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Note 9 - Intangible Assets - Intangible Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022
--- | --- | ---
Intangible assets accumulated amortization | $ 28,137 | $ 22,228
Intangible assets, gross | 63,807 | 55,327
Intangible Assets, Net (Excluding Goodwill), Total | 35,670 | 33,099
Trade Names [Member] |  |
Intangible assets not subject to amortization | 14,667 | 14,287
Intangible assets not subject to amortization, net | 14,667 | 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 | 39,942 | 32,442
Intangible assets accumulated amortization | 19,521 | 13,630
Intangible assets subject to amortization, net | 20,421 | $ 18,812
Developed Technology Rights [Member] |  |
Intangible assets subject to amortization | 600 |
Intangible assets accumulated amortization | 18 |
Intangible assets subject to amortization, net | $ 582 |

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