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Acquisitions - Narrative (Details) - USD ($) $ in Thousands |  |  | 3 Months Ended | 4 Months Ended | 8 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | --- | ---
Sep. 01, 2021 | May 03, 2021 | Dec. 31, 2021 | Dec. 31, 2021 | Dec. 31, 2021 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Gain on acquisition of Sexton Biotechnologies, Inc. |  |  |  |  |  | $ 0 | $ 0 | $ 6,451
Goodwill |  |  | $ 58,449 | $ 58,449 | $ 58,449 | $ 224,741 | $ 224,741 | $ 58,449
Sexton Acquisition |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Merger consideration shares (in shares) | 530,502 |  |  |  |  |  |  |
Merger consideration percentage | 10.00% |  |  |  |  |  |  |
Gain on acquisition of Sexton Biotechnologies, Inc. | $ 6,500 |  |  |  |  |  |  |
Business combination, recognized identifiable assets acquired and liabilities assumed, current assets, gross receivables | 509 |  |  |  |  |  |  |
Business combination, recognized identifiable assets acquired and liabilities assumed, current assets, uncollectable receivables | 17 |  |  |  |  |  |  |
Business combination, provisional information, initial accounting incomplete, adjustments related to previous period |  |  | 198 |  |  |  |  |
Goodwill | $ 28,470 |  |  |  |  |  |  |
Business combination, pro forma information, revenue of acquiree since acquisition date, actual |  |  |  | 1,800 |  |  |  |
Business combination, pro forma information, earnings (loss) of acquiree since acquisition date, actual |  |  |  | $ (1,000) |  |  |  |
Sexton Acquisition | Common Stock Issued to Acquire Participating Holders |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Merger consideration shares (in shares) | 477,452 |  |  |  |  |  |  |
Sexton Acquisition | Common Stock Deposited Into Escrow |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Merger consideration shares (in shares) | 53,050 |  |  |  |  |  |  |
GCI Acquisition |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Merger consideration shares (in shares) |  | 6,636,470 |  |  |  |  |  |
Merger consideration percentage |  | 9.00% |  |  |  |  |  |
Business combination, recognized identifiable assets acquired and liabilities assumed, current assets, gross receivables |  | $ 7,100 |  |  |  |  |  |
Business combination, recognized identifiable assets acquired and liabilities assumed, current assets, uncollectable receivables |  | 53 |  |  |  |  |  |
Business combination, provisional information, initial accounting incomplete, adjustments related to previous period |  |  | $ 607 |  |  |  |  |
Goodwill |  | $ 137,822 |  |  |  |  |  |
Merger consideration shares (in shares) |  | 6,646,870 |  |  |  |  |  |
Business combination, stock reduced during period, satisfy note receivable (in shares) |  | 10,400 |  |  |  |  |  |
Business combination, Escrow shares, period (Month) |  | 24 months |  |  |  |  |  |
Business combination, pro forma information, revenue of acquiree since acquisition date, actual |  |  |  |  | 39,100 |  |  |
Business combination, pro forma information, earnings (loss) of acquiree since acquisition date, actual |  |  |  |  | $ (19,600) |  |  |
GCI Acquisition | One GCI Stockholder |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Business combination, stock reduced during period, satisfy note receivable (in shares) |  | 10,400 |  |  |  |  |  |
Financing receivable, after allowance for credit loss |  | $ 374 |  |  |  |  |  |

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