Note 7 - Goodwill and Intangible Assets - Changes in Carrying Amount of Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023
Balance	$ 191,379	$ 192,398
Effect of exchange rate changes	(1,043)	286
Balance	191,220	191,379
Post-closing adjustment		$ (1,305)
Total Clinical Placement System (TCPS) [Member]
Acquisition	690
The Clinical Hub [Member]
Acquisition	$ 194