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Intangible Assets and Goodwill - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Intangible Assets and Goodwill        
Amortization expense $ 4,500 $ 4,600 $ 15,300 $ 13,600
Write-off of selling, general and administrative expenses $ 55,021 $ 45,984 153,507 $ 144,815
In-process research and development        
Intangible Assets and Goodwill        
Write-off of selling, general and administrative expenses     $ 1,700