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Note 8 - Other Intangible Assets - Summary of Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2022 | Dec. 31, 2021
--- | --- | ---
Gross carrying amount | $ 196,155 | $ 196,155
Accumulated amortization | 139,536 | 131,646
Net carrying amount | 56,619 | 64,509
Total gross carrying amount | 273,755 | 273,755
Total net carrying amount | 134,219 | 142,109
Distribution Rights [Member] |  |
Gross carrying amount | 80,000 | 80,000
Accumulated amortization | 74,000 | 71,000
Net carrying amount | 6,000 | 9,000
Customer Relationships [Member] |  |
Gross carrying amount | 80,920 | 80,920
Accumulated amortization | 36,244 | 32,366
Net carrying amount | 44,676 | 48,554
Patents [Member] |  |
Gross carrying amount | 21,136 | 21,136
Accumulated amortization | 16,680 | 15,739
Net carrying amount | 4,456 | 5,397
Noncompete Agreements [Member] |  |
Gross carrying amount | 8,640 | 8,640
Accumulated amortization | 8,640 | 8,640
Net carrying amount | 0 | 0
Trademarks [Member] |  |
Gross carrying amount | 5,459 | 5,459
Accumulated amortization | 3,972 | 3,901
Net carrying amount | 1,487 | 1,558
Trademarks and Trade Names [Member] |  |
Gross carrying amount | $ 77,600 | $ 77,600

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