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Consolidated Statements of Operations and Comprehensive Loss - USD ($)
shares in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Revenues:      
Total revenues $ 354,004 $ 313,789 $ 298,836
Cost of products and preservation services:      
Total cost of products and preservation services 124,828 111,266 101,322
Gross margin 229,176 202,523 197,514
Operating expenses:      
General, administrative, and marketing 208,977 157,443 169,774
Research and development 28,707 38,879 35,546
Total operating expenses 237,684 196,322 205,320
Gain from sale of non-financial assets 14,250 0 15,923
Operating income 5,742 6,201 8,117
Interest expense 25,299 18,224 16,887
Interest income (1,077) (147) (79)
Other expense, net 3,106 3,108 6,136
Loss before income taxes (21,586) (14,984) (14,827)
Income tax expense 9,104 4,208 7
Net loss $ (30,690) $ (19,192) $ (14,834)
Loss per share:      
Basic (in dollars per share) $ (0.75) $ (0.48) $ (0.38)
Diluted (in dollars per share) $ (0.75) $ (0.48) $ (0.38)
Weighted-average common shares outstanding:      
Basic (in shares) 40,743 40,032 38,983
Diluted (in shares) 40,743 40,032 38,983
Net loss $ (30,690) $ (19,192) $ (14,834)
Other comprehensive income (loss):      
Foreign currency translation adjustments 9,599 (11,722) (16,630)
Comprehensive loss (21,091) (30,914) (31,464)
Products      
Revenues:      
Total revenues 261,185 230,353 221,597
Cost of products and preservation services:      
Total cost of products and preservation services 84,595 72,166 65,196
Preservation services      
Revenues:      
Total revenues 92,819 83,436 77,239
Cost of products and preservation services:      
Total cost of products and preservation services $ 40,233 $ 39,100 $ 36,126