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)

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Goodwill and Intangible Assets - Summary of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]    
Trade names $ 2,000 $ 2,000
Accumulated Amortization (45,126) (44,136)
Total nonamortizable and amortizable intangible assets, gross 52,572 52,572
Total nonamortizable and amortizable intangible assets, net 7,446 8,436
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 (34,295) (33,594)
Net 4,539 5,240
Unpatented technology    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 943 943
Accumulated Amortization (393) (258)
Net 550 685
Non-competition agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 472 472
Accumulated Amortization (255) (161)
Net 217 311
Software    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 10,300 10,300
Accumulated Amortization (10,160) (10,100)
Net $ 140 $ 200