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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, 2023 | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | --- | --- | --- | --- | --- | --- | ---
Goodwill |  |  |  |  |  | $ 113,263 | $ 113,028 | $ 107,905
DAS Medical [Member] |  |  |  |  |  |  |  |
Cash paid at closing |  |  |  | $ 95,000 |  |  |  |
Contingent liability (Earn-out) |  |  |  | 5,188 |  |  |  |
Cash from Advant |  |  |  | (8,316) |  |  |  |
Non-compete agreements |  |  |  | 8,855 |  |  |  |
Total consideration |  |  |  | 100,612 |  |  |  |
Working capital adjustment |  |  | $ 115,000 | (115) |  |  |  |
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) |  |  |  |
Deferred revenue |  |  |  | (7) |  |  |  |
Lease liabilities |  |  |  | (1,221) |  |  |  |
Net assets acquired |  |  |  | 100,612 |  |  |  |
DAS Medical [Member] | Customer Contracts and Relationships [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships |  |  |  | 36,730 |  |  |  |
DAS Medical [Member] | Intellectual Property [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships |  |  |  | 2,380 |  |  |  |
DAS Medical [Member] | Noncompete Agreements [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships |  |  |  | $ 4,697 |  |  |  |
Contech Medical, Inc [Member] |  |  |  |  |  |  |  |
Cash paid at closing |  |  |  |  | $ 9,766 |  |  |
Other liability |  |  |  |  | 500 |  |  |
Contingent liability (Earn-out) |  |  |  |  | 4,543 |  |  |
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) |  |  |
Deferred revenue |  |  |  |  | (60) |  |  |
Lease liabilities |  |  |  |  | (1,523) |  |  |
Net assets acquired |  |  |  |  | 14,543 |  |  |
Contech Medical, Inc [Member] | Customer Contracts and Relationships [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships |  |  |  |  | 3,043 |  |  |
Contech Medical, Inc [Member] | Intellectual Property [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships |  |  |  |  | 2,247 |  |  |
Contech Medical, Inc [Member] | Noncompete Agreements [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships |  |  |  |  | $ 86 |  |  |
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 |  |  |  |  |  |  |
Advant Medical [Member] | Customer Contracts and Relationships [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships | 2,925 |  |  |  |  |  |  |
Advant Medical [Member] | Intellectual Property [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships | 2,127 |  |  |  |  |  |  |
Advant Medical [Member] | Noncompete Agreements [Member] |  |  |  |  |  |  |  |
Customer contracts & relationships | $ 259 |  |  |  |  |  |  |

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