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Accrued Expenses - Summary of Accrued Expenses (Detail) (USD $) In Thousands, unless otherwise specified | Mar. 31, 2014 | Dec. 31, 2013
--- | --- | ---
Payables And Accruals [Abstract] |  |
Salaries and related costs | $ 7,332 | $ 11,686
Group health insurance claims | 2,537 | 2,023
Credit balances and overpayments due to patients and payors | 1,596 | 2,371
Dividends payable to common shareholders | 1,464 |
Other | 4,218 | 4,545
Total | $ 17,147 | $ 20,625

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