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Equity Investments and Other Investments - Additional Information (Detail) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Investment [Line Items]      
Equity investments in non-consolidated businesses $ 40,686 $ 35,150  
Equity investment income 34,558 16,377 8,776
Cost-method Investments
     
Investment [Line Items]      
Payment for purchase of preferred stock in a privately held company 5,000    
HealthCare Partners (HCP)
     
Investment [Line Items]      
Equity investment income $ 22,758 $ 4,980