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Intangible Assets, Net - Intangible Assets, Net (Parenthetical) (Detail) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2014
Dec. 31, 2013
Referral relationships
   
Finite Lived Intangible Assets [Line Items]    
Accumulated amortization $ 1,737 $ 1,582
Non-competition agreements
   
Finite Lived Intangible Assets [Line Items]    
Accumulated amortization $ 2,037 $ 1,950