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Related Party Transactions (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Related Party Transactions    
Total related party payments $ 563 $ 9,150
American Institute of Research | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 38 100
Karen M Johnson | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 63 56
Richard Barasch | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 0 12
Anne M. McGeorge | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 70 44
Mohit Kaushal | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 71 57
Ravi Sarin | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 63 57
Maeve O'Meara Duke | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 63 57
M33 Growth LLC (Gabe Ling) | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 63 0
Mark L. Pacala | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 69 0
Richy Agajanian MD - Share Repurchases | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 0 8,745
Richy Agajanian MD - Clinical Trials | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments 17 22
Brad Hively | Payments to Affiliated Entities    
Related Party Transactions    
Total related party payments $ 46 $ 0