Revenue Recognition and Accounts Receivable - Additional Information (Detail) € in Millions		1 Months Ended			6 Months Ended	12 Months Ended
	Jan. 01, 2020 USD ($)	Apr. 30, 2021	Apr. 30, 2020 USD ($)	Jun. 30, 2019 USD ($)	Aug. 31, 2022	Dec. 31, 2021 USD ($)	Dec. 31, 2021 EUR (€)	Dec. 31, 2020 USD ($)	Dec. 31, 2020 EUR (€)	Dec. 31, 2019 USD ($)	Dec. 31, 2019 EUR (€)
Revenue Recognition And Accounts Receivable [Line Items]
Marketing service fees						$ 54,925,000		$ 53,475,000		$ 62,891,000
Cost of sales						114,914,000		101,889,000		100,607,000
Sale of receivables						9,900,000	€ 8.4	9,600,000	€ 8.3	10,900,000	€ 9.8
Related fees recorded as interest expense						200,000		300,000		300,000
CARES Act of 2020 funds received			$ 13,900,000			(9,060,000)		13,851,000
Medicare recoupment		0.25
Contract liability, total						4,791,000		13,851,000
Other Contract Assets [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Other contract assets impairment						0		0
Other Long-Term Assets [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Other contract assets						1,400,000		2,000,000.0
Scenario Forecast [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Medicare recoupment					0.50
Frequency of recoupment					six months
Puerto Rico [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Proceeds from settlement of trade accounts receivable				$ 1,400,000
Accounts receivable				2,500,000
Contractual allowances				400,000
Recovery of the allowance for expected credit losses				$ 1,000,000.0
ASU 2016-13 [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Increase (decrease) to allowance for expected credit losses	$ 1,100,000
Increase (decrease) in deferred income taxes	200,000
Decrease in retained earnings	$ 900,000
Shipping and Handling Costs [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Cost of sales						3,500,000		$ 2,400,000		$ 2,800,000
Biologics [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Marketing service fees						$ 54,900,000
Marketing service fee as percentage of segment revenues						97.00%	97.00%