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Note 9 - Operating Segment Information - Information Related to the Operations of the Company's Operating Segments (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Net sales $ 149,690 $ 136,126 $ 420,268 $ 396,061
Segment EBITDA 11,654 9,253 26,844 23,584
Depreciation and amortization 3,252 3,515 9,872 10,331
Capital expenditures 937 380 2,911 4,023
Depreciation and amortization 3,252 3,515 9,872 10,331
Net sales 149,690 136,126 420,268 396,061
Depreciation and amortization 3,252 3,515 9,872 10,331
Capital expenditures 937 380 2,911 4,023
Operating Segments [Member] | Branded Products [Member]        
Net sales 92,547 83,512 260,911 244,955
Segment EBITDA 10,733 6,958 27,404 21,456
Depreciation and amortization 1,446 1,452 4,513 4,826
Capital expenditures 127 86 714 2,093
Depreciation and amortization 1,446 1,452 4,513 4,826
Net sales 92,547 83,512 260,911 244,955
Depreciation and amortization 1,446 1,452 4,513 4,826
Capital expenditures 127 86 714 2,093
Operating Segments [Member] | Healthcare Apparel [Member]        
Net sales 33,025 29,649 88,854 85,875
Segment EBITDA 3,773 3,055 7,685 6,556
Depreciation and amortization 944 1,064 2,837 3,014
Capital expenditures 259 115 986 641
Depreciation and amortization 944 1,064 2,837 3,014
Net sales 33,025 29,649 88,854 85,875
Depreciation and amortization 944 1,064 2,837 3,014
Capital expenditures 259 115 986 641
Operating Segments [Member] | Contact Centers [Member]        
Net sales 25,038 24,121 73,422 68,935
Segment EBITDA 3,030 4,053 9,157 10,098
Depreciation and amortization 770 880 2,246 2,210
Capital expenditures 551 157 1,124 1,221
Depreciation and amortization 770 880 2,246 2,210
Net sales 25,038 24,121 73,422 68,935
Depreciation and amortization 770 880 2,246 2,210
Capital expenditures 551 157 1,124 1,221
Intersegment Eliminations [Member]        
Net sales (920) (1,156) (2,919) (3,704)
Segment EBITDA 0 0 0 0
Depreciation and amortization 0 0 0 0
Capital expenditures 0 0 0 0
Depreciation and amortization 0 0 0 0
Net sales (920) (1,156) (2,919) (3,704)
Depreciation and amortization 0 0 0 0
Capital expenditures 0 0 0 0
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment [Member]        
Net sales 0 0 0 0
Segment EBITDA (5,882) (4,813) (17,402) (14,526)
Depreciation and amortization 92 119 276 281
Capital expenditures 0 22 87 68
Depreciation and amortization 92 119 276 281
Net sales 0 0 0 0
Depreciation and amortization 92 119 276 281
Capital expenditures $ 0 $ 22 $ 87 $ 68