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Note 4 - Acquisitions and Divestitures - Assets Acquired and Liabilities Assumed (Details)
€ in Thousands, $ in Thousands
Jun. 30, 2020
USD ($)
Jun. 22, 2020
USD ($)
Dec. 31, 2019
USD ($)
Oct. 11, 2019
USD ($)
Jul. 12, 2019
USD ($)
Oct. 22, 2018
EUR (€)
Sep. 20, 2018
USD ($)
Goodwill $ 66,151   $ 39,951        
Artegraft Inc [Member]              
Inventory   $ 3,859          
Accounts receivable   1,789          
Equipment and supplies   1,140          
Accounts payable and other   53          
Intangible assets   40,001          
Goodwill   26,170          
Purchase price   $ 72,906          
CardioCel and VascuCel Biologic Patches [Member]              
Intangible assets       $ 8,725      
Goodwill       7,344      
Purchase price       17,412      
Inventory and other       $ 1,343      
Tru-Incise Valve Cutter [Member]              
Inventory         $ 276    
Equipment and supplies         70    
Intangible assets         4,844    
Goodwill         2,748    
Purchase price         $ 7,938    
Cardial [Member]              
Inventory | €           € 2,419  
Equipment and supplies | €           94  
Intangible assets | €           623  
Purchase price | €           1,940  
Land and building | €           750  
Bargain purchase gain | €           € (1,946)  
Applied Medical [Member]              
Inventory             $ 739
Equipment and supplies             416
Intangible assets             6,527
Goodwill             6,361
Purchase price             $ 14,043