Note 5 - Composition of Certain Financial Statement Captions - Schedule of Financial Statement Information (Details) - USD ($) $ in Thousands	Sep. 30, 2025	Dec. 31, 2024
Accounts receivable	$ 96,353	$ 119,284
Less: allowance for credit losses	(1,773)	(1,267)
Accounts Receivable, after Allowance for Credit Loss, Current	94,580	118,017
Consumable supplies	12,971	15,488
Finished products	42,255	32,310
Work in-process	2,472	2,355
Raw materials	11,990	9,418
Less: inventory reserve	(4,734)	(2,774)
Inventory, Net	64,954	56,797
Escrow receivable	19,276	23,750
Taxes recoverable	7,437	8,266
Prepaid expenses	10,025	6,785
Prepaid insurance	4,916	3,818
Other receivables	3,085	2,015
Other	7,659	10,705
Prepaid Expense and Other Assets, Current	52,398	55,339
Less: accumulated amortization	(544,814)	(526,524)
Finite-Lived Intangible Assets, Net	535,378	616,613
Employee benefits and severance	38,674	34,167
Clinical trials	6,117	6,104
Commitments and contingencies	4,552	9,850
Accrued interest	4,365	8,313
Gross to net provision	5,548	6,920
Inventory received but not invoiced	1,525	2,146
Finance leases short-term	1,458	1,679
Professional fees	2,179	2,521
Taxes payable	10,449	22,275
Royalties	1,021	563
Commissions	1,745	1,434
Other	17,970	22,385
Accrued Liabilities, Current	95,603	118,357
Employee severance	7,554	14,269
Mortgages and other debts payable	2,509	3,002
Finance leases long-term	3,366	4,064
Other	11,731	11,503
Other Liabilities, Noncurrent	25,160	32,838
Customer Relationships [Member]
Finite lived intangible assets, gross	186,769	255,430
Technology-Based Intangible Assets [Member]
Finite lived intangible assets, gross	811,939	806,858
Trade Names [Member]
Finite lived intangible assets, gross	49,370	49,726
Noncompete Agreements [Member]
Finite lived intangible assets, gross	11,426	12,906
Licensing Agreements [Member]
Finite lived intangible assets, gross	6,422	6,316
Project Registration [Member]
Finite lived intangible assets, gross	6,750	6,172
Other Intangible Assets [Member]
Finite lived intangible assets, gross	$ 7,516	$ 5,729