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Fixed Assets - Major Classes of Fixed Assets (Details) - USD ($) $ in Thousands	Jun. 30, 2026	Dec. 31, 2025
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 177,363	$ 170,494
Less: Accumulated depreciation	(64,295)	(57,945)
Fixed assets, net	113,068	112,549
Medical Lab Equipment
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 64,343	60,691
Medical Lab Equipment | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	5 months
Medical Lab Equipment | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	13 years
Building Improvements
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 35,620	33,198
Building Improvements | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	6 months
Building Improvements | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	39 years
Building
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 21,689	21,689
Building | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	25 years
Building | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	39 years
Computer Hardware
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 9,836	8,640
Computer Hardware | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	1 year
Computer Hardware | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	5 years
Aircraft
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 6,400	6,400
Useful life in years	7 years
Computer Software
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 6,357	6,300
Computer Software | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	1 year
Computer Software | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	10 years
Leasehold Improvements
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 4,503	4,473
Useful life in years	us-gaap:UsefulLifeShorterOfTermOfLeaseOrAssetUtilityMember
Furniture and Fixtures
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 4,452	4,128
Furniture and Fixtures | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	1 year
Furniture and Fixtures | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	11 years
Land Improvements
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 938	938
Land Improvements | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	5 years
Land Improvements | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	15 years
Automobile
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 613	628
Automobile | Minimum
Property Plant And Equipment [Line Items]
Useful life in years	3 years
Automobile | Maximum
Property Plant And Equipment [Line Items]
Useful life in years	7 years
General Equipment
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 258	226
Useful life in years	5 years
Land
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 17,347	17,347
Assets Not Yet Placed in Service
Property Plant And Equipment [Line Items]
Fixed assets, gross	$ 5,007	$ 5,836

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Amount of accumulated depreciation, depletion and amortization for physical assets used in the normal conduct of business to produce goods and services.

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