Note 18 - Segments - Assets by Segment (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Assets	$ 2,011,698	$ 2,167,259
Goodwill	598,260	595,851
Corporate, Non-Segment [Member]
Assets	49,181	154,224
Pharmaceutical [Member] | Operating Segments [Member]
Assets	1,331,764	1,322,531
Goodwill	315,235	312,826
Diagnostics [Member] | Operating Segments [Member]
Assets	630,753	690,504
Goodwill	$ 283,025	$ 283,025