Segment and Geographic Information (Narrative) (Details)	12 Months Ended
Dec. 31, 2022 USD ($) segment	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Segment Reporting Information [Line Items]
Number of reportable segments \| segment	2
Total sources of revenue	$ 313,789,000	$ 298,836,000	$ 253,227,000
Goodwill	243,631,000	250,000,000	260,061,000
Domestic
Segment Reporting Information [Line Items]
Total sources of revenue	$ 161,113,000	$ 151,151,000	$ 138,274,000
Germany
Segment Reporting Information [Line Items]
Percentage of revenue	9.00%	10.00%	10.00%
Long-lived assets	$ 20,700,000	$ 20,600,000
Medical devices
Segment Reporting Information [Line Items]
Total sources of revenue	230,353,000	221,597,000	$ 179,299,000
Goodwill	243,600,000	250,000,000
Intersegment Eliminations
Segment Reporting Information [Line Items]
Total sources of revenue	$ 0	$ 0	$ 0
Long-Lived Assets \| Geographic Concentration Risk \| Domestic
Segment Reporting Information [Line Items]
Concentration percentage	46.00%	45.00%
Long-Lived Assets \| Geographic Concentration Risk \| Germany
Segment Reporting Information [Line Items]
Concentration percentage	97.00%

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