Annual report [Section 13 and 15(d), not S-K Item 405]

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

v3.25.4
Goodwill and Intangible Assets - Schedule of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2025
Dec. 31, 2024
Finite-Lived Intangible Assets [Line Items]    
Trade names $ 2,000 $ 2,000
Accumulated Amortization (47,036) (46,116)
Total nonamortizable and amortizable intangible assets, gross 53,902 52,572
Total nonamortizable and amortizable intangible assets, net 6,866 6,456
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 40,164 38,834
Accumulated Amortization (35,627) (34,996)
Net 4,537 3,838
Unpatented technology    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 943 943
Accumulated Amortization (662) (528)
Net 281 415
Non-competition agreements    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 472 472
Accumulated Amortization (444) (349)
Net 28 123
Software    
Finite-Lived Intangible Assets [Line Items]    
Gross Assets 10,300 10,300
Accumulated Amortization (10,280) (10,220)
Net $ 20 $ 80