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Summary of Estimates of Fair Values of Assets Acquired and Liabilities Assumed of PMG (Detail) - USD ($)
$ in Thousands
 9 Months Ended
Mar. 31, 2016
Dec. 04, 2015
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
 [1]
Dec. 31, 2014
Business Acquisition [Line Items]            
Goodwill     $ 626,657   $ 588,434 $ 463,324
Total cash outflows     $ 54,009 $ 102,756    
PMG            
Business Acquisition [Line Items]            
Cash   $ 194        
Property, plant and equipment   712        
Goodwill [2]   46,442        
Intangible assets [3]   10,582        
Accounts receivable   12,747        
Prepayments and other current assets   1,329        
Accounts payable   (530)        
Other liabilities   (2,656)        
Non-current deferred tax liability   (3,666)        
Net assets acquired   65,154        
Cash consideration   53,681        
Other liabilities assumed   9,860        
Working capital adjustment $ 1,600 1,613        
Total cash outflows   $ 65,154        
[1] The December 31, 2015 Balance Sheet has been retrospectively restated as required to reflect the requirements of new guidance in respect of the presentation of debt issue costs.
[2] Goodwill represents the acquisition of an established workforce with experience in clinical trial consulting and regulatory support for the development of drugs, medical devices and diagnostics, with a specific focus on strategy to increase efficiency and productivity in product development.
[3] The Company has made an initial estimate of separate intangible assets acquired, being customer lists and order backlog, of $10.6 million. This assessment is under review and will be finalized within 12 months of the date of acquisition.