The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 805
-SubTopic 30
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (b)(1)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479581/805-30-50-1

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482740/230-10-45-13

Name:	us-gaap_PaymentsToAcquireBusinessesGross
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

Note 16 - Subsequent Events (Details Textual) - Subsequent Event [Member] € in Thousands, $ in Thousands	Jan. 15, 2025 USD ($)	Jan. 15, 2025 EUR (€)	Dec. 02, 2024 USD ($)	Dec. 02, 2024 EUR (€)
Medifill Limited [Member]
Payments to Acquire Businesses, Gross			$ 51,252	€ 49,919
GEM [Member]
Payments to Acquire Businesses, Gross	$ 147,886	€ 144,041