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Revenue Recognition and Accounts Receivable - Additional Information (Detail) € in Millions |  |  |  | 1 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | ---
Sep. 30, 2022 | Oct. 01, 2021 | Jan. 01, 2020 USD ($) | Apr. 30, 2020 USD ($) | Jun. 30, 2019 USD ($) | Dec. 31, 2020 USD ($) | Dec. 31, 2020 EUR (€) | Dec. 31, 2019 USD ($) | Dec. 31, 2019 EUR (€) | Dec. 31, 2018 USD ($) | Dec. 31, 2018 EUR (€)
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Marketing service fees |  |  |  |  |  | $ 53,475,000 |  | $ 62,891,000 |  | $ 57,453,000 |
Cost of sales |  |  |  |  |  | 101,889,000 |  | 100,607,000 |  | 96,628,000 |
Sale of receivables |  |  |  |  |  | 9,600,000 | € 8.3 | 10,900,000 | € 9.8 | 11,500,000 | € 9.8
Estimated related fees |  |  |  |  |  | 300,000 |  | 300,000 |  | 300,000 |
CARES Act of 2020 funds received |  |  |  | $ 13,900,000 |  | 13,851,000 |  |  |  |  |
Net sales |  |  |  |  |  | 406,562,000 |  | 459,955,000 |  | 453,042,000 |
Other Contract Assets [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Other contract assets impairment |  |  |  |  |  | 0 |  | 0 |  |  |
Other Current Liabilities |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
CARES Act of 2020 funds received |  |  |  |  |  | 9,800,000 |  |  |  |  |
Other Noncurrent Liabilities |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
CARES Act of 2020 funds received |  |  |  |  |  | 4,000,000.0 |  |  |  |  |
Other Long-Term Assets [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Other contract assets |  |  |  |  |  | 2,000,000.0 |  | 3,700,000 |  |  |
Scenario Forecast [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Medicare recoupment | 0.50 | 0.25 |  |  |  |  |  |  |  |  |
Frequency of recoupment | 6 | 11 |  |  |  |  |  |  |  |  |
Performance Obligations [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  | 0 |  |  |  |  |
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 |  |  |  |  |  |
Contractual allowances |  |  |  |  | 400,000 |  |  |  |  |  |
Recovery of the allowance for expected credit losses |  |  |  |  | $ 1,000,000.0 |  |  |  |  |  |
ASU 2016-13 [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Increase (decrease) to allowance for expected credit losses |  |  | $ 1,100,000 |  |  |  |  |  |  |  |
Increase (decrease) in deferred income taxes |  |  | 200,000 |  |  |  |  |  |  |  |
Decrease in retained earnings |  |  | $ 900,000 |  |  |  |  |  |  |  |
Shipping and Handling Costs [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Cost of sales |  |  |  |  |  | 2,400,000 |  | 2,800,000 |  | 2,700,000 |
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |  |  |  |  |  |  |  |
Marketing service fees |  |  |  |  |  | $ 53,500,000 |  |  |  |  |
Marketing service fee as percentage of segment revenues |  |  |  |  |  | 96.00% | 96.00% |  |  |  |
Net sales |  |  |  |  |  | $ 55,482,000 |  | $ 65,496,000 |  | $ 59,684,000 |

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