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Goodwill and Intangible Assets - Schedule of goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Goodwill    
Balance at beginning of year $ 151,117 $ 146,954
Foreign currency adjustment (284) (5,391)
Goodwill impairment (49,569)  
Balance at end of year 108,403 151,117
TEC4MED    
Goodwill    
Goodwill acquired during period 2,694  
Bluebird Express LLC    
Goodwill    
Goodwill acquired during period $ 4,445  
CTSA and F-airGate    
Goodwill    
Goodwill acquired during period   6
Cell & Co    
Goodwill    
Goodwill acquired during period   2,785
Polar Express    
Goodwill    
Goodwill acquired during period   1,828
Cell Matters    
Goodwill    
Goodwill acquired during period   $ 4,935