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Schedule of Intangible Assets Recognized in Connection with Product Acquisitions (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Business Combinations [Abstract]
Beginning Balance	$ 198,261	$ 186,467	$ 180,834
Additions	12,675	25,368	16,429
Write offs	(41)	(264)
Impact of movement in exchange rates	(637)	(1,158)	(45)
Amortization expense	(12,744)	(12,152)	(10,751)
Ending Balance	197,514	198,261	186,467
Goodwill Beginning Balance	46,673	25,906	22,300
Additions during fiscal year	8,830	22,652	3,606
Other	617
Impact of movement in exchange rates	(4,012)	(1,885)
Goodwill Ending Balance	52,108	46,673	$ 25,906
Intangible assets and goodwill at Year End	$ 249,622	$ 244,934

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- Definition

The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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Amount of foreign currency translation gain (loss) which increases (decreases) assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

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Amount after amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

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Amount of increase in assets, excluding financial assets, lacking physical substance with a definite life, from an acquisition.

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Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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Carrying amount of finite-lived intangible assets, indefinite-lived intangible assets and goodwill. Goodwill is an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. Intangible assets are assets, not including financial assets, lacking physical substance.

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