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v3.25.4

Acquisitions - Narrative (Details) - USD ($) $ in Thousands |  |  | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | ---
Sep. 16, 2025 | Sep. 26, 2024 | Dec. 31, 2025 | Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Business Combination [Line Items] |  |  |  |  |  |
Payment of seller transaction costs |  |  |  | $ 44,339 | $ 0 |
Goodwill |  |  | $ 88,210 | 88,210 | 15,540 | $ 13,328
Keystone Perfusion Services, LLC. |  |  |  |  |  |
Business Combination [Line Items] |  |  |  |  |  |
Percentage of equity interest acquired | 100.00% |  |  |  |  |
Upfront cash payments | $ 111,324 |  |  |  |  |
Issuance of common stock in acquisition (in shares) | 3,434,609 |  |  |  |  |
Equity issued in acquisition | $ 16,828 |  |  |  |  |
Consideration transferred number of shares in escrow (in shares) | 1,717,303 |  |  |  |  |
Post-close net working capital and gross-up adjustment |  |  | 1,361 |  |  |
Equity consideration in escrow and Contingent considerations | $ 23,000 |  | 4,625 | 4,625 |  |
Contingent consideration, net |  |  | 658 | 658 |  |
Acquisition-related costs expense |  |  |  | 2,049 |  |
Consideration paid into escrow | 315 |  |  |  |  |
Contingent consideration earn out receivable |  |  | $ 3,967 | $ 3,967 |  |
Identifiable intangible assets | 41,700 |  |  |  |  |
Goodwill | 72,670 |  |  |  |  |
Total purchase consideration | 84,513 |  |  |  |  |
Keystone Perfusion Services, LLC. | Contingent Earn-Out Consideration |  |  |  |  |  |
Business Combination [Line Items] |  |  |  |  |  |
Capped increased/decrease in contingent consideration | 12,400 |  |  |  |  |
Equity consideration in escrow and Contingent considerations | 3,425 |  |  |  |  |
Contingent consideration earn out receivable | 2,725 |  |  |  |  |
Keystone Perfusion Services, LLC. | Equity consideration in escrow |  |  |  |  |  |
Business Combination [Line Items] |  |  |  |  |  |
Equity consideration in escrow and Contingent considerations | $ 8,414 |  |  |  |  |
CJK |  |  |  |  |  |
Business Combination [Line Items] |  |  |  |  |  |
Goodwill |  | $ 2,212 |  |  |  |
Total purchase consideration |  | $ 2,230 |  |  |  |
CJK | General and Administrative Expense |  |  |  |  |  |
Business Combination [Line Items] |  |  |  |  |  |
Acquisition-related costs expense |  |  |  |  | $ 37 |

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