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Earnings Per Share Data ("EPS") and Stock Based Compensation - Additional Information (Detail) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Anti-dilutive weighted average stock options excluded from computation of earnings per share 8,000,000 0 5,600,000 2,000,000
Stock options granted during period (net of cancellations)     2,992,725  
Weighted-average grant date fair value, per share     $ 27.05  
Compensation cost recognized     $ 42,838,000 $ 36,358,000
Stock Options        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Compensation cost recognized $ 13,100,000 $ 11,100,000 41,000,000 34,700,000
Restricted Stock        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Compensation cost recognized 432,000 $ 390,000 $ 1,000,000 $ 1,000,000
Unrecognized compensation cost vesting period     2 years 9 months 19 days  
Restricted shares granted during period     20,557  
Weighted-average grant date fair value, per share     $ 121.41  
Unvested Stock option        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation cost $ 112,000,000   $ 112,000,000  
Unrecognized compensation cost vesting period     2 years 9 months 19 days