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Note 18 - Fair Value of Financial Instruments (Details Textual) - USD ($) $ in Thousands			12 Months Ended
	Dec. 22, 2021	Dec. 21, 2021	Dec. 31, 2021	Dec. 31, 2022	Dec. 31, 2020
Present Value of Non-competition Agreement			$ 9,477	$ 10,043	$ 0
Contech Medical, Inc and DAS Medical [Member]
Business Combination, Consideration Transferred, Liabilities Incurred			$ 25,000
Business Combination, Contingent Consideration, Liability, Total				9,700
DAS Medical [Member]
Business Combination, Consideration Transferred, Liabilities Incurred		$ 5,188
Payments to Acquire Businesses, Gross		$ 95,000
Present Value of Non-competition Agreement				$ 8,900
DAS Medical [Member] | Non-Competition Agreements [Member]
Payments to Acquire Businesses, Gross	$ 10,000
Business Combination, Agreement Term (Year)	10 years

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