Income Taxes - Schedule of Income Tax Effect of Each Type of Temporary Difference and Carryforward (Detail) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Deferred tax assets:
Net operating loss carry-forwards	$ 36,936	$ 41,239
Tax credit carry-forwards	15,691	14,588
Stock-based compensation	1,853	2,127
Fixed Assets	0	134
Account receivable reserves	140	340
Accrued compensation	602	1,050
Lease Liability	4,955	5,524
Capitalized research expenditures	13,234	6,733
Other temporary differences	1,159	829
Total deferred tax assets	74,570	72,564
Deferred tax liabilities:
Other deferred tax liabilities	(4,196)	(4,046)
ROU Asset	(4,101)	(4,578)
Intangible assets	(1,215)	(3,305)
Total deferred tax liabilities	(9,512)	(11,929)
Valuation allowance	(65,070)	(60,717)
Net deferred tax asset (liability)	$ (12)	$ (82)