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Schedule of Intangible Assets Recognized in Connection with Product Acquisitions (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Business Combinations [Abstract]      
Beginning Balance $ 121,433 $ 129,160 $ 100,211
Additions 68,327 224 36,667
Write offs   (78) (33)
Impact of movement in exchange rates (6) 69 (197)
Amortization expense (8,804) (7,942) (7,488)
Ending Balance 180,950 121,433 $ 129,160
Additions during fiscal 2017 22,184    
Goodwill at December 31, 2017 22,184    
Intangible assets and goodwill at Year End $ 203,134 $ 121,433