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Note 4 - Acquisitions - Assets Acquired and Liabilities Assumed (Details) - USD ($)
$ in Thousands
Sep. 30, 2021
Dec. 31, 2020
Jun. 22, 2020
Oct. 11, 2019
Jul. 12, 2019
Goodwill $ 65,945 $ 65,945      
Artegraft Inc [Member]          
Inventory     $ 3,859    
Accounts receivable     1,789    
Equipment and supplies     1,140    
Accounts payable and other     53    
Intangible assets     39,056    
Goodwill     27,115    
Purchase price     $ 72,906    
CardioCel and VascuCel Biologic Patches [Member]          
Intangible assets       $ 8,725  
Goodwill       5,999  
Purchase price       17,412  
Inventory and other       1,343  
Deferred tax assets       $ 1,345  
Tru-Incise Valve Cutter [Member]          
Inventory         $ 276
Equipment and supplies         70
Intangible assets         4,844
Goodwill         2,748
Purchase price         $ 7,938