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v3.19.1

Percentage of Net Revenue and Total Accounts Receivable (Detail) | 12 Months Ended
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Dec. 31, 2018 | Dec. 31, 2017
Payor F [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage |  | 14.10% |  | [1]
Sales Revenue, Net | Payor A [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage |  | 14.60% | 14.10% |
Sales Revenue, Net | Payor B [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage |  | 18.70% | 18.10% |
Sales Revenue, Net | Payor C [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage | [1] |  | 11.10% |
Sales Revenue, Net | Payor D [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage |  | 14.10% | 11.30% |
Accounts Receivable | Payor D [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage |  | 34.10% | 23.80% |
Accounts Receivable | Payor E [Member] |  |  |  |
Accounts Receivable And Net Revenue [Line Items] |  |  |  |
Concentration Risk, Percentage |  | 42.20% | 30.50% |
[1] | Less than 10% of total net revenues

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