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Fair Value Measurements and Investments - Schedule of Valuation Methodology and Unobservable Inputs for Level 3 Assets and Liabilities Measured at Fair Value (Detail) - Spinal Kinetics [Member] $ in Thousands | 9 Months Ended
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Sep. 30, 2020 USD ($)
Revenue Discount Rate |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Contingent consideration | $ 35,100
Revenue Discount Rate | Minimum [Member] |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Business combination contingent consideration liability measurement input | 7.41
Revenue Discount Rate | Maximum [Member] |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Business combination contingent consideration liability measurement input | 7.49
Payment Discount Rate | Minimum [Member] |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Business combination contingent consideration liability measurement input | 4.33
Payment Discount Rate | Maximum [Member] |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Business combination contingent consideration liability measurement input | 4.40
Projected Year of Payment | Minimum [Member] |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Business combination contingent consideration liability measurement period | 2021
Projected Year of Payment | Maximum [Member] |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |
Business combination contingent consideration liability measurement period | 2022

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