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Summary of Significant Accounting Policies - Additional Information (Details) - USD ($)
shares in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Accounting Policies [Abstract]        
Health insurance maximum risk of loss liability per employee insurance plan (up to)     $ 350,000  
Health insurance maximum aggregate amount of risk of loss liability for employee insurance plans (up to)     $ 450,000  
Common stock equivalents (in shares) 177 321 162 246