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Acquisitions - Additional Information (Detail)
Aug. 09, 2018
May 07, 2018
Feb. 22, 2018
Paragon Medical Inc      
Business Acquisition [Line Items]      
Acquisition percentage   100.00%  
Bridgemedica, LLC      
Business Acquisition [Line Items]      
Acquisition percentage     100.00%
Southern California Technical Arts, Inc.      
Business Acquisition [Line Items]      
Acquisition percentage 100.00%