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Cash Equivalents, Marketable Securities and Fair Value Measurements - Additional Information (Detail) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended
Aug. 01, 2018
Jul. 31, 2014
Jun. 30, 2018
Jun. 30, 2017
Mar. 31, 2018
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Aggregate carrying amount of portfolio of other investments     $ 13,800   $ 12,600
Investments in private medical device company     $ 1,166 $ 400  
Subsequent Event          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Investments in private medical device company $ 5,800        
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