Annual report pursuant to Section 13 and 15(d)

Goodwill and Intangible Assets - Summary of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details)

v3.22.4
Goodwill and Intangible Assets - Summary of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]    
Trade names $ 2,000 $ 2,000
Accumulated Amortization (44,136) (42,872)
Total nonamortizable and amortizable intangible assets, gross 52,572 53,802
Total nonamortizable and amortizable intangible assets, net 8,436 10,930
Trade names    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 23 23
Accumulated Amortization (23) (23)
Net 0 0
Physician and customer relationships    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 38,834 38,834
Accumulated Amortization (33,594) (31,401)
Net 5,240 7,433
Unpatented technology    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 943 943
Accumulated Amortization (258) (123)
Net 685 820
Non-competition agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 472 472
Accumulated Amortization (161) (67)
Net 311 405
Software    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 10,300 11,530
Accumulated Amortization (10,100) (11,258)
Net $ 200 $ 272