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Note 8 - Other Intangible Assets - Summary of Intangible Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | ---
Accumulated Amortization | $ 142,166 | $ 131,646
Gross carrying amount | 196,155 | 196,155
Net carrying amount | 53,989 | 64,509
Total gross carrying amount | 273,755 | 273,755
Total net carrying amount | 131,589 | 142,109
Distribution Rights [Member] |  |
Accumulated Amortization | 75,000 | 71,000
Gross carrying amount | 80,000 | 80,000
Net carrying amount | 5,000 | 9,000
Customer Relationships [Member] |  |
Accumulated Amortization | 37,537 | 32,366
Gross carrying amount | 80,920 | 80,920
Net carrying amount | 43,383 | 48,554
Patents [Member] |  |
Accumulated Amortization | 16,994 | 15,739
Gross carrying amount | 21,136 | 21,136
Net carrying amount | 4,142 | 5,397
Noncompete Agreements [Member] |  |
Accumulated Amortization | 8,640 | 8,640
Gross carrying amount | 8,640 | 8,640
Net carrying amount | 0 | 0
Trademarks [Member] |  |
Accumulated Amortization | 3,995 | 3,901
Gross carrying amount | 5,459 | 5,459
Net carrying amount | 1,464 | 1,558
Trademarks and Trade Names [Member] |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill), Ending Balance | 77,600 | $ 77,600
Accumulated Amortization | $ 0 |

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