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Commercial License and Other Economic Rights - Schedule of Commercial License and Other Economic Rights (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Finite-Lived Intangible Assets    
Gross $ 87,519 $ 28,298
Adjustments (20,228) (18,116)
Net 67,291 10,182
Accumulated amortization 11,200 11,600
Credit loss adjustment 8,100 6,500
Finite lived intangible asset accumulated impairment 900  
Elutia and CorMatrix    
Finite-Lived Intangible Assets    
Gross 17,696 17,696
Adjustments (11,882) (9,538)
Net 5,814 8,158
Credit loss adjustment 3,200  
Selexis and Dianomi    
Finite-Lived Intangible Assets    
Gross 8,602 10,602
Adjustments (7,841) (8,578)
Net 761 2,024
Ovid    
Finite-Lived Intangible Assets    
Gross 30,310 0
Adjustments (303) 0
Net 30,007 0
Tolerance    
Finite-Lived Intangible Assets    
Gross 25,911 0
Adjustments (202) 0
Net 25,709 0
Palvella    
Finite-Lived Intangible Assets    
Gross 5,000 0
Adjustments 0 0
Net $ 5,000 $ 0