Acquisitions - Additional Information (Detail) - USD ($) $ in Thousands	Jul. 10, 2023	Feb. 25, 2022	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022
Business Acquisition [Line Items]
Business combination, contigent liability			$ 0		$ 200
Intangible Assets, Net			551,422	$ 589,519
Goodwill			589,691	589,691
Dharma Pharmaceuticals LLC [Member]
Business Acquisition [Line Items]
Business combination, contigent liability			$ 32,789	$ 41,943
Subordinate Voting Shares [Member]
Business Acquisition [Line Items]
Issuance of shares under business combinations and investments, value		$ 12,524
Subordinate Voting Shares [Member] | Dharma Pharmaceuticals LLC [Member]
Business Acquisition [Line Items]
Issuance of shares under business combinations and investments	792,424	822,447