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Summary of Stock Option Activity (Detail)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2018
USD ($)
$ / shares
shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Options, Outstanding beginning balance | shares 398,833
Options, Granted | shares 188,550
Options, Exercised | shares (54,934)
Options, Forfeited | shares (26,832)
Options, Expired | shares (1,000)
Options, Outstanding ending balance | shares 504,617
Options, Exercisable | shares 71,487
Weighted-Average Exercise Price, Outstanding beginning balance | $ / shares $ 136.44
Weighted-Average Exercise Price, Granted | $ / shares 173.48
Weighted-Average Exercise Price, Exercised | $ / shares 114.09
Weighted-Average Exercise Price, Forfeited | $ / shares 155.83
Weighted-Average Exercise Price, Expired | $ / shares 122.62
Weighted-Average Exercise Price, Outstanding ending balance | $ / shares 151.71
Weighted-Average Exercise Price, Exercisable | $ / shares $ 135.89
Weighted-Average Remaining Contractual Term (in years), Outstanding 3 years 3 months 22 days
Weighted-Average Remaining Contractual Term (in years), Exercisable 2 years 1 month 17 days
Aggregate Intrinsic Value, Outstanding | $ $ 1,733
Aggregate Intrinsic Value, Exercisable | $ $ 826