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Intangible Assets and Goodwill - Schedule of Intangible Assets Recognized in Connection with Product Acquisitions (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Business Combinations [Abstract]      
Beginning Balance $ 197,841 $ 197,514 $ 198,261
Additions 1,292 10,524 12,675
Write offs     (41)
Impact of movement in exchange rates (516) (710) (637)
Amortization expense (13,953) (13,713) (12,744)
Ending Balance 184,664 197,841 197,514
Measurement period adjustment   4,226  
Goodwill Beginning Balance 46,260 52,108 46,673
Additions during fiscal year     8,830
Other     617
Impact of movement in exchange rates 750 (1,794) (4,012)
Goodwill Ending Balance 47,010 46,260 $ 52,108
Measurement period adjustment   (4,054)  
Intangible assets and goodwill at Year End $ 231,674 $ 244,101