CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2025	Dec. 31, 2024
Depreciation and amortization	$ 10,891	$ 10,675
Amortization of loan fees	125	92
Accrued interest on certificates of deposit (including $0 and $50 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	0	(50)
Government assistance, income	70	360
Accounts receivable	9,834	(559)
Prepaid expenses and other current assets	1,343	(2,776)
Other non-current assets	(15)	79
Accounts payable	7,791	(260)
Accrued expenses	(95)	2,979
Income taxes payable	(65)	65
Other liabilities (including $66 and $0 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	98	(45)
Purchase of short-term investments	16,300	50,806
Redemption of short-term investments (including $19,110 and $7,000 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	44,643	48,856
Payments of long-term debt	12,717	1,122
Payment of Global Wells membership interest tax withholding (including $362 and $0 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	377	0
Payment of Global Wells noncontrolling membership interest redemption	0	2,326
Refund of noncontrolling interest tax withholding	0	120
Payment of Global Wells noncontrolling membership interest redemption gain tax withholding	879	0
VIE, Primary Beneficiary
Depreciation and amortization	1,214	1,213
Amortization of loan fees	62
Accrued interest on certificates of deposit (including $0 and $50 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	0	(50)
Government assistance, income	33	187
Accounts receivable	4	32
Prepaid expenses and other current assets	255	23
Other non-current assets	35	20
Accounts payable	53	47
Accrued expenses	46	(102)
Income taxes payable	0	(3)
Other liabilities (including $66 and $0 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	66	0
Purchase of short-term investments	7,982	18,078
Redemption of short-term investments (including $19,110 and $7,000 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	19,110	7,000
Payments of long-term debt	12,717	1,122
Payment of Global Wells membership interest tax withholding (including $362 and $0 associated with variable interest entity for the year ended December 31, 2025 and 2024, respectively)	362	0
Payment of Global Wells noncontrolling membership interest redemption	0	2,010
Refund of noncontrolling interest tax withholding	0	120
Payment of Global Wells noncontrolling membership interest redemption gain tax withholding	$ 879	$ 0

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The net increase(decrease) in interest income during the period representing the allocation of deferred loan origination fees less deferred loan origination costs using the effective interest method over the term of the debt arrangement to which they pertain taking into account the effect of prepayments.

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