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Business Segments - Business Segment Information Based on Assets (Detail) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Segment Reporting Information [Line Items]    
Total assets $ 480,197 $ 441,948
Operating Segments [Member] | Workforce Solutions [Member]    
Segment Reporting Information [Line Items]    
Total assets 117,890 104,668
Operating Segments [Member] | Provider Solutions [Member]    
Segment Reporting Information [Line Items]    
Total assets 138,468 145,637
Unallocated [Member]    
Segment Reporting Information [Line Items]    
Total assets $ 223,839 $ 191,643