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Shared-based Compensation - Additional Information (Detail) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Unrecognized compensation cost related to restricted stock awards $ 600,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized    
Compensation cost recognition weighted average period 1 year 10 months 24 days    
Share-based compensation arrangement by share-based payment award, options, grants in period, weighted average grant date fair value $ 15.19us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue    
Share based compensation arrangement by share based payment award options expiration term 10 years    
Share based compensation arrangement by share based payment award options vesting period 3 years    
Adjustments to Additional Paid in Capital, Income Tax Benefit from Share-based Compensation 275,000us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation 383,000us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation 1,265,000us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
Stock Issued During Period, Shares, Restricted Stock Award, Gross 7,000us-gaap_StockIssuedDuringPeriodSharesRestrictedStockAwardGross    
Maximum      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Award vesting period 4 years    
Share-based compensation, shares authorized under stock option plans, exercise price range, upper range limit $ 28.81us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeUpperRangeLimit
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
   
Minimum      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Award vesting period 3 years    
Share-based compensation, shares authorized under stock option plans, exercise price range, lower range limit $ 24.26us-gaap_ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeLowerRangeLimit
/ us-gaap_RangeAxis
= us-gaap_MinimumMember
   
Board of Directors      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments In Lieu Of Meeting Fees 9,265med_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsInLieuOfMeetingFees
/ us-gaap_TitleOfIndividualAxis
= us-gaap_BoardOfDirectorsChairmanMember
   
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period 6,850us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
/ us-gaap_TitleOfIndividualAxis
= us-gaap_BoardOfDirectorsChairmanMember
   
Restricted Stock      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Restricted stock awards vested and charged 3,918,000us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
3,209,000us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
2,850,000us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
Total income tax benefit recognized related to restricted stock awards 1,398,000us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
1,123,000us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
969,000us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
Unrecognized compensation cost related to restricted stock awards 5,800,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
   
Compensation cost recognition weighted average period 3 years 1 month 6 days    
Share based compensation expense $ 734,000us-gaap_DeferredCompensationArrangementWithIndividualCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
   
Award vesting period 7 years    
Deferred Compensation Arrangement with Individual, Shares Authorized for Issuance 43,750us-gaap_DeferredCompensationArrangementWithIndividualSharesAuthorizedForIssuance
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember
   
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period 119,388us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockMember