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Marketable Securities and Fair Value Measurements - Additional Information (Detail) - USD ($)
$ in Thousands
1 Months Ended 9 Months Ended
Jul. 31, 2014
Dec. 31, 2017
Dec. 31, 2016
Mar. 31, 2017
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Aggregate carrying amount of other investments   $ 12,600   $ 7,200
Additional investments in private medical device company   $ 6,400 $ 149  
ECP Entwicklungsgesellschaft mbH        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Payments to acquire businesses, cash paid $ 13,000      
Potential payouts payments $ 15,000