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Note 2 - Acquisitions (Details Textual) € in Thousands, $ in Thousands |  |  |  |  |  | 3 Months Ended | 6 Months Ended | 12 Months Ended | 18 Months Ended
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Mar. 17, 2022 USD ($) | Mar. 16, 2022 USD ($) | Mar. 16, 2022 EUR (€) | Dec. 22, 2021 USD ($) | Dec. 21, 2021 USD ($) | Oct. 12, 2021 USD ($) | Jun. 30, 2022 USD ($) | Jun. 30, 2021 USD ($) | Jun. 30, 2022 USD ($) | Jun. 30, 2022 EUR (€) | Jun. 30, 2021 USD ($) | Dec. 31, 2021 USD ($) | Jun. 30, 2022 USD ($)
Business Combination, Acquisition Related Costs |  |  |  |  |  |  | $ 242 | $ 0 | $ 1,017 |  | $ 0 |  |
Advant Medical [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired |  | 100.00% | 100.00% |  |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Net of Cash Acquired, Total |  |  | € 19,000 |  |  |  |  |  | 20,768 |  | (0) |  |
Payments to Acquire Businesses, Gross | $ 23,608 | $ 21,200 |  |  |  |  |  |  |  |  |  |  |
Business Combination, Acquisition Related Costs |  |  |  |  |  |  |  |  | 779 |  | 749 | $ 30 |
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual |  |  |  |  |  |  |  |  | 6,800 |  |  |  |
Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual |  |  |  |  |  |  |  |  | 700 |  |  |  |
DAS Medical [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired |  |  |  | 100.00% |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Net of Cash Acquired, Total |  |  |  | $ 66,700 |  |  |  |  | (115) |  | $ (0) |  |
Payments to Acquire Businesses, Gross |  |  |  |  | $ 95,000 |  |  |  |  |  |  |  |
Business Combination, Acquisition Related Costs |  |  |  |  |  |  |  |  | $ 155 |  |  | 293 | $ 448
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High |  |  |  | 20,000 |  |  |  |  |  |  |  |  |
Business Combination, Working Capital Adjustment |  |  |  | (115,000) | $ 115 |  |  |  |  |  |  |  |
DAS Medical [Member] | Goodwill Agreement [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  |  |  | 20,000 |  |  |  |  |  |  |  |  |
DAS Medical [Member] | Non-Competition Agreements [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  |  |  | $ 10,000 |  |  |  |  |  | € 375 |  |  |
Business Combination, Agreement Term (Year) |  |  |  | 10 years |  |  |  |  | 5 years | 5 years |  |  |
Contech Medical, Inc [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired |  |  |  |  |  | 100.00% |  |  |  |  |  |  |
Payments to Acquire Businesses, Net of Cash Acquired, Total |  |  |  |  |  | $ 9,500 |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  |  |  |  |  | 9,766 |  |  |  |  |  |  |
Business Combination, Acquisition Related Costs |  |  |  |  |  |  |  |  | $ 113 |  |  | $ 40 | $ 153
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High |  |  |  |  |  | 5,000 |  |  |  |  |  |  |
Business Combination, Contingent Consideration, Liability, Total |  |  |  |  |  | $ 500 |  |  |  |  |  |  |

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- Definition The amount of working capital adjustment from a business acquisition. + References No definition available. + Details
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- Definition Percentage of voting equity interests acquired at the acquisition date in the business combination. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463 + Details
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- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 23 -URI https://asc.fasb.org/extlink&oid=123586518&loc=d3e1043-128460 + Details
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- Definition For contingent consideration arrangements recognized in connection with a business combination, this element represents an estimate of the high-end of the potential range (undiscounted) of the consideration which may be paid. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c)(3) -URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479 + Details
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- Definition Amount of liability recognized arising from contingent consideration in a business combination. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (c)(1) -URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 35 -Paragraph 1 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126966325&loc=d3e6819-128478 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 6 -URI https://asc.fasb.org/extlink&oid=6911189&loc=d3e6408-128476 + Details
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- Definition This element represents the amount of earnings or loss of the acquiree since the acquisition date included in the consolidated income statement for the reporting period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (h)(1) -URI https://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463 + Details
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- Definition This element represents the amount of revenue of the acquiree since the acquisition date included in the consolidated income statement for the reporting period. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (h)(1) -URI https://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463 + Details
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- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (b)(1) -URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126954810&loc=d3e3213-108585 + Details
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