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Significant Accounting Policies - Calculation of Net (Loss) Income and Number of Shares Used to Compute Basic and Diluted Net (Loss) Earnings per Share (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
(Loss) Earnings Per Share [Line Items]      
Net (loss) income -basic $ (59,112) $ (105,803) $ 7,729
Net (loss) income -diluted $ (59,112) $ (105,803) $ 7,729
Weighted average shares outstanding-basic 407,655 401,155 395,992
Weighted average shares outstanding-diluted 407,655 401,155 402,480
Net (loss) earnings per share-basic [1] $ (0.15) $ (0.26) $ 0.02
Net (loss) earnings per share-diluted [1] $ (0.15) $ (0.26) $ 0.02
Stock Options      
(Loss) Earnings Per Share [Line Items]      
Effect of dilutive securities     4,420
Restricted Stock and Restricted Stock Units      
(Loss) Earnings Per Share [Line Items]      
Effect of dilutive securities     2,068
[1] Excluding the licensing revenue change in estimate and Medicaid change in estimate, both discussed in Note 12 – Revenue Recognition, net loss per share basic and diluted for the year ended December 31, 2023 would have been $(0.21).