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Stockholders' Equity - Net Income Attributable to Noncontrolling Interests (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Change In Ownership Interest [Line Items]                      
Net Income Attributable to Noncontrolling Interests $ 1,005 $ 82 $ 1,007 $ 3,900 $ (2,445) $ 1,269 $ 1,042 $ 6,693 $ 5,994 $ 6,559 $ 6,786
Noncontrolling interests 57,826       53,851       57,826 53,851  
LAZ-MD Holdings LLC [Member]                      
Change In Ownership Interest [Line Items]                      
Net Income Attributable to Noncontrolling Interests                     631
Edgewater [Member]                      
Change In Ownership Interest [Line Items]                      
Net Income Attributable to Noncontrolling Interests                 5,992 6,557 6,153
Noncontrolling interests 57,238       53,132       57,238 53,132  
Other [Member]                      
Change In Ownership Interest [Line Items]                      
Net Income Attributable to Noncontrolling Interests                 2 2 $ 2
Noncontrolling interests $ 588       $ 719       $ 588 $ 719