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Segment and Geographic Information (Narrative) (Details) | 12 Months Ended
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Dec. 31, 2022 USD ($) segment | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($)
Segment Reporting Information [Line Items] |  |  |
Number of reportable segments | segment | 2 |  |
Total sources of revenue | $ 313,789,000 | $ 298,836,000 | $ 253,227,000
Goodwill | 243,631,000 | 250,000,000 | 260,061,000
Domestic |  |  |
Segment Reporting Information [Line Items] |  |  |
Total sources of revenue | $ 161,113,000 | $ 151,151,000 | $ 138,274,000
Germany |  |  |
Segment Reporting Information [Line Items] |  |  |
Percentage of revenue | 9.00% | 10.00% | 10.00%
Long-lived assets | $ 20,700,000 | $ 20,600,000 |
Medical devices |  |  |
Segment Reporting Information [Line Items] |  |  |
Total sources of revenue | 230,353,000 | 221,597,000 | $ 179,299,000
Goodwill | 243,600,000 | 250,000,000 |
Intersegment Eliminations |  |  |
Segment Reporting Information [Line Items] |  |  |
Total sources of revenue | $ 0 | $ 0 | $ 0
Long-Lived Assets | Geographic Concentration Risk | Domestic |  |  |
Segment Reporting Information [Line Items] |  |  |
Concentration percentage | 46.00% | 45.00% |
Long-Lived Assets | Geographic Concentration Risk | Germany |  |  |
Segment Reporting Information [Line Items] |  |  |
Concentration percentage | 97.00% |  |

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