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Discontinued Operations - Schedule of Discontinued Operations Income Statement (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2019
Sep. 30, 2018
Operating costs and expenses:      
Loss from discontinued operations before income tax provision     $ (64)
Income tax provision $ 89 $ 515 10,319
Income from discontinued operations $ 251 $ 1,445 19,107
Patient Experience Solutions [Member]      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Revenues, net     3,342
Operating costs and expenses:      
Cost of revenues (excluding depreciation and amortization)     1,982
Product development     554
Sales and marketing     460
Other general and administrative expenses     229
Depreciation and amortization     181
Total operating costs and expenses     3,406
Operating loss     (64)
Loss from discontinued operations before income tax provision     (64)
Income from discontinued operations     $ (64)