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Note 8 - Other Intangible Assets - Summary of Intangible Assets (Details) - USD ($) $ in Thousands | Mar. 31, 2024 | Dec. 31, 2023
--- | --- | ---
Gross carrying amount | $ 196,155 | $ 196,155
Accumulated amortization | 155,315 | 152,685
Net carrying amount | 40,840 | 43,470
Total gross carrying amount | 273,755 | 273,755
Total net carrying amount | 118,440 | 121,070
Distribution Rights [Member] |  |
Gross carrying amount | 80,000 | 80,000
Accumulated amortization | 80,000 | 79,000
Net carrying amount | 0 | 1,000
Customer Relationships [Member] |  |
Gross carrying amount | 80,920 | 80,920
Accumulated amortization | 44,000 | 42,707
Net carrying amount | 36,920 | 38,213
Patents [Member] |  |
Gross carrying amount | 21,136 | 21,136
Accumulated amortization | 18,563 | 18,249
Net carrying amount | 2,573 | 2,887
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 | 4,112 | 4,089
Net carrying amount | 1,347 | 1,370
Trademarks and Trade Names [Member] |  |
Gross carrying amount | $ 77,600 | $ 77,600

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