Note 2 - Acquisitions - Assets Acquires and Liabilities Assumed (Details) - USD ($) $ in Thousands	Mar. 17, 2022	Mar. 16, 2022	Dec. 22, 2021	Dec. 21, 2021	Oct. 12, 2021	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Goodwill						$ 113,263	$ 113,028	$ 107,905
DAS Medical [Member]
Cash paid at closing				$ 95,000
Contingent liability (Earn-out)				5,188
Cash from Advant				(8,316)
Non-compete agreements				8,855
Total consideration				100,612
Working capital adjustment			$ 115,000	(115)
Accounts receivable				2,351
Inventory				7,570
Other current assets				68
Property, plant, and equipment				3,314
Lease right of use assets				1,221
Goodwill				51,742
Total identifiable assets				110,073
Accounts payable				(5,238)
Accrued expenses				(2,995)
Deferred revenue				(7)
Lease liabilities				(1,221)
Net assets acquired				100,612
DAS Medical [Member] | Customer Contracts and Relationships [Member]
Customer contracts & relationships				36,730
DAS Medical [Member] | Intellectual Property [Member]
Customer contracts & relationships				2,380
DAS Medical [Member] | Noncompete Agreements [Member]
Customer contracts & relationships				$ 4,697
Contech Medical, Inc [Member]
Cash paid at closing					$ 9,766
Other liability					500
Contingent liability (Earn-out)					4,543
Cash from Advant					(266)
Total consideration					14,543
Accounts receivable					2,851
Inventory					2,320
Other current assets					37
Property, plant, and equipment					1,170
Lease right of use assets					1,523
Goodwill					4,278
Total identifiable assets					17,555
Accounts payable					(1,015)
Accrued expenses					(414)
Deferred revenue					(60)
Lease liabilities					(1,523)
Net assets acquired					14,543
Contech Medical, Inc [Member] | Customer Contracts and Relationships [Member]
Customer contracts & relationships					3,043
Contech Medical, Inc [Member] | Intellectual Property [Member]
Customer contracts & relationships					2,247
Contech Medical, Inc [Member] | Noncompete Agreements [Member]
Customer contracts & relationships					$ 86
Advant Medical [Member]
Cash paid at closing	$ 23,608	$ 21,200
Other liability	395
Cash from Advant	(2,840)
Total consideration	21,163
Accounts receivable	2,299
Inventory	2,410
Other current assets	213
Property, plant, and equipment	5,704
Lease right of use assets	289
Other assets	41
Goodwill	7,140
Total identifiable assets	23,407
Accounts payable	(772)
Accrued expenses	(668)
Income taxes	(66)
Deferred taxes	(449)
Lease liabilities	(289)
Net assets acquired	21,163
Advant Medical [Member] | Customer Contracts and Relationships [Member]
Customer contracts & relationships	2,925
Advant Medical [Member] | Intellectual Property [Member]
Customer contracts & relationships	2,127
Advant Medical [Member] | Noncompete Agreements [Member]
Customer contracts & relationships	$ 259