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Fair Value - Change in Fair Value for All Assets and Liabilities Using Unobservable Level 3 Inputs As Determined By Level 3 Inputs (Detail)
$ in Thousands
3 Months Ended
Mar. 31, 2018
USD ($)
Common Stock Warrants [Member]  
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]  
Beginning balance $ 14,090
Exercise of warrants (516)
Change in fair value (1,829)
Long-term portion 11,745
Ending balance 11,745
Contingent Consideration [Member]  
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]  
Beginning balance 12,418
Change in fair value 627
Current portion 760
Long-term portion 12,285
Ending balance $ 13,045