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Income Taxes - Summary of Provision for Income Taxes (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Tax Disclosure [Abstract]                      
United States federal tax statutory rate, Amount                 $ (50,352) $ (42,671) $ (16,311)
State taxes (net of deferred benefit), Amount                 (4,663) (2,487) (1,121)
Non-deductible expenses, Amount                 466 667 1,797
Change in fair market value of contingent consideration, Amount                 777    
Warrant remeasurement and financing costs, Amount                 (32,348)    
Research & Development Credits, Amount                 (712) (922) (1,281)
Change in unrecognized tax benefits, Amount                 142 186 256
Foreign tax rate differential, Amount                 3,619 3,969 175
Goodwill impairment, Amount                   20,816  
Change in enacted tax rates and other, net, Amount                 35,440 (1,069) 532
Change in valuation allowance, Amount                 (20,365) 15,988 14,929
Income tax benefit $ (963) $ (738) $ (741) $ (858) $ (816) $ (1,070) $ (992) $ (2,645) $ (3,300) $ (5,523) $ (1,024)
United States federal tax statutory rate, Percent of Pretax Earnings                 34.00% 34.00% 34.00%
State taxes (net of deferred benefit), Percent of Pretax Earnings                 3.10% 2.00% 2.30%
Non-deductible expenses, Percent of Pretax Earnings                 (0.30%) (0.50%) (3.70%)
Change in fair market value of contingent consideration, Percent of Pretax Earnings                 (0.50%)    
Warrant remeasurement and financing costs, Percent of Pretax Earnings                 (21.80%)    
Research & Development Credits, Percent of Pretax Earnings                 0.50% 0.70% 2.70%
Change in unrecognized tax benefits, Percent of Pretax Earnings                 (0.10%) (0.10%) (0.50%)
Foreign tax rate differential, Percent of Pretax Earnings                 (2.40%) (3.20%) (0.40%)
Goodwill impairment, Percent of Pretax Earnings                 (0.00%) (16.60%)  
Change in enacted tax rates and other, net, Percent of Pretax Earnings                 (24.10%) 0.80% (1.20%)
Change in valuation allowance, Percent of Pretax Earnings                 13.80% (12.70%) (31.10%)
Provision for income taxes, Percent of Pretax Earnings                 2.20% 4.40% 2.10%