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Investments - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Schedule of Investments [Line Items]          
Sale of stock     $ 91,900    
Gain on warrant derivative     0 $ 76,699  
Income tax benefit   $ 2,700   5,400  
Equity Securities [Member]          
Schedule of Investments [Line Items]          
Net gains (losses) from changes in fair values of equity securities $ (23,800)   62,900    
Equity securities, unrealized gain     34,600    
Equity Securities [Member]          
Schedule of Investments [Line Items]          
Equity securities $ 169,400   $ 169,400    
Equity securities, fair value         $ 188,400
Immunomedics [Member]          
Schedule of Investments [Line Items]          
Gain on warrant derivative   $ 78,700   $ 76,700