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Revenue Recognition and Accounts Receivable - Additional Information (Detail) € in Millions | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jun. 30, 2019 USD ($) | Dec. 31, 2019 USD ($) | Sep. 30, 2019 USD ($) | Jun. 30, 2019 USD ($) | Mar. 31, 2019 USD ($) | Dec. 31, 2018 USD ($) | Sep. 30, 2018 USD ($) | Jun. 30, 2018 USD ($) | Mar. 31, 2018 USD ($) | Dec. 31, 2019 USD ($) | Dec. 31, 2019 EUR (€) | Dec. 31, 2018 USD ($) | Dec. 31, 2018 EUR (€) | Dec. 31, 2017 USD ($) | Dec. 31, 2017 EUR (€)
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Marketing service fees |  |  |  |  |  |  |  |  |  | $ 62,891,000 |  | $ 57,453,000 |  | $ 60,285,000 |
Cost of sales |  | $ 26,191,000 | $ 24,896,000 | $ 25,812,000 | $ 23,708,000 | $ 25,626,000 | $ 24,020,000 | $ 22,835,000 | $ 24,147,000 | 100,607,000 |  | 96,628,000 |  | 93,037,000 |
Sale of receivables |  |  |  |  |  |  |  |  |  | 10,900,000 | € 9.8 | 11,500,000 | € 9.8 | 11,200,000 | € 9.8
Estimated related fees |  |  |  |  |  |  |  |  |  | 300,000 |  | 300,000 |  | 300,000 |
Other Contract Assets [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other contract assets impairment |  |  |  |  |  |  |  |  |  | 0 |  | 0 |  |  |
Other Long-Term Assets [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other contract assets |  | $ 3,700,000 |  |  |  | $ 1,900,000 |  |  |  | 3,700,000 |  | 1,900,000 |  |  |
Puerto Rico [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from settlement of trade accounts receivable | $ 1,400,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable | 2,500,000 |  |  | 2,500,000 |  |  |  |  |  |  |  |  |  |  |
Contractual allowances | 400,000 |  |  | $ 400,000 |  |  |  |  |  |  |  |  |  |  |
Recovery of the allowance for doubtful accounts | $ 1,000,000.0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Shipping and Handling Costs [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cost of sales |  |  |  |  |  |  |  |  |  | 2,800,000 |  | $ 2,700,000 |  | $ 3,000,000.0 |
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Marketing service fees |  |  |  |  |  |  |  |  |  | $ 62,900,000 |  |  |  |  |
Marketing service fee as percentage of segment revenues |  |  |  |  |  |  |  |  |  | 96.00% | 96.00% |  |  |  |

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