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Note 2 - Acquisitions - Assets Acquires and Liabilities Assumed (Details) - USD ($)
$ in Thousands
Mar. 17, 2022
Mar. 16, 2022
Dec. 22, 2021
Dec. 21, 2021
Oct. 12, 2021
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Goodwill           $ 113,028 $ 107,905 $ 51,838
Advant Medical [Member]                
Cash paid at closing $ 23,608 $ 21,200            
Other liability 395              
Cash from Advant (2,840)              
Total consideration 21,163              
Accounts receivable 2,299              
Inventory 2,410              
Other current assets 213              
Property, plant, and equipment 5,704              
Lease right of use assets 289              
Other assets 41              
Goodwill 7,140              
Total identifiable assets 23,407              
Accounts payable (772)              
Accrued expenses (668)              
Income taxes (66)              
Deferred taxes (449)              
Lease liabilities (289)              
Net assets acquired 21,163              
Total identifiable assets 23,407              
Advant Medical [Member] | Customer Contracts and Relationships [Member]                
Finite-Lived Intangibles 2,925              
Advant Medical [Member] | Intellectual Property [Member]                
Finite-Lived Intangibles 2,127              
Advant Medical [Member] | Noncompete Agreements [Member]                
Finite-Lived Intangibles $ 259              
DAS Medical [Member]                
Cash paid at closing       $ 95,000        
Cash from Advant       (8,316)        
Total consideration       100,612        
Accounts receivable       2,351        
Inventory       7,570        
Other current assets       68        
Property, plant, and equipment       3,314        
Lease right of use assets       1,221        
Goodwill       51,742        
Total identifiable assets       110,073        
Accounts payable       (5,238)        
Accrued expenses       (2,995)        
Lease liabilities       (1,221)        
Net assets acquired       100,612        
Contingent liability (Earn-out)       5,188        
Non-compete agreements       8,855        
Working capital adjustment     $ 115,000 (115)        
Total identifiable assets       110,073        
Deferred revenue       (7)        
DAS Medical [Member] | Customer Contracts and Relationships [Member]                
Finite-Lived Intangibles       36,730        
DAS Medical [Member] | Intellectual Property [Member]                
Finite-Lived Intangibles       2,380        
DAS Medical [Member] | Noncompete Agreements [Member]                
Finite-Lived Intangibles       $ 4,697        
Contech Medical, Inc [Member]                
Cash paid at closing         $ 9,766      
Other liability         500      
Cash from Advant         (266)      
Total consideration         14,543      
Accounts receivable         2,851      
Inventory         2,320      
Other current assets         37      
Property, plant, and equipment         1,170      
Lease right of use assets         1,523      
Goodwill         4,278      
Total identifiable assets         17,555      
Accounts payable         (1,015)      
Accrued expenses         (414)      
Lease liabilities         (1,523)      
Net assets acquired         14,543      
Contingent liability (Earn-out)         4,543      
Total identifiable assets         17,555      
Deferred revenue         (60)      
Contech Medical, Inc [Member] | Customer Contracts and Relationships [Member]                
Finite-Lived Intangibles         3,043      
Contech Medical, Inc [Member] | Intellectual Property [Member]                
Finite-Lived Intangibles         2,247      
Contech Medical, Inc [Member] | Noncompete Agreements [Member]                
Finite-Lived Intangibles         $ 86