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Organization and Summary of Accounting Policies - Schedule of Revenues by Service Type (Details) - Revenue Source - Revenue
3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Revenue from External Customer [Line Items]    
Revenue by service type as a proportion of total revenues (as a percent) 100.00% 100.00%
Patent service revenues    
Revenue from External Customer [Line Items]    
Revenue by service type as a proportion of total revenues (as a percent) 98.50% 98.60%
Surgical Facility Services    
Revenue from External Customer [Line Items]    
Revenue by service type as a proportion of total revenues (as a percent) 96.00% 95.70%
Ancillary Services    
Revenue from External Customer [Line Items]    
Revenue by service type as a proportion of total revenues (as a percent) 2.50% 2.90%
Other service revenues    
Revenue from External Customer [Line Items]    
Revenue by service type as a proportion of total revenues (as a percent) 1.50% 1.40%