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Note 4 - Merger, Acquisition and Integration - (Details Textual) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Jan. 02, 2019
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Business Combination Separately Recognized Transactions [Line Items]          
Merger, acquisition and integration expenses   $ 4,431 $ 7,388 $ 11,049 $ 7,727
Other Acquisition and Integration Related Expenses [Member]          
Business Combination Separately Recognized Transactions [Line Items]          
Merger, acquisition and integration expenses   4,431 $ 7,388 11,049 $ 7,727
Avista Pharma Solutions [Member]          
Business Combination Separately Recognized Transactions [Line Items]          
Business acquisition, percentage of voting interests acquired 100.00%        
Consideration to acquire businesses $ 248,146        
Reduction of goodwill   $ 1,200      
Business combination, revenue       52,791  
Business combination, net loss       (4,736)  
Business combination, integration related costs       $ 1,263