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Schedule Of Property Plant And Equipment [Table] Property, Plant and Equipment [Table] Prepaid Expenses and Other Current Assets Prepaid Expenses and Other Current Assets [Member] Shareholders' Equity Shareholders' Equity and Share-Based Payments [Text Block] 2025 Finite-Lived Intangible Asset, Expected Amortization, Year Three Change in liability for uncertain tax positions, percent Effective Income Tax Rate Reconciliation, Tax Contingency, Percent (Accumulated Deficit) Retained Earnings Retained Earnings [Member] Unrecognized compensation cost Share-Based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount Deduction for FDII Effective Income Tax Rate Reconciliation, Deduction, Amount Basis Of Presentation [Table] Basis Of Presentation [Table] Basis of presentation. Common Stock Common Stock [Member] Summary of Components of Lease Expense Lease, Cost [Table Text Block] Entity Wide Disclosures Entity Wide Disclosure [Text Block] Entity wide disclosure. 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Construction-in-progress Construction in Progress [Member] Entity Current Reporting Status Entity Current Reporting Status Goodwill and Intangible Assets Disclosure [Abstract] Goodwill and Intangible Assets Disclosure [Abstract] Other current liabilities (includes $12.5 million with related parties at December 31, 2022, respectively) Other Liabilities, Current Other assets Other Assets, Noncurrent Goodwill and Intangible Assets Goodwill and Intangible Assets, Policy [Policy Text Block] Options exercisable (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number Disaggregation Of Revenue [Table] Disaggregation of Revenue [Table] Chief Executive Officer Chief Executive Officer [Member] Income tax expense calculated at the federal statutory rate, percent Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent 2028 Finite-Lived Intangible Asset, Expected Amortization, after Year Five LIB L I B Therapeutics L L C And Subsidiaries [Member] LIB therapeutics LLC and subsidiaries. Term of lease Lessee, Operating Lease, Term of Contract Additions charged to expense SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Cost and Expense Counterparty Name Counterparty Name [Axis] Options outstanding, beginning of period (in shares) Options outstanding, end of period (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number Stock-based awards Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-Based Payment Arrangement, Percent Earliest Tax Year Earliest Tax Year [Member] Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code State and local taxes, net of federal benefit, percent Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent EFFECT OF EXCHANGE RATES ON CASH, CASH EQUIVALENTS, AND RESTRICTED CASH Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Continuing Operations Property and equipment, net Property and equipment, net Property, Plant and Equipment, Net Travel expenses with related party Travel and Entertainment Expense Entities [Table] Entities [Table] Latest Tax Year Latest Tax Year [Member] Operating cash flows from operating leases Operating Lease, Payments Schedule of Estimated Amortization Expense of Intangible Assets Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] Stock options Share-Based Payment Arrangement, Option [Member] Number of lease renewal, 10-year option Number Of Lease Renewal Options Number of lease renewal options. Treasury stock - 71,573 and 180,000 shares at December 31, 2022 and 2021, respectively Treasury Stock, Value Title of Individual Title of Individual [Domain] Expected volatility Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate Miscellaneous Income, Net Other Income and Other Expense Disclosure [Text Block] Less: allowance for doubtful accounts Allowance for doubtful accounts - beginning balance Allowance for doubtful accounts - ending balance Accounts Receivable, Allowance for Credit Loss, Current Stock options exercised Stock Issued During Period, Value, Stock Options Exercised Forfeited (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period Miscellaneous income, net Miscellaneous income, net Other Nonoperating Income (Expense) Balance Sheet Location [Axis] Balance Sheet Location [Axis] Open tax year Open Tax Year Common stock authorized (in shares) Common Stock, Shares Authorized Schedule Of Related Party Transactions By Related Party [Table] Schedule of Related Party Transactions, by Related Party [Table] Statement of Comprehensive Income [Abstract] Statement of Comprehensive Income [Abstract] Maximum Maximum [Member] Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Non Employee Directors Non Employee Directors [Member] Non-employee directors. Non-U.S. Employees Non U S Employees [Member] Non-U.S. employees. Cash and Cash Equivalents, including Restricted Cash Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block] Cash and cash equivalents Cash and Cash Equivalents, at Carrying Value Shares/units expected to vest (in shares) Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Expected To Vest Outstanding Number Share-based compensation arrangement by share-based payment award equity instruments other than options expected to vest outstanding number. Advanced billings Increase (Decrease) in Contract with Customer, Liability Total current assets Assets, Current Intangible assets: Intangible Assets, Net (Excluding Goodwill) [Abstract] Cash paid during the period for income taxes Income Taxes Paid, Net Revenue recognized Contract with Customer, Liability, Revenue Recognized Entity Small Business Entity Small Business Summary Of Significant Accounting Policies [Line Items] Summary Of Significant Accounting Policies [Line Items] Summary of significant accounting policies line items. Measurement Frequency Measurement Frequency [Domain] Awards granted to employees (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Shares Issued in Period Total finite-lived intangible assets, net Finite-Lived Intangible Assets, Net Product And Services Information [Line Items] Product And Services Information [Line Items] Product and services information. Other Other Countries [Member] Other Net gain on foreign-currency transactions Foreign Currency Transaction Gain (Loss), Realized Summary of Significant Accounting Policies Significant Accounting Policies [Text Block] Disaggregation of Revenue [Abstract] Disaggregation of Revenue [Abstract] Movement in Valuation Allowances and Reserves [Roll Forward] SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward] Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward] Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward] Property and Equipment, Net Property, Plant and Equipment Disclosure [Text Block] Actual tax benefits recognized related to stock-based compensation Share-Based Payment Arrangement, Expense, Tax Benefit Non-Related Party Non Related Party [Member] Non related party. Repurchase of shares (in shares) Stock Repurchased and Retired During Period, Shares Long-Lived Tangible Asset Long-Lived Tangible Asset [Domain] Short-term debt Short-term debt, total Short-Term Debt Title of 12(b) Security Title of 12(b) Security Total weighted average shares outstanding, basic (in shares) Weighted Average Number Of Common And Restricted Shares Outstanding Basic Weighted average number of common and restricted shares outstanding basic. Basis of Presentation Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] U.S. federal, total Federal Income Tax Expense (Benefit), Continuing Operations Schedule of Gross Unrecognized Tax Benefits Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block] Total operating expenses Costs and Expenses Payables and Accruals [Abstract] Payables and Accruals [Abstract] Payments on revolving loan Repayments of Lines of Credit Debt Instrument [Line Items] Debt Instrument [Line Items] Basis Of Presentation [Line Items] Basis Of Presentation [Line Items] Basis of presentation. Total operating lease liabilities Total Operating Lease, Liability Commitments, Contingencies, and Guarantees Commitments Contingencies and Guarantees [Text Block] Beginning Balance Ending Balance SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount Stock-Based Compensation Share-Based Payment Arrangement [Policy Text Block] Selling, general, and administrative Selling, General and Administrative Expenses Selling, General and Administrative Expenses [Member] Product And Services Information [Table] Product And Services Information [Table] Product and services information. 2024 Finite-Lived Intangible Asset, Expected Amortization, Year Two Furniture and Fixtures and Other Equipment Furniture And Fixtures And Other Equipment [Member] Furniture and fixtures and other equipment. Schedule of Intangible Assets, Net Schedule Of Finite Lived And Indefinite Lived Intangible Assets By Major Class [Table Text Block] Schedule of finite lived and indefinite lived intangible assets by major class. LIABILITIES AND SHAREHOLDERS’ EQUITY Liabilities and Equity [Abstract] Schedule Of Finite And Indefinite Lived Intangible Assets [Line Items] Schedule Of Finite And Indefinite Lived Intangible Assets [Line Items] Schedule of finite and indefinite lived intangible assets. Options granted (in dollars per share) Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Options cancelled/forfeited/expired (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures and Expirations in Period, Weighted Average Exercise Price Deferred tax assets: Deferred Tax Assets, Net of Valuation Allowance [Abstract] Operating lease, options to terminate lease term Lessee Operating Lease Options To Terminate Lease Term Lessee operating lease options to terminate lease term. Weighted average common shares outstanding: Weighted Average Number of Shares Outstanding, Diluted [Abstract] Vesting After Four Years Share Based Compensation Award Vesting After Four Years [Member] Share based compensation award vesting after four years. Accounts payable (includes $0.3 million with related parties at December 31, 2022 and 2021, respectively) Accounts Payable, Current Income Tax Authority Income Tax Authority [Axis] Income Tax Disclosure [Line Items] Income Tax Disclosure [Line Items] Income tax disclosure. Auditor Location Auditor Location Other current liabilities with related parties Other Liabilities, Related Parties, Current Other Liabilities, Related Parties, Current Entity Filer Category Entity Filer Category Weighted average number of shares outstanding, basic (in shares) Weighted Average Number of Shares Outstanding, Basic U.S. federal, current Current Federal Tax Expense (Benefit) United States UNITED STATES Options expected to vest, weighted average exercise price (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Exercise Price Commitments and contingencies (see Note 12) Commitments and Contingencies Security Exchange Name Security Exchange Name Options outstanding, beginning of period (in dollars per share) Options outstanding, end of period (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price Preferred stock - $0.01 par-value; 5,000,000 shares authorized; no shares issued and outstanding at December 31, 2022 and 2021, respectively Preferred Stock, Value, Issued Outstanding letters of credit Letters of Credit Outstanding, Amount RSAs Restricted Stock [Member] Liability for interest and penalties Income Tax Examination, Penalties and Interest Accrued Property Plant and Equipment [Line Items] Property, Plant and Equipment [Line Items] Summary of Property and Equipment, Net by Geographic Region Schedule of Disclosure on Geographic Areas, Long-Lived Assets in Individual Foreign Countries by Country [Table Text Block] Schedule of Debt Schedule of Debt [Table Text Block] Short-term Debt, Type Short-Term Debt, Type [Domain] Revenue, net (includes $55.4 million, $34.5 million and $15.9 million with related parties for the years ended December 31, 2022, 2021 and 2020, respectively) Total revenue Revenue from Contract with Customer, Excluding Assessed Tax Entity Well-known Seasoned Issuer Entity Well-known Seasoned Issuer Shares available for future stock compensation grants (in shares) Common Stock, Capital Shares Reserved for Future Issuance Cover [Abstract] Cover [Abstract] Debt Instrument [Table] Schedule of Long-Term Debt Instruments [Table] Leases Lessee, Leases [Policy Text Block] Level 3 Fair Value, Inputs, Level 3 [Member] Entity Voluntary Filers Entity Voluntary Filers 2022 Share Repurchase Program 2022 Share Repurchase Program [Member] 2022 Share Repurchase Program State/Local tax credits, percent Effective Income Tax Rate Reconciliation, Tax Credit, Percent Other, percent Effective Income Tax Rate Reconciliation, Nondeductible Expense, Other, Percent Amount of undistributed earnings of foreign subsidiaries for which deferred foreign withholding taxes not recorded Undistributed Earnings of Foreign Subsidiaries Contract Assets and Contract Liabilities Revenue from Contract with Customer [Text Block] Advanced billings Deferred Tax Assets, Deferred Income Oncology Oncology [Member] Oncology. Risk-free interest rate Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate Documents Incorporated by Reference Documents Incorporated by Reference [Text Block] Retirement Plan Name Retirement Plan Name [Axis] Total liabilities and shareholders’ equity Liabilities and Equity Schedule of Components of Company's Net Deferred Tax Asset (Liability) Schedule of Deferred Tax Assets and Liabilities [Table Text Block] 2016 Incentive Award Plan Two Thousand Sixteen Incentive Award Plan [Member] Two thousand sixteen incentive award plan. State/Local tax credits Effective Income Tax Rate Reconciliation, Tax Credit, Amount Related Party Related Party [Axis] Long-term Debt, Type Long-Term Debt, Type [Axis] Project related reimbursable expenses Project Related Reimbursable Expenses Liabilities Current Project related reimbursable expenses liabilities current. Noncash lease expense Non Cash Lease Expense Noncash lease expense. Land Land [Member] Remaining amount of repurchase program Stock Repurchase Program, Remaining Authorized Repurchase Amount Accounts receivable and unbilled, net Increase (Decrease) in Receivables Organization, Consolidation and Presentation of Financial Statements [Abstract] Organization, Consolidation and Presentation of Financial Statements [Abstract] Total deferred tax assets Deferred Tax Assets, Gross Schedule of Components of Income Before Income Taxes Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block] Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items] Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items] Direct Costs Direct Costs [Member] Direct costs. Current Fiscal Year End Date Current Fiscal Year End Date Accrued Expenses Accounts Payable and Accrued Liabilities Disclosure [Text Block] Less: imputed interest Lessee, Operating Lease, Liability, Undiscounted Excess Amount Vesting Vesting [Axis] Earnings per share, diluted (in dollars per share) Earnings per share, diluted (in dollars per share) Earnings Per Share, Diluted Intangible assets, net Total intangible assets, net Intangible Assets, Net (Excluding Goodwill) Deferred credit, percent Effective Income Tax Rate Reconciliation Deferred Credits Effective income tax rate reconciliation deferred credits. Summary Of Significant Accounting Policies [Table] Summary Of Significant Accounting Policies [Table] Summary of significant accounting policies table. Award vesting period Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period Stock-based compensation expense APIC, Share-Based Payment Arrangement, Increase for Cost Recognition Concentration Risk Type Concentration Risk Type [Axis] Total current liabilities Liabilities, Current Sales rebates Sales Rebates On Revenues Sales rebates on revenues. 2024 Lessee, Operating Lease, Liability, to be Paid, Year Two Schedule of Aggregate Intrinsic Value of Stock Options Exercised, Fair Values of Awards Vested, and Share Based Liabilities Settled Share Based Compensation Arrangement By Share Based Payment Award Aggregate Intrinsic Value Of Stock Options Exercised Fair Values Of Awards Vested And Share Based Liabilities Settled Table [Table Text Block] Share based compensation arrangement by share based payment award aggregate intrinsic value of stock options exercised fair values of awards vested and share based liabilities settled. Beginning balance Ending balance Unrecognized Tax Benefits Number of lease agreements Number Of Lease Agreements Number of lease agreements. Share Repurchase Program [Axis] Share Repurchase Program [Axis] Domestic Income (Loss) from Continuing Operations before Income Taxes, Domestic Performance obligations remaining to be performed Revenue, Remaining Performance Obligation, Amount Share-based compensation option terms Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period Total stock options exercisable (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Exercisable, Number Government Assistance, Statement of Income or Comprehensive Income [Extensible Enumeration] Government Assistance, Statement of Income or Comprehensive Income [Extensible Enumeration] Accounts Receivable, Allowance for Credit Loss Accounts Receivable, Allowance for Credit Loss [Table Text Block] Other income, net: Nonoperating Income (Expense) [Abstract] Schedule of Lease Payments Due Related To Lease Liabilities Lessee, Operating Lease, Liability, Maturity [Table Text Block] Entity Address, Address Line One Entity Address, Address Line One Income Tax Authority Income Tax Authority [Domain] Summary of Supplemental Balance Sheet Information Related to Leases Schedule Of Supplemental Balance Sheet Information Related To Leases [Table Text Block] Schedule of supplemental balance sheet information related to leases. Accumulated amortization: Finite Lived Intangible Assets Accumulated Amortization [Abstract] Finite lived intangible assets accumulated amortization. Product and Service Product and Service [Axis] Total Europe Europe [Member] Deferred tax liabilities: Deferred Tax Liabilities, Net [Abstract] Share Repurchases Share Repurchase Program Policy [Policy Text Block] Share Repurchase Program Policy Vesting After Four Years and Six Months Share Based Compensation Award Vesting After Four Years And Six Months [Member] Share based compensation award vesting after four and a half years. Government Assistance [Line Items] Government Assistance [Line Items] Retirement Plan Type Retirement Plan Type [Axis] Schedule of Accrued Expenses Schedule of Accrued Liabilities [Table Text Block] Equity [Abstract] Equity [Abstract] Buildings Building Building [Member] Vested (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period Finite-lived intangible assets: Finite-Lived Intangible Assets, Gross [Abstract] Number of tax years Number Of Tax Periods Subject To Audit Number of tax years. Entity Tax Identification Number Entity Tax Identification Number Right-of-use assets obtained in exchange for lease obligations: Right Of Use Assets Obtained In Exchange For Lease Obligations [Abstract] Right of use assets obtained in exchange for lease obligations. Advertisement expenses Advertising Expense Summary of Revenue by Major Source Disaggregation of Revenue [Table Text Block] Total deferred tax liabilities Deferred Tax Liabilities, Gross Revenue from Contract with Customer [Abstract] Revenue from Contract with Customer [Abstract] Prepaid Expenses and Other Current Assets and Other Assets Prepaid Expenses And Other Current Assets And Other Assets [Member] Prepaid expenses and other current assets and other assets. Cash paid for amounts included in the measurement of lease liabilities: Cash Paid For Amounts Included In Measurement Of Lease Liabilities [Abstract] Cash paid for amounts included in measurement of lease liabilities. Lease liabilities Increase Decrease In Operating Lease Liabilities Increase (decrease) in operating lease liabilities. Cardiology Cardiology [Member] Cardiology. Summary Of Difference Between Statutory Rate for Federal Income Tax and Effective Income Tax Rate Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] (DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect State and local taxes, net of federal benefit Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Effect of diluted shares (in shares) Weighted Average Number of Shares Outstanding, Diluted, Adjustment 2027 Finite-Lived Intangible Asset, Expected Amortization, Year Five Entity Central Index Key Entity Central Index Key Percentage of foreign net operating loss carryforward over indefinite period Percentage Of Net Operating Loss Carryforwards Foreign Over Indefinite Period Percentage of net operating loss carryforwards foreign over indefinite period. Employee Employee [Member] Employee Antidilutive Securities, Name Antidilutive Securities, Name [Domain] Acquisition of property and equipment—non-cash Noncash or Part Noncash Acquisition, Fixed Assets Acquired Measurement Frequency Measurement Frequency [Axis] Finite-Lived Intangible Assets by Major Class Finite-Lived Intangible Assets by Major Class [Axis] Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table] Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table] Central Nervous System Central Nervous System [Member] Central nervous system. Concentration of Credit Risk Concentration Risk, Credit Risk, Policy [Policy Text Block] Tax Period Tax Period [Axis] Other Other Accrued Liabilities, Current City Area Code City Area Code ASSETS Assets [Abstract] Schedule of Grant Date Fair Value and Stock-based Compensation Expense Allocated Schedule Of Employee Service Share Based Compensation Weighted Average Grant Date Fair Value And Allocation Of Recognized Period Costs [Table Text Block] Schedule of employee service share-based compensation weighted average grant date fair value and allocation of recognized period costs. Other assets and liabilities, net Increase (Decrease) in Other Operating Assets and Liabilities, Net Long-term Debt, Type Long-Term Debt, Type [Domain] Government Assistance [Table] Government Assistance [Table] Goodwill And Intangible Assets [Table] Goodwill And Intangible Assets [Table] Goodwill and intangible assets. Statement of Stockholders' Equity [Abstract] Statement of Stockholders' Equity [Abstract] Income tax expense calculated at the federal statutory rate Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount CASH FLOWS FROM FINANCING ACTIVITIES: Net Cash Provided by (Used in) Financing Activities [Abstract] Net Income Per Share Earnings Per Share, Policy [Policy Text Block] 2023 Long-Term Debt, Maturity, Year One Stock-based compensation expense Total stock-based compensation expense Share-Based Payment Arrangement, Noncash Expense Weighted average, grant date fair value Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Other long-term liabilities Other Liabilities, Noncurrent Property and equipment expenditures Payments to Acquire Property, Plant, and Equipment Disaggregation Of Revenue [Line Items] Disaggregation of Revenue [Line Items] Minimum purchase commitments for project related supplies Long-Term Purchase Commitment, Amount 2023 Finite-Lived Intangible Asset, Expected Amortization, Year One Schedule of Reconciliation of Denominators and Additional Shares that are Excluded from the Calculation of EPS Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Operating leases Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Line of credit facility, interest rate at period end Line of Credit Facility, Interest Rate at Period End Defined Contribution Arrangements Other Postretirement Benefits Plan [Member]