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CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Depreciation and amortization $ 10,675 $ 10,783
Amortization of loan fees (92) (81)
Accrued interest on certificates of deposit 50 155
Government assistance, income 360 0
Accounts receivable (559) (2,860)
Prepaid expenses and other current assets (2,776) 466
Other non-current assets 79 (1,439)
Accounts payable (260) 696
Accrued expenses 2,979 1,571
Income taxes payable 65 0
Deferred revenue (281) (330)
Purchase of short-term investments 50,806 49,188
Redemption of short-term investments 48,856 23,000
Proceeds from long-term debt 0 8,000
Payments of long-term debt (1,122) (1,010)
Distributions to shareholders, net of tax withholding 0 (2,295)
Payment for Global Wells noncontrolling membership interest redemption (2,326) 0
Refund of noncontrolling interest tax withholding 120 0
VIE, Primary Beneficiary    
Depreciation and amortization 1,213 1,214
Amortization of loan fees 62 57
Accrued interest on certificates of deposit 50 0
Government assistance, income 187 0
Accounts receivable 32 6
Prepaid expenses and other current assets 23 109
Other non-current assets 20 14
Accounts payable 47 60
Accrued expenses (102) (34)
Income taxes payable (3) 0
Deferred revenue 0 (49)
Purchase of short-term investments 18,078 8,000
Redemption of short-term investments 7,000 8,000
Proceeds from long-term debt 0 8,000
Payments of long-term debt (1,122) (1,010)
Distributions to shareholders, net of tax withholding 0 (2,295)
Payment for Global Wells noncontrolling membership interest redemption (2,010) 0
Refund of noncontrolling interest tax withholding $ 120 $ 0