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Segment and Geographic Information (Narrative) (Details) | 12 Months Ended
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Dec. 31, 2023 USD ($) segment | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($)
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Number of reportable segments | segment | 2 |  |
Total sources of revenue | $ 354,004,000 | $ 313,789,000 | $ 298,836,000
Goodwill | 247,337,000 | 243,631,000 | 250,000,000
Domestic |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Total sources of revenue | 179,485,000 | 161,113,000 | 151,151,000
Long-lived assets | 17,500,000 | 18,000,000 |
International |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Total sources of revenue | 174,519,000 | 152,676,000 | 147,685,000
Long-lived assets | 20,900,000 | 20,700,000 |
Medical devices |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Goodwill | 247,300,000 | 243,600,000 |
Intersegment Eliminations |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Total sources of revenue | $ 0 | $ 0 | $ 0
Revenue | Geographic Concentration Risk | Germany |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Concentration percentage | 8.00% | 9.00% | 10.00%
Long-Lived Assets | Geographic Concentration Risk | Germany |  |  |
Revenues from External Customers and Long-Lived Assets [Line Items] |  |  |
Concentration percentage | 97.00% |  |

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