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Segment and Geographic Information and Significant Customers - Segment Profit to Income Before Income Taxes (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2016
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 $ 2,069,382 $ 1,977,391 $ 1,979,593
Total revenues $ 532,905 $ 502,887 $ 514,224 $ 501,645 $ 465,910 $ 486,221 $ 499,573 $ 487,658 2,051,661 [1] 1,939,362 [1] 1,948,903 [1]
Segment profit                 679,479 637,736 677,642
Corporate expenses and other, net                 (199,411) (125,924) (128,239)
Acquisition-related revenues and costs of revenue adjustment                 (17,721) (38,029) (29,765)
Non-cash stock based compensation                 (150,785) (154,272) (163,828)
Amortization of intangible assets                 (147,966) (178,748) (170,897)
Acquisition-related costs, net                 (16,101) (27,740) (17,166)
Restructuring and other charges, net                 (63,498) (61,054) (25,224)
Goodwill and Intangible Asset Impairment                 (170,941) 0 0
Costs associated with IP collaboration agreements                 0 0 (4,000)
Other income (expense), net                 (129,791) (170,984) (136,784)
(Loss) income before income taxes                 (216,735) (119,015) 1,739
Healthcare                      
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 984,819 899,341 973,297
Segment profit                 331,382 262,149 313,466
Enterprise                      
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 483,194 474,317 396,026
Segment profit                 142,422 135,638 129,259
Automotive Segment [Member]                      
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 279,402 252,218 214,267
Segment profit                 109,867 118,869 95,660
Imaging                      
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 212,903 217,749 241,569
Segment profit                 67,391 79,512 100,823
Other Segments [Member]                      
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 109,064 133,766 154,434
Segment profit                 28,417 41,568 38,434
Series of Individually Immaterial Business Acquisitions [Member]                      
Segment Reporting Information [Line Items]                      
Segment Revenues [1]                 $ (17,721) $ (38,029) $ (30,690)
[1] Segment revenues differ from reported revenues due to certain revenue adjustments related to acquisitions that would otherwise have been recognized but for the purchase accounting treatment of the business combinations. These revenues are included to allow for more complete comparisons to the financial results of historical operations and in evaluating management performance.