Note 5 - Composition of Certain Financial Statement Captions - Schedule of Financial Statement Information (Details) - USD ($) $ in Thousands	Jun. 30, 2025	Dec. 31, 2024
Accounts receivable	$ 101,043	$ 119,284
Less: allowance for credit losses	(1,667)	(1,267)
Accounts Receivable, after Allowance for Credit Loss, Current	99,376	118,017
Consumable supplies	14,284	15,488
Finished products	42,201	32,310
Work in-process	2,545	2,355
Raw materials	11,512	9,418
Less: inventory reserve	(4,197)	(2,774)
Inventory, Net	66,345	56,797
Escrow receivable	24,390	23,750
Taxes recoverable	8,337	8,266
Prepaid expenses	11,026	6,785
Prepaid insurance	4,178	3,818
Other receivables	2,474	2,015
Other	8,478	10,705
Prepaid Expense and Other Assets, Current	58,883	55,339
Less: accumulated amortization	(549,709)	(526,524)
Finite-Lived Intangible Assets, Net	555,988	616,613
Employee benefits and severance	32,563	34,167
Clinical trials	6,956	6,104
Commitments and contingencies	5,436	9,850
Accrued interest	5,512	8,313
Gross to net provision	5,347	6,920
Inventory received but not invoiced	1,962	2,146
Finance leases short-term	1,566	1,679
Professional fees	1,587	2,521
Taxes payable	9,605	22,275
Royalties	762	563
Commissions	1,577	1,434
Other	17,682	22,385
Accrued Liabilities, Current	90,555	118,357
Employee severance	9,904	14,269
Mortgages and other debts payable	2,773	3,002
Finance leases long-term	3,689	4,064
Other	11,441	11,503
Other Liabilities, Noncurrent	27,807	32,838
Customer Relationships [Member]
Finite lived intangible assets, gross	206,480	255,430
Technology-Based Intangible Assets [Member]
Finite lived intangible assets, gross	814,733	806,858
Trade Names [Member]
Finite lived intangible assets, gross	49,770	49,726
Noncompete Agreements [Member]
Finite lived intangible assets, gross	12,926	12,906
Licensing Agreements [Member]
Finite lived intangible assets, gross	6,423	6,316
Project Registration [Member]
Finite lived intangible assets, gross	6,751	6,172
Other Intangible Assets [Member]
Finite lived intangible assets, gross	$ 8,614	$ 5,729