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Summarizes Components of Property and Equipment, Net (Detail) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 125,173 $ 61,178
Less: accumulated depreciation (28,149) (18,022)
Property and equipment, net 97,024 43,156
Land [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 4,158 4,158
Building and Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 22,972 14,543
Software and Computer Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 15,774 8,965
Lab Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 17,659 9,860
Office Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 3,663 2,211
Leasehold Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 20,937 13,633
Construction in Progress [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 40,010 $ 7,808