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Note 8 - Other Intangible Assets - Summary of Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2023 | Dec. 31, 2022
--- | --- | ---
Gross carrying amount | $ 196,155 | $ 196,155
Accumulated amortization | 150,056 | 142,166
Net carrying amount | 46,099 | 53,989
Total gross carrying amount | 273,755 | 273,755
Total net carrying amount | 123,699 | 131,589
Distribution Rights [Member] |  |
Gross carrying amount | 80,000 | 80,000
Accumulated amortization | 78,000 | 75,000
Net carrying amount | 2,000 | 5,000
Customer Relationships [Member] |  |
Gross carrying amount | 80,920 | 80,920
Accumulated amortization | 41,415 | 37,537
Net carrying amount | 39,505 | 43,383
Patents [Member] |  |
Gross carrying amount | 21,136 | 21,136
Accumulated amortization | 17,935 | 16,994
Net carrying amount | 3,201 | 4,142
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 | 4,066 | 3,995
Net carrying amount | 1,393 | 1,464
Trademarks and Trade Names [Member] |  |
Gross carrying amount | $ 77,600 | $ 77,600

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