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Acquisitions - Summary of Supplemental Pro Forma Consolidated Results of Operations (Detail) - Studer Group - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Business Combination, Separately Recognized Transactions [Line Items]        
Revenues $ 209,881 $ 218,409 $ 632,200 $ 674,118
Net income $ 19,606 $ 10,173 $ 41,016 $ 60,988
Business Acquisition, Pro Forma Earnings Per Share, Basic $ 0.89 $ 0.45 $ 1.85 $ 2.70
Business Acquisition, Pro Forma Earnings Per Share, Diluted $ 0.87 $ 0.44 $ 1.81 $ 2.64