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Fair Value of Financial Instruments - Narratives (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Dec. 31, 2023
Mar. 31, 2023
Fair Value of Financial Instruments      
Fair value of contingent consideration $ 6,476,000 $ 6,274,000  
V C N      
Fair Value of Financial Instruments      
Additional consideration related to the achievement of certain milestones 70,200,000    
Amount to be paid due to approval   $ 3,250,000  
Fair value of contingent consideration 6,500,000    
Operating expense relating to fair value adjustment $ 202,000   $ 135,000