Note 15 - Segments - Assets by Segment (Details) - USD ($) $ in Thousands	Mar. 31, 2025	Dec. 31, 2024
Assets	$ 2,128,327	$ 2,200,212
Goodwill	476,672	529,252
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member]
Assets	309,585	347,044
Pharmaceutical [Member] | Operating Segments [Member]
Assets	1,336,076	1,359,270
Goodwill	313,230	309,545
Diagnostics [Member]
Goodwill	163,400	219,700
Diagnostics [Member] | Operating Segments [Member]
Assets	482,666	493,898
Goodwill	$ 163,442	$ 219,707