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Summary of Significant Accounting Policies - Narrative (Detail) - Bio Ventus LLC - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Foreign Currency Transaction Gain (Loss) | $ 117 | $ 117 | $ 234
Revenue, change in estimates of variable consideration | 0 | 0 | 0
Contract assets | 81 | 261 |
Capitalized Computer Software, Gross | 17,653 | 14,119 |
Capitalized Computer Software, Accumulated Amortization | 13,264 | 12,184 |
Amortization expense | 1,184 | 1,138 | 1,204
Loss on impairment of intangible assets |  |  | 489
Deferred Offering Costs | 2,187 | 0 |
Advertising costs | $ 2,769 | $ 2,351 | $ 2,916
Percentage of member's tax distribution to taxable income | 40.00% |  |

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