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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) (Parenthetical) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Depreciation and amortization $ 8,132 $ 7,980
Amortization of loan fees (80) (69)
Accrued interest on certificates of deposit (including $40 and $49 associated with variable interest entity for the nine months ended September 30, 2025 and 2024, respectively) (40) (199)
Government grant income (including $24 and $0 associated with variable interest entity for the nine months ended September 30, 2025 and 2024, respectively) (53) 0
Prepaid expenses and other current assets 741 (1,401)
Other non-current assets (including $21 and $12 associated with variable interest entity for the nine months ended September 30, 2025 and 2024, respectively) (16) (74)
Accounts payable 6,740 5,529
Accrued expenses 2,655 2,175
Other liabilities 109 (46)
Purchase of short-term investments (16,300) (33,591)
Redemption of short-term investments 24,737 38,602
Payments on long-term debt (4,374) (834)
Payments of noncontrolling interest tax withholding (335) 0
Payment for Global Wells noncontrolling membership interest redemption 0 2,326
Payment of Global Wells noncontrolling membership interest redemption gain tax withholding (879) 0
VIE, Primary Beneficiary    
Depreciation and amortization 911 910
Amortization of loan fees 47 46
Accrued interest on certificates of deposit (including $40 and $49 associated with variable interest entity for the nine months ended September 30, 2025 and 2024, respectively) (40) (49)
Government grant income (including $24 and $0 associated with variable interest entity for the nine months ended September 30, 2025 and 2024, respectively) (24) 0
Prepaid expenses and other current assets (99) 24
Other non-current assets (including $21 and $12 associated with variable interest entity for the nine months ended September 30, 2025 and 2024, respectively) 21 12
Accounts payable 81 4
Accrued expenses (89) (225)
Other liabilities 64 0
Purchase of short-term investments (7,982) (18,079)
Redemption of short-term investments 11,215 7,000
Payments on long-term debt (4,374) (834)
Payments of noncontrolling interest tax withholding (326) 0
Payment for Global Wells noncontrolling membership interest redemption 0 2,010
Payment of Global Wells noncontrolling membership interest redemption gain tax withholding $ (879) $ 0