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Note 5 - Composition of Certain Financial Statement Captions (Tables)
3 Months Ended
Mar. 31, 2025
Notes Tables  
Condensed Balance Sheet [Table Text Block]
  

March 31,

  

December 31,

 

(In thousands)

 

2025

  

2024

 

Accounts receivable, net:

        

Accounts receivable

 $97,684  $119,284 

Less: allowance for credit losses

  (1,534)  (1,267)
  $96,150  $118,017 

Inventories, net:

        

Consumable supplies

 $15,079  $15,488 

Finished products

  39,875   32,310 

Work in-process

  1,589   2,355 

Raw materials

  10,944   9,418 

Less: inventory reserve

  (3,486)  (2,774)
  $64,001  $56,797 

Other current assets and prepaid expenses:

        

Escrow receivable

 $24,193  $23,750 

Taxes recoverable

  6,748   8,266 

Prepaid expenses

  9,494   6,785 

Prepaid insurance

  1,533   3,818 

Other receivables

  1,627   2,015 

Other

  10,846   10,705 
  $54,441  $55,339 

Intangible assets, net:

        

Customer relationships

 $203,611  $255,430 

Technologies

  800,304   806,858 

Trade names

  49,743   49,726 

Covenants not to compete

  12,912   12,906 

Licenses

  6,371   6,316 

Product registrations

  6,464   6,172 

Other

  5,910   5,729 

Less: accumulated amortization

  (516,797)  (526,524)
  $568,518  $616,613 

Accrued expenses:

        

Employee benefits and severance

 $39,948  $34,167 

Clinical trials

  4,175   6,104 

Commitments and contingencies

  6,411   9,850 

Accrued interest

  5,460   8,313 

Gross to net provision

  5,081   6,920 

Inventory received but not invoiced

  1,891   2,146 

Finance leases short-term

  1,617   1,679 

Professional fees

  2,165   2,521 

Taxes payable

  25,714   22,275 

Royalties

  233   563 

Commissions

  1,407   1,434 

Other

  19,107   22,385 
  $113,209  $118,357 

Other long-term liabilities:

        

Employee severance

 $11,919  $14,269 

Mortgages and other debts payable

  2,833   3,002 

Finance leases long-term

  3,799   4,064 

Other

  11,460   11,503 
  $30,011  $32,838 
Schedule of Goodwill [Table Text Block]
  

2025

 

(In thousands)

 

Gross goodwill at January 1, 2025

  

Cumulative impairment at January 1

  

Acquisitions, dispositions and other

  

Foreign exchange and other

  

Balance at March 31, 2025

 

Pharmaceuticals

                    

CURNA

 $4,827  $(4,827) $  $  $ 

Rayaldee

  79,433         3,232   82,665 

FineTech

  11,698   (11,698)         

ModeX

  80,260            80,260 

OPKO Biologics

  139,784         (0)  139,784 

OPKO Chile

  3,220         167   3,387 

OPKO Health Europe

  6,848         286   7,134 

OPKO Mexico

  100   (100)         

Transition Therapeutics

  3,421   (3,421)         
                     

Diagnostics

                    

BioReference

  219,707      (56,265)     163,442 

OPKO Diagnostics

  17,977   (17,977)         
  $567,275  $(38,023) $(56,265) $3,685  $476,672