Quarterly report pursuant to Section 13 or 15(d)

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

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Goodwill & Intangible Assets - Summary of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2024
Dec. 31, 2023
Goodwill [Line Items]    
Trade names $ 2,000 $ 2,000
Accumulated Amortization (45,373) (45,126)
Total 5,199  
Total nonamortizable and amortizable intangible assets 52,572 52,572
Net 7,199 7,446
Trade names    
Goodwill [Line Items]    
Gross Assets 23 23
Accumulated Amortization (23) (23)
Total 0 0
Physician and customer relationships    
Goodwill [Line Items]    
Gross Assets 38,834 38,834
Accumulated Amortization (34,470) (34,295)
Total 4,364 4,539
Non-competition agreements    
Goodwill [Line Items]    
Gross Assets 472 472
Accumulated Amortization (279) (255)
Total 193 217
Unpatented technology    
Goodwill [Line Items]    
Gross Assets 943 943
Accumulated Amortization (426) (393)
Total 517 550
Software    
Goodwill [Line Items]    
Gross Assets 10,300 10,300
Accumulated Amortization (10,175) (10,160)
Total $ 125 $ 140