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Organization and Summary of Significant Accounting Policies - Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share for Out of Money Potential Common Shares (Detail) - shares
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Stock Options With an Exercise Price of $12.48 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 137,667    
Stock Options With an Exercise Price of $12.84 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 4,167    
Stock Options With an Exercise Price of $20.88 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded   4,313  
Stock Options With an Exercise Price of $26.40 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 79,370 80,801  
Stock Options With an Exercise Price of $32.76 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 53,706 53,706  
Stock Options With an Exercise Price of $32.88 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded   52,820  
Stock Options With an Exercise Price of $34.68 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 78,707 81,985  
Stock Options With an Exercise Price of $39.00 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 8,333 8,333 8,333
Stock Options With an Exercise Price of $40.80 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded   8,333 8,333
Stock Options With an Exercise Price of $41.16 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 3,333 3,333 3,333
Stock Options With an Exercise Price of $42.00 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 8,333 8,333 28,750
Stock Options With an Exercise Price of $46.80 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 1,667 1,667 1,667
Stock Options With an Exercise Price of $48.00 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded     4,375
Warrants With an Exercise Price of $43.20 per Share [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 130,208 130,208 130,208
Options and Warrants Excluded from Diluted EPS [Member]      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Out of the money options and warrants excluded 505,491 433,832 185,000