Accounts Receivable and Allowance for Doubtful Accounts - Additional Information (Details) - Revenues	3 Months Ended
Mar. 31, 2016	Mar. 31, 2015
Anthem Blue Cross Blue Shield \| COLORADO
Accounts Notes And Loans Receivable [Line Items]
Percentage of revenues reimbursed	13.00%	14.00%
Blue Cross Blue Shield \| TEXAS
Accounts Notes And Loans Receivable [Line Items]
Percentage of revenues reimbursed	10.70%	17.10%
Aetna
Accounts Notes And Loans Receivable [Line Items]
Percentage of revenues reimbursed	10.70%	11.60%

For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 275
-SubTopic 10
-Section 50
-Paragraph 18
-URI http://asc.fasb.org/extlink&oid=51801978&loc=d3e6351-108592

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 825
-SubTopic 10
-Section 50
-Paragraph 20
-URI http://asc.fasb.org/extlink&oid=49121117&loc=d3e13531-108611

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 275
-SubTopic 10
-Section 50
-Paragraph 20
-URI http://asc.fasb.org/extlink&oid=51801978&loc=d3e6404-108592

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 825
-SubTopic 10
-Section 50
-Paragraph 21
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=49121117&loc=d3e13537-108611

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Data Type:	num:percentItemType
Balance Type:	na
Period Type:	duration