CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) (Parenthetical) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2026	Sep. 30, 2025
Depreciation and amortization	$ 8,003	$ 8,132
Amortization of loan fees	163	80
Accrued interest on certificates of deposit (including $0 and ($40) associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	(232)	(40)
Government grant income (including ($24) associated with variable interest entity for both the nine months ended September 30, 2026 and 2025)	(53)	(53)
Accounts receivable (including $4 and $0 associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	9,016	11,219
Prepaid expenses and other current assets (including $56 and ($99) associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	1,283	741
Other non-current assets (including $43 and $21 associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	28	16
Accounts payable	19,189	6,740
Accrued expenses	2,268	2,655
Other liabilities	22	109
Purchase of short-term investments	(15,744)	(16,300)
Redemption of short-term investments	5,744	24,737
Payments on long-term debt	(12,779)	(4,374)
Payments of noncontrolling interest tax withholding	(368)	(335)
Payment of Global Wells noncontrolling membership interest redemption gain tax withholding	0	(879)
VIE, Primary Beneficiary
Depreciation and amortization	909	911
Amortization of loan fees	47	47
Accrued interest on certificates of deposit (including $0 and ($40) associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	0	(40)
Government grant income (including ($24) associated with variable interest entity for both the nine months ended September 30, 2026 and 2025)	(24)	(24)
Accounts receivable (including $4 and $0 associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	4	0
Prepaid expenses and other current assets (including $56 and ($99) associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	56	(99)
Other non-current assets (including $43 and $21 associated with variable interest entity for the nine months ended September 30, 2026 and 2025, respectively)	43	(21)
Accounts payable	(97)	81
Accrued expenses	(112)	(89)
Other liabilities	(2)	64
Purchase of short-term investments	0	(7,982)
Redemption of short-term investments	0	11,215
Payments on long-term debt	(12,779)	(4,374)
Payments of noncontrolling interest tax withholding	(466)	(326)
Payment of Global Wells noncontrolling membership interest redemption gain tax withholding	$ 0	$ (879)