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Note 18 - Fair Value of Financial Instruments (Details Textual) - USD ($) $ in Thousands |  |  |  | 12 Months Ended
--- | --- | --- | --- | ---
Dec. 22, 2022 | Dec. 22, 2021 | Dec. 21, 2021 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Payment for Contingent Consideration Liability, Financing Activities |  |  |  | $ 5,000 | $ 4,543 | $ (0)
Fair value measurement adjustments |  |  |  | 3,527 | 9,837 | 0
Present Value of Non-competition Agreement |  |  |  | 8,474 | 10,043 | 9,477
Contech Medical, Inc and DAS Medical [Member] |  |  |  |  |  |
Business Combination, Consideration Transferred, Liabilities Incurred |  |  |  |  |  | $ 20,000
Payment for Contingent Consideration Liability, Financing Activities |  |  |  | 5,000 |  |
Business Combination, Contingent Consideration, Liability |  |  |  |  | 9,700 |
Fair value measurement adjustments |  |  |  | $ 13,100 |  |
DAS Medical [Member] |  |  |  |  |  |
Business Combination, Consideration Transferred, Liabilities Incurred |  |  | $ 5,188 |  |  |
Payments to Acquire Businesses, Gross |  |  | $ 95,000 |  |  |
Present Value of Non-competition Agreement |  |  |  |  | $ 8,500 |
DAS Medical [Member] | Non-Competition Agreements [Member] |  |  |  |  |  |
Payments to Acquire Businesses, Gross | $ 10,000 | $ 10,000 |  |  |  |
Business Combination, Agreement Term (Year) | 10 years | 10 years |  |  | 10 years |

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