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Income Taxes - Reconciliation between statutory rate and effective rate (Details)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Reconciliation between the tax provision computed at the federal statutory income tax rate    
Federal tax at statutory rate (as a percent) 21.00% 21.00%
Stock compensation and other permanent differences (as a percent) (2.00%) (1.00%)
Nondeductible executive compensation (as a percent) (2.00%) (1.00%)
Bargain purchase gain (as a percent) 20.00%  
Tax benefit related to Pulmokine acquisition (as a percent) 29.00%  
Valuation allowance (as a percent) (37.00%) (19.00%)
Total (as a percent) 29.00%