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Note 8 - Intangible Assets - Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2023 | Dec. 31, 2022
--- | --- | ---
Intangible assets accumulated amortization | $ 26,480 | $ 22,228
Intangible assets, gross | 57,297 | 55,327
Intangible assets, net | 30,817 | 33,099
Trade Names [Member] |  |
Intangible assets not subject to amortization | 14,457 | 14,287
Intangible assets not subject to amortization, net | 14,457 | 14,287
Database Rights [Member] |  |
Intangible assets subject to amortization | 4,918 | 4,918
Intangible assets accumulated amortization | 4,918 | 4,918
Intangible assets subject to amortization, net | 0 | 0
Service Agreements [Member] |  |
Intangible assets subject to amortization | 3,680 | 3,680
Intangible assets accumulated amortization | 3,680 | 3,680
Intangible assets subject to amortization, net | 0 | 0
Customer Relationships [Member] |  |
Intangible assets subject to amortization | 33,642 | 32,442
Intangible assets accumulated amortization | 17,875 | 13,630
Intangible assets subject to amortization, net | 15,767 | $ 18,812
Developed Technology Rights [Member] |  |
Intangible assets subject to amortization | 600 |
Intangible assets accumulated amortization | 7 |
Intangible assets subject to amortization, net | $ 593 |

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