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Document and Entity Information - shares	9 Months Ended
Document and Entity Information - shares	Sep. 30, 2016	Nov. 02, 2016
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2016
Document Fiscal Year Focus	2016
Document Fiscal Period Focus	Q3
Trading Symbol	HSTM
Entity Registrant Name	HEALTHSTREAM INC
Entity Central Index Key	0001095565
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		31,739,741

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Current assets:
Cash and cash equivalents	$ 39,820	$ 82,010
Marketable securities	60,747	66,976
Accounts receivable, net of allowance for doubtful accounts of $603 and $303 at September 30, 2016 and December 31, 2015, respectively	46,166	36,348
Accounts receivable - unbilled	2,296	1,998
Prepaid royalties, net of amortization	16,466	14,036
Other prepaid expenses and other current assets	7,584	8,169
Total current assets	173,079	209,537
Property and equipment, net	10,403	12,471
Capitalized software development, net of accumulated amortization of $29,717 and $24,130 at September 30, 2016 and December 31, 2015, respectively	15,749	13,955
Goodwill	109,796	83,073
Intangible assets, net of accumulated amortization of $14,038 and $8,685 at September 30, 2016 and December 31, 2015, respectively	80,771	55,966
Non-marketable equity investments	3,289	3,640
Other assets	964	927
Total assets	394,051	379,569
Current liabilities:
Accounts payable	3,675	4,616
Accrued royalties	13,885	9,053
Accrued liabilities	10,623	7,003
Accrued compensation and related expenses	2,028	3,308
Deferred revenue	65,029	65,098
Total current liabilities	95,240	89,078
Deferred tax liabilities	4,909	4,763
Deferred revenue, noncurrent	6,735	4,350
Other long term liabilities	778	1,058
Commitments and contingencies
Shareholders' equity:
Common stock, no par value, 75,000 shares authorized; 31,739 and 31,647 shares issued and outstanding at September 30, 2016 and December 31, 2015, respectively	280,759	278,799
Retained earnings	5,657	1,591
Accumulated other comprehensive loss	(27)	(70)
Total shareholders' equity	286,389	280,320
Total liabilities and shareholders' equity	$ 394,051	$ 379,569

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Statement of Financial Position [Abstract]
Allowance for doubtful accounts, net	$ 603	$ 303
Accumulated amortization on capitalized software development	29,717	24,130
Accumulated amortization on intangible assets	$ 14,038	$ 8,685
Common stock, no par value
Common stock, shares authorized	75,000,000	75,000,000
Common stock, shares issued	31,739,000	31,647,000
Common stock, shares outstanding	31,739,000	31,647,000

Condensed Consolidated Statements of Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Income Statement [Abstract]
Revenues, net	$ 58,367	$ 53,835	$ 167,237	$ 153,136
Operating costs and expenses:
Cost of revenues (excluding depreciation and amortization)	24,889	23,126	70,410	65,752
Product development	7,261	6,195	21,524	16,654
Sales and marketing	10,285	8,377	27,843	26,052
Other general and administrative expenses	8,891	7,173	25,396	20,851
Depreciation and amortization	5,755	4,639	15,976	12,148
Total operating costs and expenses	57,081	49,510	161,149	141,457
Operating income	1,286	4,325	6,088	11,679
Other income (expense), net	337	28	465	(7)
Income before income tax provision	1,623	4,353	6,553	11,672
Income tax provision	461	1,739	2,487	4,862
Net income	$ 1,162	$ 2,614	$ 4,066	$ 6,810
Earnings per share:
Basic	$ 0.04	$ 0.08	$ 0.13	$ 0.23
Diluted	$ 0.04	$ 0.08	$ 0.13	$ 0.23
Weighted average shares of common stock outstanding:
Basic	31,739	31,643	31,714	29,527
Diluted	32,107	32,029	32,050	29,905

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Statement of Comprehensive Income [Abstract]
Net income	$ 1,162	$ 2,614	$ 4,066	$ 6,810
Other comprehensive income, net of taxes:
Unrealized gain (loss) on marketable securities	(13)	31	43	(10)
Total other comprehensive income (loss)	(13)	31	43	(10)
Comprehensive income	$ 1,149	$ 2,645	$ 4,109	$ 6,800

Condensed Consolidated Statement of Shareholders' Equity (Unaudited) - 9 months ended Sep. 30, 2016 - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock [Member]	Retained Earnings [Member]	Accumulated Other Comprehensive Loss [Member]
Beginning balance at Dec. 31, 2015	$ 280,320	$ 278,799	$ 1,591	$ (70)
Beginning balance, shares at Dec. 31, 2015	31,647	31,647
Net income	$ 4,066		4,066
Comprehensive income (loss)	43			43
Stock based compensation	1,516	$ 1,516
Tax benefits from equity awards	661	661
Common stock issued under stock plans, net of shares withheld for employee taxes	(217)	$ (217)
Common stock issued under stock plans, net of shares withheld for employee taxes, shares		92
Ending balance at Sep. 30, 2016	$ 286,389	$ 280,759	$ 5,657	$ (27)
Ending balance, shares at Sep. 30, 2016	31,739	31,739

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
OPERATING ACTIVITIES:
Net income	$ 4,066	$ 6,810
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	15,976	12,148
Deferred income taxes	791	123
Stock based compensation expense	1,516	2,787
Excess tax benefits from equity awards	(661)	(3,721)
Provision for doubtful accounts	340	184
(Gain) loss on non-marketable equity investments	(134)	98
Other	846	938
Changes in operating assets and liabilities:
Accounts and unbilled receivables	(6,855)	2,649
Prepaid royalties	(2,291)	(946)
Other prepaid expenses and other current assets	(326)	(595)
Other assets	(36)	288
Accounts payable	(454)	(2,501)
Accrued royalties	4,415	(1,251)
Accrued liabilities and accrued compensation and related expenses and other long-term liabilities	(444)	3,082
Deferred revenue	(1,766)	5,426
Net cash provided by operating activities	14,983	25,519
INVESTING ACTIVITIES:
Business combinations, net of cash acquired	(53,078)	(88,075)
Proceeds from maturities of marketable securities	88,197	38,440
Purchases of marketable securities	(82,771)	(77,774)
Payments to acquire equity method investments		(1,000)
Payments to acquire cost method investments		(1,000)
Proceeds from sale of long lived assets	975
Payments associated with capitalized software development	(7,070)	(5,329)
Purchases of property and equipment	(3,870)	(6,012)
Net cash used in investing activities	(57,617)	(140,750)
FINANCING ACTIVITIES:
Proceeds from issuance of common stock		98,014
Proceeds from exercise of stock options	94	328
Proceeds from borrowings under revolving line of credit facility		28,000
Repayments under revolving line of credit facility		(28,000)
Payment of earn-outs related to business combinations		(633)
Excess tax benefits from equity awards	661	3,721
Taxes paid related to net settlement of equity awards	(311)	(753)
Net cash provided by financing activities	444	100,677
Net decrease in cash and cash equivalents	(42,190)	(14,554)
Cash and cash equivalents at beginning of period	82,010	81,995
Cash and cash equivalents at end of period	$ 39,820	$ 67,441

Basis of Presentation	9 Months Ended
Basis of Presentation	Sep. 30, 2016
Accounting Policies [Abstract]
Basis of Presentation	1. BASIS OF PRESENTATION The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States (“US GAAP”) for interim financial information and with the instructions toForm 10-Q and Article 10 of Regulation S-X. Accordingly, condensed consolidated financial statements do not include all of the information and footnotes required by US GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. All significant intercompany transactions have been eliminated in consolidation. Operating results for the three and nine months ended September 30, 2016 are not necessarily indicative of the results that may be expected for the year ending December 31, 2016. The balance sheet at December 31, 2015 is consistent with the audited financial statements at that date but does not include all of the information and footnotes required by US GAAP for a complete set of financial statements. For further information, refer to the consolidated financial statements and footnotes thereto for the year ended December 31, 2015 included in the Company’s Annual Report on Form 10-K (the “Form 10-K”), filed with the Securities and Exchange Commission on February 26, 2016. *Recently Adopted Accounting Standards* The Company has adopted Accounting Standards Update (“ASU”) 2015-16, Business Combinations (Topic 805). Under the provisions of the revised guidance, acquirers in a business combination must recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined. The acquirer must record, in the same period’s financial statements, the effect on earnings of changes in depreciation, amortization, or other income effects, if any, as a result of the change to the provisional amounts, calculated as if the accounting had been completed at the acquisition date. The Company recorded a measurement period adjustment during the period ended March 31, 2016. See Note 7 Business Combinations for further discussion.

Recent Accounting Pronouncements	9 Months Ended
Recent Accounting Pronouncements	Sep. 30, 2016
Accounting Changes and Error Corrections [Abstract]
Recent Accounting Pronouncements	2. RECENT ACCOUNTING PRONOUNCEMENTS In May 2014, the Financial Accounting Standards Board (“FASB”) issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606), which supersedes the revenue recognition requirements in Topic 605, Revenue Recognition, and most industry-specific revenue recognition guidance throughout the Industry Topics of the Accounting Standards Codification. The updated guidance states that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The guidance also provides for additional disclosures with respect to revenues and cash flows arising from contracts with customers. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2017, and early adoption is permitted for the first interim period within annual reporting periods beginning after December 15, 2016. The Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements. In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842), which requires lessees to recognize assets and liabilities for most leases. The recognition, measurement and presentation of expenses and cash flows arising from a lease by a lessee is not expected to significantly change under such guidance; however, the Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2018, and early adoption is permitted. In March 2016, the FASB issued ASU 2016-09, Compensation – Stock Compensation (Topic 718), which serves to simplify several aspects of the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2016, and early adoption is permitted in any interim or annual period. The Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements. In March 2016, the FASB issued ASU 2016-01, Financial Instruments – Overall (Sub Topic 825-10), which addresses certain aspects of the recognition, measurement, presentation, and disclosure of financial instruments. The guidance will, among other things, require equity method investments (except those accounted for under the equity method of accounting or those that result in consolidation of the investee) to be measured at fair value with changes in fair value recognized in net income. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2017, and early adoption is permitted for only limited aspects of such guidance. The Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements.

- Definition

The entire disclosure of changes in accounting principles, including adoption of new accounting pronouncements, that describes the new methods, amount and effects on financial statement line items.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Change in Accounting Principle
-URI http://asc.fasb.org/extlink&oid=6507316

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Direct Effects of a Change in Accounting Principle
-URI http://asc.fasb.org/extlink&oid=66092750

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 250
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=64853466&loc=d3e22583-107794

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Indirect Effects of a Change in Accounting Principle
-URI http://asc.fasb.org/extlink&oid=6515603

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 250
-SubTopic 10
-Section 50
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=64853466&loc=d3e22580-107794

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 270
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.10-01.(b)(6))
-URI http://asc.fasb.org/extlink&oid=27015980&loc=d3e46468-122699

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Accounting Change
-URI http://asc.fasb.org/extlink&oid=6503790

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 250
-SubTopic 10
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=64853466&loc=d3e22499-107794

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Retrospective Application
-URI http://asc.fasb.org/extlink&oid=6523989

Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 270
-SubTopic 10
-Section 45
-Paragraph 13
-URI http://asc.fasb.org/extlink&oid=68064558&loc=d3e765-108305

Reference 11: http://www.xbrl.org/2003/role/presentationRef
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-Name Accounting Standards Codification
-Topic 270
-SubTopic 10
-Section 45
-Paragraph 12
-URI http://asc.fasb.org/extlink&oid=68064558&loc=d3e725-108305

+ Details

Income Taxes	9 Months Ended
Income Taxes	Sep. 30, 2016
Income Tax Disclosure [Abstract]
Income Taxes	3. INCOME TAXES Income taxes are accounted for using the asset and liability method, whereby deferred tax assets and liabilities are determined based on the temporary differences between the financial statement and tax bases of assets and liabilities measured at tax rates that will be in effect for the year in which the differences are expected to affect taxable income. During the nine months ended September 30, 2016 and 2015, the Company recorded a provision for income taxes of approximately $2.5 million and $4.9 million, respectively. The Company’s effective tax rate for the nine months ended September 30, 2016 and 2015 was 38.0% and 41.7%, respectively. The Company’s effective tax rate primarily reflects the statutory corporate income tax rate, the net effect of state taxes, and the effect of various permanent tax differences. During the nine months ended September 30, 2016, the Company recorded a reduction of approximately $300,000 to the liability for gross unrecognized tax benefits. During the nine months ended September 30, 2015, the Company recorded a reduction of approximately $1.8 million to the liability for gross unrecognized tax benefits, resulting from the filing of a change in tax accounting method with the IRS for tangible property and deferred revenue. Of this total reduction, approximately $115,000 had an impact on the effective tax rate for the third quarter of 2015.

Stock Based Compensation

9 Months Ended

Sep. 30, 2016

Disclosure of Compensation Related Costs, Share-based Payments [Abstract]

Stock Based Compensation

4. STOCK BASED COMPENSATION

The Company has stock awards outstanding under three stock incentive plans, the Company’s 2010 Stock Incentive Plan, the Company’s 2000 Stock Incentive Plan, as amended, and the Company’s 2016 Omnibus Incentive Plan, which shareholders approved at the annual meeting of shareholders held on May 26, 2016. The Company accounts for its stock based compensation plans using the fair-value based method for costs related to share-based payments, including stock options and restricted share units (“RSUs”). During the nine months ended September 30, 2016, the Company issued 111,808 RSUs, subject to time-based vesting, with a weighted average grant date fair value of $20.49 per share, measured based on the closing fair market value of the Company’s stock on the date of grant. During the nine months ended September 30, 2015, the Company issued 80,355 RSUs with a weighted average grant date fair value of $25.56 per share, and the Company issued 49,310 stock awards with a weighted average grant date fair value of $30.42 per share. Both measurements were based on the closing fair market value of the Company’s stock on the date of grant.

During the three months ended September 30, 2015, the Company issued 30,000 performance-based RSUs, the vesting of which is contingent upon meeting certain performance criteria over a five year period. The measurement date for 8,750 of these performance-based RSUs was established during the three months ended September 30, 2015 with a grant-date fair value of $23.40 per share, and the measurement date for 5,000 of these awards was established during the three months ended March 31, 2016 with a grant-date fair value of $20.20 per share. Both measurements were based on the closing fair market value of the Company’s stock on the date of grant. The performance criteria for the remaining 16,250 performance-based RSUs will be established on an annual basis by the Company’s Compensation Committee; therefore, the measurement date and fair value of the awards cannot be determined until the performance criteria is established.

Total stock based compensation expense recorded for the three and nine months ended September 30, 2016 and 2015, which is recorded in the condensed consolidated statements of income, is as follows (in thousands):


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Cost of revenues (excluding depreciation and amortization)	$	35	$	29	$	110	$	790
Product development		73		55		200		514
Sales and marketing		65		61		193		486
Other general and administrative		339		295		1,013		997

Total stock based compensation expense	$	512	$	440	$	1,516	$	2,787

Stock Awards

During June 2015, the Company’s Chief Executive Officer (“CEO”), Robert A. Frist, Jr., entered into an agreement with the Company pursuant to which he contributed 54,241 of his personally owned shares of HealthStream, Inc. common stock to the Company, without any consideration paid to him. In connection with this contribution, the Company approved the grant of 49,310 shares of HealthStream, Inc. common stock to over 600 employees who were not otherwise eligible to receive equity awards and had at least one year of service with the Company. The Company recognized approximately $1.5 million of stock based compensation expense for these stock awards during the three months ended June 30, 2015 based on the closing fair market value of the Company’s stock on the date of the Company’s approval of these grants. In connection with these equity awards, effective in the second quarter of 2015, the Company withheld shares with value equivalent to the employees’ minimum statutory obligation for the applicable income and other employment taxes, and remitted the cash to the appropriate taxing authorities. The total shares withheld were 17,279, and were based on the value of the stock awards on the date of the Company’s approval of these grants, as determined by the Company’s closing stock price on that date. Total payments related to the employees’ tax obligations to taxing authorities for these stock awards were approximately $526,000, and are reflected as a financing activity within the condensed consolidated statements of cash flows for the nine months ended September 30, 2015. These share withholdings had the effect of share repurchases by the Company as they reduced and retired the number of shares otherwise issuable as a result of the stock awards and did not represent an expense to the Company.

- Definition

The entire disclosure for compensation-related costs for equity-based compensation, which may include disclosure of policies, compensation plan details, allocation of equity compensation, incentive distributions, equity-based arrangements to obtain goods and services, deferred compensation arrangements, employee stock ownership plan details and employee stock purchase plan details.

+ References + Details

Earnings Per Share

9 Months Ended

Sep. 30, 2016

Earnings Per Share [Abstract]

Earnings Per Share

5. EARNINGS PER SHARE

Basic earnings per share is computed by dividing the net income available to common shareholders for the period by the weighted-average number of common shares outstanding during the period. Diluted earnings per share is computed by dividing the net income for the period by the weighted average number of potentially dilutive common and common equivalent shares outstanding during the period. Common equivalent shares are composed of incremental common shares issuable upon the exercise of stock options and RSUs subject to vesting. The dilutive effect of common equivalent shares is included in diluted earnings per share by application of the treasury stock method. The total number of common equivalent shares excluded from the calculations of diluted earnings per share, due to their anti-dilutive effect, was approximately 21,000 and 26,000 for the three months ended September 30, 2016 and 2015, respectively, and approximately 42,000 and 13,000 for the nine months ended September 30, 2016 and 2015, respectively.

The following table sets forth the computation of basic and diluted earnings per share for the three and nine months ended September 30, 2016 and 2015 (in thousands, except per share data):


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Numerator:
Net income	$	1,162	$	2,614	$	4,066	$	6,810

Denominator:
Weighted-average shares outstanding		31,739		31,643		31,714		29,527
Effect of dilutive shares		368		386		336		378

Weighted-average diluted shares		32,107		32,029		32,050		29,905

Basic earnings per share	$	0.04	$	0.08	$	0.13	$	0.23

Diluted earnings per share	$	0.04	$	0.08	$	0.13	$	0.23

Marketable Securities

9 Months Ended

Sep. 30, 2016

Investments, Debt and Equity Securities [Abstract]

Marketable Securities

6. MARKETABLE SECURITIES

At September 30, 2016 and December 31, 2015, the fair value of marketable securities, which were all classified as available for sale, included the following (in thousands):


	September 30, 2016
	Adjusted Cost		Unrealized Gains		Unrealized Losses			Fair Value
Level 2:
Corporate debt securities	$	43,720		3		(36	)	$	43,687
Government-sponsored enterprise debt securities		17,054		6		—			17,060

Total	$	60,774	$	9	$	(36	)	$	60,747


	December 31, 2015
	Adjusted Cost		Unrealized Gains		Unrealized Losses			Fair Value
Level 2:
Certificates of deposit	$	1,000	$	—	$	—		$	1,000
Corporate debt securities		66,046		—		(70	)		65,976

Total	$	77,046	$	—	$	(70	)	$	66,976

The carrying amounts reported in the condensed consolidated balance sheet approximate the fair value based on quoted market prices or alternative pricing sources and models utilizing market observable inputs. As of September 30, 2016, the Company does not consider any of its marketable securities to be other than temporarily impaired. During the nine months ended September 30, 2016 and 2015, the Company did not reclassify any items out of accumulated other comprehensive income to net income. All investments in marketable securities are classified as a current asset on the balance sheet because the underlying securities mature within one year from the balance sheet date.

- Definition

The entire disclosure for investments in certain debt and equity securities.

+ References + Details

Business Combinations

9 Months Ended

Sep. 30, 2016

Business Combinations [Abstract]

Business Combinations

7. BUSINESS COMBINATIONS

Morrisey Associates, Inc.

On August 8, 2016, Echo, Inc. (“Echo”), a wholly owned subsidiary of the Company, acquired all of the outstanding stock of Morrisey Associates, Inc. (“MAI”), a Chicago, Illinois based company that provides credentialing and privileging software to healthcare professionals. The acquisition of MAI allows the Company to expand its credentialing and privileging product offerings and solutions to healthcare organizations. The consideration paid for MAI consisted of approximately $48.0 million in cash, which the Company funded with cash on hand, and was not subject to any post-closing working capital or similar adjustment. The Company incurred approximately $953,000 in transaction costs, of which $805,000 were incurred during the three months ended September 30, 2016 and $148,000 were incurred during the six months ended June 30, 2016. The transaction costs were recorded in other general and administrative expenses in the condensed consolidated statements of income for such periods. The results of operations for MAI have been included in the Company’s condensed consolidated financial statements from the date of acquisition, and are also included in the HealthStream Provider Solutions segment.

A summary of the purchase price is as follows (in thousands):


Cash paid at closing	$	44,120
Cash held in escrow		3,880

Total consideration paid	$	48,000

The following table summarizes the fair value of the assets acquired and liabilities assumed as of the date of acquisition (in thousands):


Accounts receivable, net		3,402
Prepaid royalties and other prepaid assets		187
Property and equipment		75
Deferred tax assets		1,548
Goodwill		20,502
Intangible assets		27,400
Accounts payable and accrued liabilities		(913	)
Deferred revenue		(4,201	)

Net assets acquired	$	48,000

The excess of preliminary purchase price over the preliminary fair values of net tangible and intangible assets will be recorded as goodwill. The preliminary fair values of tangible and identifiable intangible assets and deferred revenue are based on management’s estimates and assumptions. The preliminary fair values of assets acquired and liabilities assumed are considered preliminary and are based on the information that was available at the time of the acquisition. The preliminary fair values of assets acquired and liabilities assumed are subject to change during the measurement period (up to one year from the acquisition date) as the Company finalizes the valuation of these items. The goodwill balance is primarily attributed to the assembled workforce, additional market opportunities from offering MAI’s products, and expected synergies from integrating MAI with other products or other combined functional areas within the Company. The goodwill balance is deductible for U.S. income tax purposes. The net tangible assets include deferred revenue, which was preliminarily adjusted down from a book value at the acquisition date of $9.1 million to an estimated fair value of $4.2 million. The preliminary $4.9 million write-down of deferred revenue will result in lower revenues than would have otherwise been recognized for such services.

The following table sets forth the preliminary components of identifiable intangible assets and their estimated useful lives as of the acquisition date (in thousands):


	Preliminary fair value		Useful life
Customer relationships	$	21,400		13 years
Developed technology		5,400		5 years
Trade names		600		6 years

Total preliminary intangible assets subject to amortization	$	27,400

The amounts of revenue and operating income (loss) of MAI included in the Company’s condensed consolidated statement of income from the date of acquisition of August 8, 2016 to the period ending September 30, 2016 are as follows (in thousands):


Total revenues	$	841

Operating loss	$	(1,023	)

The following unaudited pro forma financial information summarizes the combined results of operations of the Company and MAI, which was significant for purposes of the unaudited pro forma financial information disclosure, as though the companies were combined as of January 1, 2015 (in thousands, except per share data):


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Total revenues	$	60,711	$	56,622	$	176,401	$	159,009

Net income	$	2,275	$	2,573	$	5,764	$	5,445

Basic earnings per share	$	0.07	$	0.08	$	0.18	$	0.18

Diluted earnings per share	$	0.07	$	0.08	$	0.18	$	0.18

These unaudited pro forma combined results of operations include certain adjustments arising from the acquisition such as adjustment for amortization of intangible assets, depreciation of property and equipment, and fair value adjustments of acquired deferred revenue balances. The unaudited pro forma combined results of operations is for informational purposes only and is not indicative of what the Company’s results of operations would have been had the transaction occurred at the beginning of the period presented or to project the Company’s results of operations in any future period.

The unaudited pro forma financial information for the three and nine months ended September 30, 2016 and 2015 combines the historical results of the Company and MAI for the three and nine months ended September 30, 2016 and 2015 and the pro forma adjustments listed above.

HealthLine Systems

On March 16, 2015, the Company acquired all of the membership interests of HealthLine Systems, LLC (“HLS”), a San Diego, California based company that specializes in credentialing, privileging, call center, and quality management solutions for the healthcare industry. The acquisition of HLS enabled the Company to provide a comprehensive solution set for healthcare provider credentialing, privileging, enrollment, referral, onboarding, and analytics in support of HealthStream’s approach to talent management for healthcare organizations. The consideration paid for HLS consisted of approximately $90.3 million in cash (taking into account an estimated closing working capital adjustment and amounts due to the seller as of September 30, 2016). The Company incurred approximately $1.3 million in transaction costs associated with the acquisition, of which $965,000 were incurred during the three months ended March 31, 2015 and $329,000 were incurred during the year ended December 31, 2014. The transaction costs were recorded in other general and administrative expenses in the condensed consolidated statements of income for such periods. The results of operations for HLS have been included in the Company’s condensed consolidated financial statements from the date of acquisition, and are also included in the HealthStream Provider Solutions segment.

A summary of the purchase price is as follows (in thousands):


Cash paid at closing	$	87,450
Consideration due to the seller		2,180
Cash held in escrow		679

Total consideration paid	$	90,309

The following table summarizes the fair value of the assets acquired and liabilities assumed as of the date of acquisition (in thousands):


Cash	$	54
Accounts receivable, net		3,052
Prepaid assets		546
Property and equipment		200
Deferred tax assets		2,523
Goodwill		43,798
Intangible assets		47,200
Accounts payable and accrued liabilities		(1,085	)
Deferred revenue		(5,979	)

Net assets acquired	$	90,309

The excess of purchase price over the fair values of net tangible and intangible assets has been recorded as goodwill. The fair values of tangible and identifiable intangible assets, deferred tax assets, deferred revenue, and other liabilities are based on management’s estimates and assumptions. Included in the assets and liabilities assumed is an estimated indemnification asset of $300,000 and a contingent liability of $700,000, both of which are associated with tax liabilities. The contingent liability is measured based on management’s estimate of a range of probable outcomes. The goodwill balance is primarily attributed to the assembled workforce, additional market opportunities from offering HLS’s products, and expected synergies from integrating HLS with other products or other combined functional areas within the Company. During the three months ended March 31, 2016, the Company received notice of an indemnification claim from the former owners of HLS pursuant to the terms of the membership interest purchase agreement. The terms of such agreement require the Company to indemnify such owners for incremental taxes incurred as the result of the structure of the acquisition, which had favorable tax aspects to the Company. The Company recorded a measurement period adjustment in relation to the claim that increased goodwill by approximately $2.2 million during the three months ended March 31, 2016. The additional goodwill is deductible for U.S. income tax purposes. The goodwill balance excluding such measurement period adjustment is also deductible for U.S. income tax purposes. During the three months ended September 30, 2016, the Company agreed to settle this indemnification claim for approximately $2.4 million in respect of such tax indemnification provision in the membership interest purchase agreement, a difference of approximately $200,000 from the aforementioned $2.2 million measurement period adjustment. The Company surpassed the one year measurement period as of the period ended March 31, 2016; accordingly, in accordance with requisite accounting guidance, the $200,000 difference has been reflected as a charge against net income for the period ended September 30, 2016. The net tangible assets include deferred revenue, which was adjusted down from a book value at the acquisition date of $15.0 million to an estimated fair value of $6.0 million. The $9.0 million write-down of deferred revenue will result in lower revenues than would have otherwise been recognized for such services.

The following table sets forth the components of identifiable intangible assets and their estimated useful lives as of the acquisition date (in thousands):


	Fair value		Useful life
Customer relationships	$	42,600		13 years
Developed technology		3,700		5 years
Trade names		900		6 years

Total intangible assets subject to amortization	$	47,200

The amounts of revenue and operating income (loss) of HLS included in the Company’s condensed consolidated statement of income from the date of acquisition of March 16, 2015 to the period ending September 30, 2015 are as follows (in thousands):


Total revenues	$	5,351

Operating loss	$	(1,899	)

The following unaudited pro forma financial information summarizes the combined results of operations of the Company and HLS, which was significant for purposes of the unaudited pro forma financial information disclosure, as though the companies were combined as of January 1, 2014 (in thousands, except per share data):


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Total revenues	$	58,644	$	55,741	$	168,908	$	161,954

Net income	$	1,361	$	3,760	$	5,090	$	10,599

Basic earnings per share	$	0.04	$	0.12	$	0.16	$	0.36

Diluted earnings per share	$	0.04	$	0.12	$	0.16	$	0.35

These unaudited pro forma combined results of operations include certain adjustments arising from the acquisition such as adjustment for amortization of intangible assets, depreciation of property and equipment, fair value adjustments of acquired deferred revenue balances, and interest expense associated with borrowings under a revolving credit facility by the Company to partially fund the acquisition. The unaudited pro forma combined results of operations is for informational purposes only and is not indicative of what the Company’s results of operations would have been had the transaction occurred at the beginning of the period presented or to project the Company’s results of operations in any future period.

The unaudited pro forma financial information for the three and nine months ended September 30, 2016 and 2015 combines the historical results of the Company and HLS for the three and nine months ended September 30, 2016 and 2015 and the pro forma adjustments listed above.

Other Business Combinations

On June 30, 2016, the Company acquired all of the stock of Performance Management Services, Inc. (“PMSI”), a Company based in Tustin, California focused on competency-based performance development for nurses, for $4.0 million in cash and up to an additional $500,000 of contingent consideration. The acquisition, including associated transaction costs, is not considered material to the Company’s financial statements. The Company accounted for the acquisition as a business combination and has allocated the purchase consideration based on preliminary estimates of fair value. The Company expects to finalize its estimates of fair value as soon as practicable, but not later than one year from the date of acquisition. The results of operations for PMSI are included in the Company’s condensed consolidated financial statements from the date of acquisition and are included in the HealthStream Workforce Solutions segment.

On July 25, 2016, the Company purchased all of the outstanding stock of Nursing Registry Consultants Corporation (“Nurse Competency”) not previously held by the Company for approximately $1.0 million in cash and up to an additional $75,000 in contingent consideration. Nurse Competency provides SaaS-based clinical assessment and testing products to the healthcare industry. The Company previously held a 32% minority equity interest in Nurse Competency and had accounted for such interest as an equity method investment. The fair value of the minority equity interest as of the July 25, 2016 acquisition date was approximately $484,000 and was determined in accordance with the fair value of the controlling interest acquired with consideration given to acquisition premiums, where applicable. The Company recorded a gain of approximately $225,000 to account for the difference between the noted acquisition date fair value of the minority equity interest and the carrying value as of such date. The gain is included in other income (expense), net in the condensed consolidated statements of income for the three and nine months ended September 30, 2016. The Company accounted for the acquisition as a business combination and has allocated the purchase consideration based on preliminary estimates of fair value. The Company expects to finalize its estimates of fair value as soon as practicable, but not later than one year from the date of acquisition. The results of operations for Nurse Competency are included in the Company’s condensed consolidated financial statements from the date of acquisition and are included in the HealthStream Workforce Solutions segment.

Goodwill

The changes in the carrying amount of goodwill for the nine months ended September 30, 2016 are as follows (in thousands):


	Workforce		Patient Experience		Provider		Total
Balance at January 1, 2016	$	12,336	$	24,154	$	46,583	$	83,073
Other business combinations		4,041		—		—		4,041
Acquisition of HealthLine Systems, LLC		—		—		2,180		2,180
Acquisition of Morrisey Associates, Inc.		—		—		20,502		20,502

Balance at September 30, 2016	$	16,377	$	24,154	$	69,265	$	109,796

During the three months ended March 31, 2016, the Company recorded approximately $2.2 million of additional goodwill in relation to the March 2015 acquisition of HealthLine Systems, LLC. Such amount relates to the measurement period adjustment previously discussed under the above caption “HealthLine Systems.”

- Definition

The entire disclosure for a business combination (or series of individually immaterial business combinations) completed during the period, including background, timing, and recognized assets and liabilities. The disclosure may include leverage buyout transactions (as applicable).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
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+ Details

Business Segments

9 Months Ended

Sep. 30, 2016

Segment Reporting [Abstract]

Business Segments

8. BUSINESS SEGMENTS

The Company provides services to healthcare organizations and other members within the healthcare industry. The Company’s services are focused on the delivery of workforce development products and services (HealthStream Workforce Solutions), survey and research services (HealthStream Patient Experience Solutions), and provider credentialing, privileging, call center and enrollment products and services (HealthStream Provider Solutions).

The Company measures segment performance based on operating income before income taxes and prior to the allocation of certain corporate overhead expenses, interest income, interest expense, and depreciation. The Unallocated component below includes corporate functions, such as accounting, human resources, legal, investor relations, administrative, and executive personnel, depreciation, a portion of amortization, and certain other expenses, which are not currently allocated in measuring segment performance. The following is the Company’s business segment information as of and for the three and nine months ended September 30, 2016 and 2015 (in thousands).


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Revenues, net:
Workforce	$	43,015	$	41,092	$	124,489	$	118,488
Patient Experience		8,931		8,792		25,862		25,545
Provider		6,421		3,951		16,886		9,103

Total revenues, net	$	58,367	$	53,835	$	167,237	$	153,136


	Three Months Ended September 30,						Nine Months Ended September 30,
	2016			2015			2016			2015
Income from operations:
Workforce	$	9,386		$	10,386		$	29,034		$	29,789
Patient Experience		471			807			(319	)		1,737
Provider		(959	)		(852	)		(681	)		(1,638	)
Unallocated		(7,612	)		(6,016	)		(21,946	)		(18,209	)

Total income from operations	$	1,286		$	4,325		$	6,088		$	11,679


	September 30, 2016		December 31, 2015
Segment assets *
Workforce	$	93,350	$	82,375
Patient Experience		35,724		34,902
Provider		152,162		100,948
Unallocated		112,815		161,344

Total assets	$	394,051	$	379,569

Segment assets include accounts and unbilled receivables, prepaid and other current assets, other assets, capitalized software development, certain property and equipment, and intangible assets. Cash and cash equivalents and marketable securities are not allocated to individual segments, and are included within Unallocated. A significant portion of property and equipment assets are included within Unallocated.

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
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+ Details

Debt

9 Months Ended

Sep. 30, 2016

Debt Disclosure [Abstract]

Debt

9. DEBT

Revolving Credit Facility

The Company maintains a Loan Agreement (the “Revolving Credit Facility”) with SunTrust Bank (“SunTrust”) in the aggregate principal amount of $50.0 million, which matures on November 24, 2017. Under the Revolving Credit Facility, the Company may borrow up to $50.0 million, which includes a $5.0 million swing line subfacility and a $5.0 million letter of credit subfacility, as well as an accordion feature that allows the Company to increase the Revolving Credit Facility by a total of up to $25.0 million, subject to securing additional commitments from existing lenders or new lending institutions. The obligations under the Revolving Credit Facility are guaranteed by each of the Company’s subsidiaries. At the Company’s election, the borrowings under the Revolving Credit Facility bear interest at either (1) a rate per annum equal to the highest of SunTrust’s prime rate or 0.5% in excess of the Federal Funds Rate or 1.0% in excess of one-month LIBOR (the “Base Rate”), plus an applicable margin, or (2) the one, two, three, or six-month per annum LIBOR for deposits in the applicable currency (the “Eurocurrency Rate”), as selected by the Company, plus an applicable margin. The applicable margin for Eurocurrency Rate loans depends on the Company’s funded debt leverage ratio and varies from 1.50% to 2.00%. The applicable margin for Base Rate loans depends on the Company’s funded debt leverage ratio and varies from 0.50% to 1.50%. Commitment fees and letter of credit fees are also payable under the Revolving Credit Facility. Principal is payable in full at maturity on November 24, 2017, and there are no scheduled principal payments prior to maturity. The Company is required to pay a commitment fee ranging between 20 and 30 basis points per annum of the average daily unused portion of the Revolving Credit Facility, depending on the Company’s funded debt leverage ratio.

The purpose of the Revolving Credit Facility is for general working capital needs, permitted acquisitions (as defined in the Loan Agreement), and for stock repurchase and/or redemption transactions that the Company may authorize.

The Revolving Credit Facility contains certain covenants that, among other things, restrict additional indebtedness, liens and encumbrances, changes to the character of the Company’s business, acquisitions, asset dispositions, mergers and consolidations, sale or discount of receivables, creation or acquisitions of additional subsidiaries, and other matters customarily restricted in such agreements.

In addition, the Revolving Credit Facility requires the Company to meet certain financial tests, including, without limitation:

•

a funded debt leverage ratio (consolidated debt/consolidated EBITDA) of not greater than 3.0 to 1.0; and

•

an interest coverage ratio (consolidated EBITDA/consolidated interest expense) of not less than 3.0 to 1.0.

As of September 30, 2016, the Company was in material compliance with all covenants. There were no balances outstanding on the Revolving Credit Facility as of September 30, 2016. During the three months ended June 30, 2015, the Company repaid approximately $28.0 million of balances previously outstanding under the Revolving Credit Facility from proceeds received in the Company’s public offering of 3,869,750 shares which closed on May 28, 2015.

Related Party Transactions	9 Months Ended
Related Party Transactions	Sep. 30, 2016
Related Party Transactions [Abstract]
Related Party Transactions	10. RELATED PARTY TRANSACTIONS During the three months ended June 30, 2015, the Company’s CEO, Robert A. Frist, Jr., entered into an agreement with the Company pursuant to which he contributed 54,241 of his personally owned shares of HealthStream, Inc. common stock to the Company, without any consideration paid to him. In connection with this contribution, the Company approved the grant of 49,310 shares of common stock to over 600 employees, with a fair market value of approximately $1.5 million. Mr. Frist contributed 4,931 of the contributed shares noted above to take into account the estimated Company costs, such as administrative expenses and employer payroll taxes associated with the grants. (See Note 4 Stock Based Compensation).

Recent Accounting Pronouncements (Policies)	9 Months Ended
Recent Accounting Pronouncements (Policies)	Sep. 30, 2016
Accounting Changes and Error Corrections [Abstract]
RECENT ACCOUNTING PRONOUNCEMENTS	*Recently Adopted Accounting Standards* The Company has adopted Accounting Standards Update (“ASU”) 2015-16, Business Combinations (Topic 805). Under the provisions of the revised guidance, acquirers in a business combination must recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined. The acquirer must record, in the same period’s financial statements, the effect on earnings of changes in depreciation, amortization, or other income effects, if any, as a result of the change to the provisional amounts, calculated as if the accounting had been completed at the acquisition date. The Company recorded a measurement period adjustment during the period ended March 31, 2016. See Note 7 Business Combinations for further discussion. RECENT ACCOUNTING PRONOUNCEMENTS In May 2014, the Financial Accounting Standards Board (“FASB”) issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606), which supersedes the revenue recognition requirements in Topic 605, Revenue Recognition, and most industry-specific revenue recognition guidance throughout the Industry Topics of the Accounting Standards Codification. The updated guidance states that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The guidance also provides for additional disclosures with respect to revenues and cash flows arising from contracts with customers. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2017, and early adoption is permitted for the first interim period within annual reporting periods beginning after December 15, 2016. The Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements. In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842), which requires lessees to recognize assets and liabilities for most leases. The recognition, measurement and presentation of expenses and cash flows arising from a lease by a lessee is not expected to significantly change under such guidance; however, the Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2018, and early adoption is permitted. In March 2016, the FASB issued ASU 2016-09, Compensation – Stock Compensation (Topic 718), which serves to simplify several aspects of the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2016, and early adoption is permitted in any interim or annual period. The Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements. In March 2016, the FASB issued ASU 2016-01, Financial Instruments – Overall (Sub Topic 825-10), which addresses certain aspects of the recognition, measurement, presentation, and disclosure of financial instruments. The guidance will, among other things, require equity method investments (except those accounted for under the equity method of accounting or those that result in consolidation of the investee) to be measured at fair value with changes in fair value recognized in net income. The standard will be effective for the first interim period within annual reporting periods beginning after December 15, 2017, and early adoption is permitted for only limited aspects of such guidance. The Company is currently reviewing this standard to determine the method of adoption and to assess the impact on its future consolidated financial statements.

Stock Based Compensation (Tables)

9 Months Ended

Sep. 30, 2016

Disclosure of Compensation Related Costs, Share-based Payments [Abstract]

Stock Based Compensation Expense Recorded in Condensed Consolidated Statements of Income


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Cost of revenues (excluding depreciation and amortization)	$	35	$	29	$	110	$	790
Product development		73		55		200		514
Sales and marketing		65		61		193		486
Other general and administrative		339		295		1,013		997

Total stock based compensation expense	$	512	$	440	$	1,516	$	2,787

Earnings Per Share (Tables)

9 Months Ended

Sep. 30, 2016

Earnings Per Share [Abstract]

Computation of Basic and Diluted Earnings Per Share

The following table sets forth the computation of basic and diluted earnings per share for the three and nine months ended September 30, 2016 and 2015 (in thousands, except per share data):


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Numerator:
Net income	$	1,162	$	2,614	$	4,066	$	6,810

Denominator:
Weighted-average shares outstanding		31,739		31,643		31,714		29,527
Effect of dilutive shares		368		386		336		378

Weighted-average diluted shares		32,107		32,029		32,050		29,905

Basic earnings per share	$	0.04	$	0.08	$	0.13	$	0.23

Diluted earnings per share	$	0.04	$	0.08	$	0.13	$	0.23

Marketable Securities (Tables)

9 Months Ended

Sep. 30, 2016

Investments, Debt and Equity Securities [Abstract]

Fair Value of Available for Sale Marketable Securities

At September 30, 2016 and December 31, 2015, the fair value of marketable securities, which were all classified as available for sale, included the following (in thousands):


	September 30, 2016
	Adjusted Cost		Unrealized Gains		Unrealized Losses			Fair Value
Level 2:
Corporate debt securities	$	43,720		3		(36	)	$	43,687
Government-sponsored enterprise debt securities		17,054		6		—			17,060

Total	$	60,774	$	9	$	(36	)	$	60,747


	December 31, 2015
	Adjusted Cost		Unrealized Gains		Unrealized Losses			Fair Value
Level 2:
Certificates of deposit	$	1,000	$	—	$	—		$	1,000
Corporate debt securities		66,046		—		(70	)		65,976

Total	$	77,046	$	—	$	(70	)	$	66,976

Business Combinations (Tables)

9 Months Ended

Sep. 30, 2016

Changes in the Carrying Amount of Goodwill

The changes in the carrying amount of goodwill for the nine months ended September 30, 2016 are as follows (in thousands):


	Workforce		Patient Experience		Provider		Total
Balance at January 1, 2016	$	12,336	$	24,154	$	46,583	$	83,073
Other business combinations		4,041		—		—		4,041
Acquisition of HealthLine Systems, LLC		—		—		2,180		2,180
Acquisition of Morrisey Associates, Inc.		—		—		20,502		20,502

Balance at September 30, 2016	$	16,377	$	24,154	$	69,265	$	109,796

HealthLine Systems LLC [Member]

Summary of Purchase Price

A summary of the purchase price is as follows (in thousands):


Cash paid at closing	$	87,450
Consideration due to the seller		2,180
Cash held in escrow		679

Total consideration paid	$	90,309

Summary of Fair Value of Assets Acquired and Liabilities Assumed

The following table summarizes the fair value of the assets acquired and liabilities assumed as of the date of acquisition (in thousands):


Cash	$	54
Accounts receivable, net		3,052
Prepaid assets		546
Property and equipment		200
Deferred tax assets		2,523
Goodwill		43,798
Intangible assets		47,200
Accounts payable and accrued liabilities		(1,085	)
Deferred revenue		(5,979	)

Net assets acquired	$	90,309

Components of Identifiable Intangible Assets and Estimated Useful Lives

The following table sets forth the components of identifiable intangible assets and their estimated useful lives as of the acquisition date (in thousands):


	Fair value		Useful life
Customer relationships	$	42,600		13 years
Developed technology		3,700		5 years
Trade names		900		6 years

Total intangible assets subject to amortization	$	47,200

Summary of Unaudited ProForma Financial Information


Total revenues	$	5,351

Operating loss	$	(1,899	)


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Total revenues	$	58,644	$	55,741	$	168,908	$	161,954

Net income	$	1,361	$	3,760	$	5,090	$	10,599

Basic earnings per share	$	0.04	$	0.12	$	0.16	$	0.36

Diluted earnings per share	$	0.04	$	0.12	$	0.16	$	0.35

Morrisey Associates Inc [Member]

Summary of Purchase Price

A summary of the purchase price is as follows (in thousands):


Cash paid at closing	$	44,120
Cash held in escrow		3,880

Total consideration paid	$	48,000

Summary of Fair Value of Assets Acquired and Liabilities Assumed

The following table summarizes the fair value of the assets acquired and liabilities assumed as of the date of acquisition (in thousands):


Accounts receivable, net		3,402
Prepaid royalties and other prepaid assets		187
Property and equipment		75
Deferred tax assets		1,548
Goodwill		20,502
Intangible assets		27,400
Accounts payable and accrued liabilities		(913	)
Deferred revenue		(4,201	)

Net assets acquired	$	48,000

Components of Identifiable Intangible Assets and Estimated Useful Lives

The following table sets forth the preliminary components of identifiable intangible assets and their estimated useful lives as of the acquisition date (in thousands):


	Preliminary fair value		Useful life
Customer relationships	$	21,400		13 years
Developed technology		5,400		5 years
Trade names		600		6 years

Total preliminary intangible assets subject to amortization	$	27,400

Summary of Unaudited ProForma Financial Information


Total revenues	$	841

Operating loss	$	(1,023	)


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Total revenues	$	60,711	$	56,622	$	176,401	$	159,009

Net income	$	2,275	$	2,573	$	5,764	$	5,445

Basic earnings per share	$	0.07	$	0.08	$	0.18	$	0.18

Diluted earnings per share	$	0.07	$	0.08	$	0.18	$	0.18

Business Segments (Tables)

9 Months Ended

Sep. 30, 2016

Segment Reporting [Abstract]

Business Segment Information Based on Net Revenues

The following is the Company’s business segment information as of and for the three and nine months ended September 30, 2016 and 2015 (in thousands).


	Three Months Ended September 30,				Nine Months Ended September 30,
	2016		2015		2016		2015
Revenues, net:
Workforce	$	43,015	$	41,092	$	124,489	$	118,488
Patient Experience		8,931		8,792		25,862		25,545
Provider		6,421		3,951		16,886		9,103

Total revenues, net	$	58,367	$	53,835	$	167,237	$	153,136

Business Segment Information Based on Operating Income


	Three Months Ended September 30,						Nine Months Ended September 30,
	2016			2015			2016			2015
Income from operations:
Workforce	$	9,386		$	10,386		$	29,034		$	29,789
Patient Experience		471			807			(319	)		1,737
Provider		(959	)		(852	)		(681	)		(1,638	)
Unallocated		(7,612	)		(6,016	)		(21,946	)		(18,209	)

Total income from operations	$	1,286		$	4,325		$	6,088		$	11,679

Business Segment Information Based on Assets


	September 30, 2016		December 31, 2015
Segment assets *
Workforce	$	93,350	$	82,375
Patient Experience		35,724		34,902
Provider		152,162		100,948
Unallocated		112,815		161,344

Total assets	$	394,051	$	379,569

Income Taxes - Additional Information (Detail) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Income Tax Disclosure [Abstract]
Income tax provision	$ 461,000	$ 1,739,000	$ 2,487,000	$ 4,862,000
Effective tax rate			38.00%	41.70%
Reduction of gross unrecognized tax benefits			$ (300,000)	$ (1,800,000)
Unrecognized tax benefits that would affect effective tax rate		$ 115,000		$ 115,000

Stock Based Compensation - Additional Information (Detail)	1 Months Ended	3 Months Ended				9 Months Ended
	Jun. 30, 2015 Employees shares	Sep. 30, 2016 USD ($)	Mar. 31, 2016 $ / shares shares	Sep. 30, 2015 USD ($) $ / shares shares	Jun. 30, 2015 USD ($) Employees shares	Sep. 30, 2016 USD ($) Incentive_Plan $ / shares shares	Sep. 30, 2015 USD ($) $ / shares shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of incentive plans \| Incentive_Plan						3
Restricted share units issued							49,310
Weighted average grant date fair value, restricted share unit \| $ / shares							$ 30.42
Stock based compensation expense \| $		$ 512,000		$ 440,000		$ 1,516,000	$ 2,787,000
RSUs [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted share units issued						111,808	80,355
Weighted average grant date fair value, restricted share unit \| $ / shares						$ 20.49	$ 25.56
Stock Awards [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of employees eligible to receive common stock \| Employees	600
Minimum eligible period of service required for the employees to receive common stock	1 year
Stock based compensation expense \| $					$ 1,500,000
Common stock issued under stock plans, number of shares withheld					17,279
Total payments to taxing authorities for stock awards \| $							$ 526,000
Performance-Based RSUs [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted share units issued				30,000
Weighted average grant date fair value, restricted share unit \| $ / shares			$ 20.20	$ 23.40
Restricted share units vesting period				5 years
Restricted share units grant date established			5,000	8,750
Restricted share units grant date remaining			16,250	16,250
Chief Executive Officer [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted share units issued					49,310
Number of common stock contributed					54,241
Number of employees eligible to receive common stock \| Employees					600
Stock based compensation expense \| $					$ 1,500,000
Chief Executive Officer [Member] \| Stock Awards [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted share units issued	49,310
Number of common stock contributed	54,241

Stock Based Compensation - Stock Based Compensation Expense Recorded in Condensed Consolidated Statements of Income (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Total stock based compensation expense	$ 512	$ 440	$ 1,516	$ 2,787
Cost of Revenues (Excluding Depreciation and Amortization) [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Total stock based compensation expense	35	29	110	790
Product Development [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Total stock based compensation expense	73	55	200	514
Sales and Marketing [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Total stock based compensation expense	65	61	193	486
Other General and Administrative [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Total stock based compensation expense	$ 339	$ 295	$ 1,013	$ 997

Earnings Per Share - Additional Information (Detail) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Earnings Per Share [Abstract]
Total number of common equivalent shares excluded from the calculations of diluted earnings per share	21,000	26,000	42,000	13,000

Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Numerator:
Net income	$ 1,162	$ 2,614	$ 4,066	$ 6,810
Denominator:
Weighted-average shares outstanding	31,739	31,643	31,714	29,527
Effect of dilutive shares	368	386	336	378
Weighted-average diluted shares	32,107	32,029	32,050	29,905
Basic earnings per share	$ 0.04	$ 0.08	$ 0.13	$ 0.23
Diluted earnings per share	$ 0.04	$ 0.08	$ 0.13	$ 0.23

Marketable Securities - Fair Value of Available for Sale Marketable Securities (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Schedule of Available-for-sale Securities [Line Items]
Available for sale securities, Fair Value	$ 60,747	$ 66,976
Level 2 [Member]
Schedule of Available-for-sale Securities [Line Items]
Available for sale securities, Adjusted Cost	60,774	77,046
Available for sale securities, Unrealized Gains	9
Available for sale securities, Unrealized Losses	(36)	(70)
Available for sale securities, Fair Value	60,747	66,976
Level 2 [Member] \| Certificates of Deposit [Member]
Schedule of Available-for-sale Securities [Line Items]
Available for sale securities, Adjusted Cost		1,000
Available for sale securities, Fair Value		1,000
Level 2 [Member] \| Corporate Debt Securities [Member]
Schedule of Available-for-sale Securities [Line Items]
Available for sale securities, Adjusted Cost	43,720	66,046
Available for sale securities, Unrealized Gains	3
Available for sale securities, Unrealized Losses	(36)	(70)
Available for sale securities, Fair Value	43,687	$ 65,976
Level 2 [Member] \| Government-sponsored Enterprises Debt Securities [Member]
Schedule of Available-for-sale Securities [Line Items]
Available for sale securities, Adjusted Cost	17,054
Available for sale securities, Unrealized Gains	6
Available for sale securities, Fair Value	$ 17,060

Business Combinations - Additional Information (Detail) - USD ($)			1 Months Ended	3 Months Ended			6 Months Ended	9 Months Ended	12 Months Ended	15 Months Ended
	Aug. 08, 2016	Jul. 25, 2016	Jun. 30, 2016	Sep. 30, 2016	Mar. 31, 2016	Mar. 31, 2015	Jun. 30, 2016	Sep. 30, 2016	Dec. 31, 2014	Mar. 31, 2015	Mar. 16, 2015
Nursing Registry Consultants Corporation [Member]
Business Acquisition [Line Items]
Equity method ownership interest percentage				32.00%				32.00%
Fair value of minority equity interest		$ 484,000
HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Acquisition date of assets								Mar. 16, 2015
Consideration paid for acquisition in cash								$ 90,309,000
Transaction costs associated with the acquisition						$ 965,000			$ 329,000	$ 1,300,000
Preliminary purchase price allocation measurement period								1 year
Net tangible assets include deferred revenue book value at acquisition date				$ 15,000,000				$ 15,000,000
Net tangible assets include deferred revenue fair value at acquisition date				6,000,000				6,000,000
Net tangible assets include deferred revenue estimated fair value				5,979,000				5,979,000			$ 5,979,000
Write-down of deferred revenue								9,000,000
Estimated indemnification asset				300,000				300,000
Contingent liability				700,000				700,000
Adjustment to goodwill				2,200,000	$ 2,200,000
Goodwill indemnification claim				2,400,000
Goodwill measurement period adjustment				200,000
Tax indemnification, charge against net income								$ 200,000
Other Business Combination [Member]
Business Acquisition [Line Items]
Consideration paid for acquisition in cash			$ 4,000,000
Additional contingent consideration			$ 500,000				$ 500,000
Morrisey Associates Inc [Member]
Business Acquisition [Line Items]
Acquisition date of assets								Aug. 08, 2016
Consideration paid for acquisition in cash	$ 48,000,000
Transaction costs associated with the acquisition				$ 805,000			$ 148,000	$ 953,000
Preliminary purchase price allocation measurement period	1 year
Net tangible assets include deferred revenue book value at acquisition date	$ 9,100,000
Net tangible assets include deferred revenue fair value at acquisition date	4,200,000
Net tangible assets include deferred revenue estimated fair value	4,201,000
Write-down of deferred revenue	$ 4,900,000
Nursing Registry Consultants Corporation [Member]
Business Acquisition [Line Items]
Consideration paid for acquisition in cash		1,000,000
Additional contingent consideration		75,000
Recorded gain after business combination		$ 225,000

Business Combinations - Summary of Purchase Price (Detail) - USD ($) $ in Thousands		9 Months Ended
	Aug. 08, 2016	Sep. 30, 2016
HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Total consideration paid		$ 90,309
Morrisey Associates Inc [Member]
Business Acquisition [Line Items]
Total consideration paid	$ 48,000
Cash Paid at Closing [Member] \| HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Total consideration paid		87,450
Cash Paid at Closing [Member] \| Morrisey Associates Inc [Member]
Business Acquisition [Line Items]
Total consideration paid	44,120
Consideration Due to the Seller [Member] \| HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Total consideration paid		2,180
Cash Held in Escrow [Member] \| HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Total consideration paid		$ 679
Cash Held in Escrow [Member] \| Morrisey Associates Inc [Member]
Business Acquisition [Line Items]
Total consideration paid	$ 3,880

Business Combinations - Summary of Fair Value of Assets Acquired and Liabilities Assumed (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Aug. 08, 2016	Dec. 31, 2015	Mar. 16, 2015
Business Acquisition [Line Items]
Goodwill	$ 109,796		$ 83,073
HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Cash				$ 54
Accounts receivable, net				3,052
Prepaid assets				546
Property and equipment				200
Deferred tax assets				2,523
Goodwill				43,798
Intangible assets				47,200
Accounts payable and accrued liabilities				(1,085)
Deferred revenue	$ (5,979)			(5,979)
Net assets acquired				$ 90,309
Morrisey Associates Inc [Member]
Business Acquisition [Line Items]
Accounts receivable, net		$ 3,402
Prepaid assets		187
Property and equipment		75
Deferred tax assets		1,548
Goodwill		20,502
Intangible assets		27,400
Accounts payable and accrued liabilities		(913)
Deferred revenue		(4,201)
Net assets acquired		$ 48,000

Business Combinations - Components of Identifiable Intangible Assets and Estimated Useful Lives (Detail) - USD ($) $ in Thousands		9 Months Ended
	Aug. 08, 2016	Sep. 30, 2016	Mar. 16, 2015
Morrisey Associates Inc [Member]
Finite-Lived Intangible Assets [Line Items]
Total intangible assets subject to amortization	$ 27,400
HealthLine Systems LLC [Member]
Finite-Lived Intangible Assets [Line Items]
Total intangible assets subject to amortization			$ 47,200
Customer Relationships [Member] \| Morrisey Associates Inc [Member]
Finite-Lived Intangible Assets [Line Items]
Estimated useful lives	13 years
Total intangible assets subject to amortization	$ 21,400
Customer Relationships [Member] \| HealthLine Systems LLC [Member]
Finite-Lived Intangible Assets [Line Items]
Estimated useful lives		13 years
Total intangible assets subject to amortization			42,600
Developed Technology [Member] \| Morrisey Associates Inc [Member]
Finite-Lived Intangible Assets [Line Items]
Estimated useful lives	5 years
Total intangible assets subject to amortization	$ 5,400
Developed Technology [Member] \| HealthLine Systems LLC [Member]
Finite-Lived Intangible Assets [Line Items]
Estimated useful lives		5 years
Total intangible assets subject to amortization			3,700
Trade Names [Member] \| Morrisey Associates Inc [Member]
Finite-Lived Intangible Assets [Line Items]
Estimated useful lives	6 years
Total intangible assets subject to amortization	$ 600
Trade Names [Member] \| HealthLine Systems LLC [Member]
Finite-Lived Intangible Assets [Line Items]
Estimated useful lives		6 years
Total intangible assets subject to amortization			$ 900

Business Combinations - Summary of Unaudited ProForma Financial Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	2 Months Ended	3 Months Ended		6 Months Ended	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
HealthLine Systems LLC [Member]
Business Acquisition [Line Items]
Total revenues				$ 5,351
Operating loss				$ (1,899)
Total revenues		$ 58,644	$ 55,741		$ 168,908	$ 161,954
Net income		$ 1,361	$ 3,760		$ 5,090	$ 10,599
Basic earnings per share		$ 0.04	$ 0.12		$ 0.16	$ 0.36
Diluted earnings per share		$ 0.04	$ 0.12		$ 0.16	$ 0.35
Morrisey Associates Inc [Member]
Business Acquisition [Line Items]
Total revenues	$ 841
Operating loss	$ (1,023)
Total revenues		$ 60,711	$ 56,622		$ 176,401	$ 159,009
Net income		$ 2,275	$ 2,573		$ 5,764	$ 5,445
Basic earnings per share		$ 0.07	$ 0.08		$ 0.18	$ 0.18
Diluted earnings per share		$ 0.07	$ 0.08		$ 0.18	$ 0.18

Business Combinations - Changes In Carrying Amount of Goodwill (Detail) $ in Thousands	9 Months Ended
	Sep. 30, 2016 USD ($)
Goodwill [Line Items]
Goodwill, beginning balance	$ 83,073
Goodwill, ending balance	109,796
Other Business Combination [Member]
Goodwill [Line Items]
Goodwill acquired	4,041
HealthLine Systems LLC [Member]
Goodwill [Line Items]
Goodwill acquired	2,180
Morrisey Associates Inc [Member]
Goodwill [Line Items]
Goodwill acquired	20,502
Workforce [Member]
Goodwill [Line Items]
Goodwill, beginning balance	12,336
Goodwill, ending balance	16,377
Workforce [Member] \| Other Business Combination [Member]
Goodwill [Line Items]
Goodwill acquired	4,041
Patient Experience [Member]
Goodwill [Line Items]
Goodwill, beginning balance	24,154
Goodwill, ending balance	24,154
Provider [Member]
Goodwill [Line Items]
Goodwill, beginning balance	46,583
Goodwill, ending balance	69,265
Provider [Member] \| HealthLine Systems LLC [Member]
Goodwill [Line Items]
Goodwill acquired	2,180
Provider [Member] \| Morrisey Associates Inc [Member]
Goodwill [Line Items]
Goodwill acquired	$ 20,502

Business Segments - Business Segment Information Based on Net Revenues and Operating Income (Detail) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Revenues, net
Revenues, net	$ 58,367	$ 53,835	$ 167,237	$ 153,136
Income from operations
Income from operations	1,286	4,325	6,088	11,679
Operating Segments [Member] \| Workforce [Member]
Revenues, net
Revenues, net	43,015	41,092	124,489	118,488
Income from operations
Income from operations	9,386	10,386	29,034	29,789
Operating Segments [Member] \| Patient Experience [Member]
Revenues, net
Revenues, net	8,931	8,792	25,862	25,545
Income from operations
Income from operations	471	807	(319)	1,737
Operating Segments [Member] \| Provider [Member]
Revenues, net
Revenues, net	6,421	3,951	16,886	9,103
Income from operations
Income from operations	(959)	(852)	(681)	(1,638)
Unallocated [Member]
Income from operations
Income from operations	$ (7,612)	$ (6,016)	$ (21,946)	$ (18,209)

Business Segments - Business Segment Information Based on Assets (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Dec. 31, 2015
Segment Reporting Information [Line Items]
Total assets	$ 394,051	$ 379,569
Operating Segments [Member] \| Workforce [Member]
Segment Reporting Information [Line Items]
Total assets	93,350	82,375
Operating Segments [Member] \| Patient Experience [Member]
Segment Reporting Information [Line Items]
Total assets	35,724	34,902
Operating Segments [Member] \| Provider [Member]
Segment Reporting Information [Line Items]
Total assets	152,162	100,948
Unallocated [Member]
Segment Reporting Information [Line Items]
Total assets	$ 112,815	$ 161,344

Debt - Additional Information (Detail) - USD ($)	3 Months Ended	9 Months Ended
Debt - Additional Information (Detail) - USD ($)	Jun. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Line of Credit Facility [Line Items]
Repayment of balances outstanding on the revolving credit facility			$ 28,000,000
SunTrust Bank [Member]
Line of Credit Facility [Line Items]
Description of Line of credit facility Covenant		A funded debt leverage ratio (consolidated debt/consolidated EBITDA) of not greater than 3.0 to 1.0 and an interest coverage ratio (consolidated EBITDA/consolidated interest expense) of not less than 3.0 to 1.0.
SunTrust Bank [Member] \| Minimum [Member]
Line of Credit Facility [Line Items]
Commitment fee paid per annum		0.20%
SunTrust Bank [Member] \| Maximum [Member]
Line of Credit Facility [Line Items]
Commitment fee paid per annum		0.30%
Revolving Credit Facility [Member] \| SunTrust Bank [Member]
Line of Credit Facility [Line Items]
Aggregate principal amount of loan agreement		$ 50,000,000
Maturity date of Loan agreement		Nov. 24, 2017
Maximum borrowing capacity under credit facility		$ 50,000,000
Increase in revolving credit facility		$ 25,000,000
Interest rate under credit facility		The borrowings under the Revolving Credit Facility bear interest at either (1) a rate per annum equal to the highest of SunTrust’s prime rate or 0.5% in excess of the Federal Funds Rate or 1.0% in excess of one-month LIBOR (the “Base Rate”), plus an applicable margin, or (2) the one, two, three, or six-month per annum LIBOR for deposits in the applicable currency (the “Eurocurrency Rate”), as selected by the Company, plus an applicable margin. The applicable margin for Eurocurrency Rate loans depends on the Company’s funded debt leverage ratio and varies from 1.50% to 2.00%. The applicable margin for Base Rate loans depends on the Company’s funded debt leverage ratio and varies from 0.50% to 1.50%
Principal payments prior to maturity		$ 0
Balances outstanding on the revolving credit facility		0
Repayment of balances outstanding on the revolving credit facility	$ 28,000,000
Shares issued during period, public offering	3,869,750
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Swingline Sub Facility [Member]
Line of Credit Facility [Line Items]
Maximum borrowing capacity under credit facility		5,000,000
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Letter of Credit Subfacility [Member]
Line of Credit Facility [Line Items]
Maximum borrowing capacity under credit facility		$ 5,000,000
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Federal Funds Effective Swap Rate [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility, Interest Rate During Period		0.50%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Base Rate [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility, Interest Rate During Period		1.00%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Minimum [Member]
Line of Credit Facility [Line Items]
Interest coverage ratio		300.00%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Minimum [Member] \| Base Rate [Member]
Line of Credit Facility [Line Items]
Applicable margin for loans		0.50%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Minimum [Member] \| Eurodollar [Member]
Line of Credit Facility [Line Items]
Applicable margin for loans		1.50%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Maximum [Member]
Line of Credit Facility [Line Items]
Maximum total leverage ratio		300.00%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Maximum [Member] \| Base Rate [Member]
Line of Credit Facility [Line Items]
Applicable margin for loans		1.50%
Revolving Credit Facility [Member] \| SunTrust Bank [Member] \| Maximum [Member] \| Eurodollar [Member]
Line of Credit Facility [Line Items]
Applicable margin for loans		2.00%

Related Party Transactions - Additional Information (Detail) $ in Thousands	3 Months Ended			9 Months Ended
	Sep. 30, 2016 USD ($)	Sep. 30, 2015 USD ($)	Jun. 30, 2015 USD ($) Employees shares	Sep. 30, 2016 USD ($)	Sep. 30, 2015 USD ($) shares
Related Party Transaction [Line Items]
Restricted share units issued					49,310
Stock based compensation expense \| $	$ 512	$ 440		$ 1,516	$ 2,787
Chief Executive Officer [Member]
Related Party Transaction [Line Items]
Number of common stock contributed			54,241
Restricted share units issued			49,310
Number of employees eligible to receive common stock \| Employees			600
Stock based compensation expense \| $			$ 1,500
Common stock unissued shares treated as expense			4,931