[2] | Less than 10% of receivables

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