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Income Taxes - Reconciliation of Income Taxes Computed Using U.S Federal Statutory Tax Rate (Detail)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Effective Income Tax Rate Continuing Operations Tax Rate Reconciliation [Abstract]      
Federal statutory tax 21.00% 21.00% 21.00%
State income tax, net of federal benefit 2.75% 2.09% 3.06%
Valuation allowance (24.06%) (15.18%) (16.32%)
Success payment liabilities (1.40%) (4.58%)  
Contingent consideration (1.88%) (3.89%) (2.71%)
Tax credits 2.58% 1.88% 1.93%
Other 1.01% (1.32%) (1.50%)
Effective income tax rate 0.00% 0.00% 5.46%