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Disposal and Discontinued Operations (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Income tax expense $ 0 $ 0 $ (2,122)
Clinical Trial Services      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Revenue     7,939
Income from discontinued operations before gain on sale and income taxes     434
Gain on sale of discontinued operations     3,969
Income tax expense     (2,122)
Income from discontinued operations, net of income taxes     $ 2,281