Income Taxes - Reconciliations Between Statutory Federal Income Tax Rate and Effective Rate (Detail)	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Income Tax Disclosure [Abstract]
Statutory Federal income tax rate	21.00%	21.00%	21.00%
Increase (decrease) resulting from:
Change in valuation allowance	6.40%	(1.20%)	(0.40%)
Effect of different tax rates of foreign jurisdictions	(4.90%)	(5.20%)	(4.70%)
Tax credits & deductions related to R&D	(10.10%)	(2.30%)	(3.80%)
Non-deductible expenses	14.90%	1.70%	2.10%
Non-deductible expenses related to acquisitions	7.00%	0.00%	0.00%
Other foreign, state and local taxes	0.70%	1.60%	1.40%
Tax impact of foreign income	4.20%	3.60%	4.90%
Stock Option Compensation	(3.80%)	(2.00%)	(0.40%)
Other	0.90%	0.70%	6.70%
Effective rate	36.30%	17.90%	26.80%