Note 3 - Summary of Significant Accounting Policies (Details Textual) $ in Thousands			12 Months Ended
	Jan. 01, 2018	Dec. 22, 2017	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Jan. 01, 2022 USD ($)
Inventory Write-down			$ 8,100	$ 4,100	$ 6,500
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Goodwill and Intangible Assets			1,500,000	1,600,000
Goodwill			598,260	595,851
Indefinite-Lived Intangible Assets (Excluding Goodwill)			900,000	1,000,000
Impairment of Intangible Assets, Finite-Lived			0	0	0
Finite-Lived Intangible Assets, Net			740,283	823,520
Amortization of Intangible Assets			86,032	87,784	50,278
Finite-Lived Intangible Asset, Expected Amortization, Year One			86,100
Finite-Lived Intangible Asset, Expected Amortization, Year Two			84,900
Finite-Lived Intangible Asset, Expected Amortization, Year Three			83,400
Finite-Lived Intangible Asset, Expected Amortization, Year Four			80,700
Finite-Lived Intangible Asset, Expected Amortization, Year Five			66,300
Depreciation			$ 19,300	$ 20,900	$ 28,400
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent	21.00%	35.00%	21.00%	21.00%	21.00%
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued			$ 9,900
Open Tax Year			2015 2016 2017 2018 2019 2020 2021
Accounts Receivable, Allowance for Credit Loss, Current			$ 2,000	$ 4,162
Accounts Receivable, Credit Loss Expense (Reversal)			300	300	$ 400
Share-Based Payment Arrangement, Noncash Expense			$ 11,413	18,509	13,632
Number of Reportable Segments			2
Gain (Loss), Foreign Currency Transaction, before Tax			$ 1,200	$ (1,800)	$ (1,400)
Cumulative Effect, Period of Adoption, Adjustment [Member] | Accounting Standards Update 2020-06 [Member]
Equity, Including Portion Attributable to Noncontrolling Interest						$ 21,600
Cumulative Effect, Period of Adoption, Adjustment [Member] | Accounting Standards Update 2020-06 [Member] | Retained Earnings [Member]
Equity, Including Portion Attributable to Noncontrolling Interest						17,500
Cumulative Effect, Period of Adoption, Adjustment [Member] | Accounting Standards Update 2020-06 [Member] | Additional Paid-in Capital [Member]
Equity, Including Portion Attributable to Noncontrolling Interest						$ 39,100
Government Contract, BARDA [Member]
Accounts Receivable, after Allowance for Credit Loss			$ 600
Customer Concentration Risk [Member] | Accounts Receivable [Member] | Medicare and Medicaid [Member]
Concentration Risk, Percentage			6.70%	14.20%
Customer Concentration Risk [Member] | Accounts Receivable [Member] | Individual Patients [Member]
Concentration Risk, Percentage			2.00%	2.90%
Israel Tax Authority [Member]
Income Tax Examination, Estimate of Possible Loss			$ 246,000
Software and Software Development Costs [Member]
Property, Plant and Equipment, Useful Life (Year)			3 years
Minimum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)			3 years
Minimum [Member] | Machinery and Equipment [Member]
Property, Plant and Equipment, Useful Life (Year)			5 years
Minimum [Member] | Furniture and Fixtures [Member]
Property, Plant and Equipment, Useful Life (Year)			5 years
Minimum [Member] | Building and Building Improvements [Member]
Property, Plant and Equipment, Useful Life (Year)			10 years
Minimum [Member] | Vehicles [Member]
Property, Plant and Equipment, Useful Life (Year)			3 years
Maximum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)			20 years
Maximum [Member] | Machinery and Equipment [Member]
Property, Plant and Equipment, Useful Life (Year)			8 years
Maximum [Member] | Furniture and Fixtures [Member]
Property, Plant and Equipment, Useful Life (Year)			12 years
Maximum [Member] | Building and Building Improvements [Member]
Property, Plant and Equipment, Useful Life (Year)			40 years
Maximum [Member] | Vehicles [Member]
Property, Plant and Equipment, Useful Life (Year)			5 years
Reclassification from In Process Research and Development [Member]
Finite-Lived Intangible Assets, Net				$ 590,200
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life (Year)				12 years
IRELAND
Goodwill			$ 367,300
In Process Research and Development [Member]
Indefinite-Lived Intangible Assets (Excluding Goodwill)				$ 195,000