Note 20 - Segment Reporting - Segment Expenses 2 (Details) - Single Reportable Segment [Member] - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
Sep. 30, 2026	Sep. 30, 2025	Sep. 30, 2026	Sep. 30, 2025
Rent, office, utilities & technology	$ 1,547	$ 1,331	$ 4,581	$ 3,659
Location, Statement of Income, Balance [Axis]: us-gaap:ResearchAndDevelopmentExpense
Employee compensation	5,482	4,185	14,992	13,310
Rent, office, utilities & technology	1,229	691	3,028	2,280
Location, Statement of Income, Balance [Axis]: us-gaap:SellingGeneralAndAdministrativeExpense
Employee compensation	27,641	19,717	79,129	57,408
Commercial & medical affairs services	10,078	6,681	31,681	25,752
Professional services	3,258	3,989	14,471	10,337
Travel, meetings & conferences	$ 3,335	$ 3,970	$ 12,234	$ 13,244

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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