Note 20 - Segment Reporting - Segment Expenses 2 (Details) - Single Reportable Segment [Member] - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Rent, office, utilities & technology	$ 1,510	$ 1,193	$ 3,034	$ 2,328
Location, Statement of Income, Balance [Axis]: us-gaap:ResearchAndDevelopmentExpense
Employee compensation	4,767	4,744	9,511	9,125
Rent, office, utilities & technology	865	734	1,800	1,590
Location, Statement of Income, Balance [Axis]: us-gaap:SellingGeneralAndAdministrativeExpense
Employee compensation	25,380	19,563	51,488	37,691
Commercial & medical affairs services	11,667	10,873	21,603	19,071
Professional services	3,687	3,576	11,212	6,348
Travel, meetings & conferences	$ 3,838	$ 5,629	$ 8,900	$ 9,274

The aggregate amount of communications, data processing and occupancy expenses.

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Amount of expense for salary, wage, profit sharing; incentive and equity-based compensation; and other employee benefit.

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