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Leases - Additional Information (Detail) - USD ($) | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | ---
Sep. 30, 2019 | Sep. 30, 2019 | Jan. 01, 2019 | Dec. 31, 2018
Lessee, Lease, Description [Line Items] |  |  |  |
Right-of-use assets | $ 30,134,000 | $ 30,134,000 | $ 4,800,000 |
Operating lease, liability | 33,833,000 | 33,833,000 | $ 6,400,000 |
Deferred rent liabilities |  |  |  | $ 1,600,000
Operating leases that have not yet commenced |  | 0 |  |
Operating lease cost | $ 1,100,000 | 3,800,000 |  |
Cash paid for amounts included in the measurement of operating lease liabilities |  | $ 1,500,000 |  |
Operating lease, weighted-average remaining lease term | 10 years 9 months 18 days | 10 years 9 months 18 days |  |
Operating lease, weighted-average incremental borrowing rate | 6.00% | 6.00% |  |
Nashville, TN [Member] |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Right-of-use assets | $ 26,500,000 | $ 26,500,000 |  |
Operating lease, liability | 26,500,000 | 26,500,000 |  |
Providigm, LLC [Member] |  |  |  |
Lessee, Lease, Description [Line Items] |  |  |  |
Right-of-use assets | 1,200,000 | 1,200,000 |  |
Operating lease, liability | $ 1,200,000 | $ 1,200,000 |  |

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- Definition Amount of single lease cost, calculated by allocation of remaining cost of lease over remaining lease term. Includes, but is not limited to, single lease cost, after impairment of right-of-use asset, calculated by amortization of remaining right-of-use asset and accretion of lease liability. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 55 -Paragraph 53 -URI http://asc.fasb.org/extlink&oid=77888399&loc=SL77918982-209971 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918686-209980 + Details
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