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Note 11 - Debt (Details Textual) - USD ($) $ in Thousands									3 Months Ended
Note 11 - Debt (Details Textual) - USD ($) $ in Thousands	Mar. 22, 2023	Mar. 13, 2023	Feb. 28, 2023	Nov. 18, 2022	Nov. 16, 2022	Oct. 01, 2021	Dec. 01, 2020	Dec. 16, 2003	Mar. 31, 2023	Jun. 30, 2022	Mar. 31, 2022	Dec. 31, 2022
Long-Term Debt, Gross									$ 46,557			$ 125,308
Interest Expense, Debt									2,972		$ 1,364
Gain (Loss) on Extinguishment of Debt									31,616		0
Subordinated Liabilities, Period Increase (Decrease)									(56,000)
Subordinated Liabilities, Extinguished									56,100
Fair Value, Option, Changes in Fair Value, Loss									300
Fair Value, Option, Changes in Fair Value, Gain									400
Reclassification out of Accumulated Other Comprehensive Income [Member]
Gain (Loss) on Extinguishment of Debt									27,177		$ 0
Subordinated Debt [Member]
Debt Instrument, Face Amount								$ 90,500
Long-Term Debt, Gross									15,000			90,500
Debt Instrument, Term (Year)								30 years
Repayments of Subordinated Debt	$ 56,500
Credit for Previous Debt Repayment	2,300
Debt Instrument, Repaid, Principal	75,500
Interest Expense, Debt	23,000	$ 5,000
Gain (Loss) on Extinguishment of Debt	$ 31,600
Debt Instrument, Principal Value									15,000
Subordinated Liabilities, Period Increase (Decrease)									100
Interest Payable									$ 0			25,500
London Interbank Offered Rate [Member] \| Subordinated Debt [Member] \| Minimum [Member]
Debt Instrument, Basis Spread on Variable Rate								3.85%
London Interbank Offered Rate [Member] \| Subordinated Debt [Member] \| Maximum [Member]
Debt Instrument, Basis Spread on Variable Rate								4.20%
Ravix Bank Loan [Member]
Debt Instrument, Interest Rate During Period						3.75%			8.25%
Ravix Bank Loan [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate						0.50%
Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member]
Debt Instrument, Face Amount						$ 6,000
Debt Issuance Costs, Net, Total												200
Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross						$ 1,000			$ 0			0
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member]
Debt Instrument, Face Amount					$ 6,000
Debt Instrument, Interest Rate During Period									8.50%
Debt Issuance Costs, Net, Total												100
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate					0.75%
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross					$ 1,000
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Revolving Credit Facility [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate					0.50%
The SNS Loan [Member] \| Nursing Service LLC [Member]
Debt Instrument, Face Amount				$ 6,500
Long-Term Debt, Gross									$ 6,400			6,400
Debt Instrument, Interest Rate During Period				5.00%					8.50%
Debt Issuance Costs, Net, Total												100
The SNS Loan [Member] \| Nursing Service LLC [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate				0.50%
The SNS Loan [Member] \| Nursing Service LLC [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross									$ 400			400
Line of Credit Facility, Maximum Borrowing Capacity				$ 1,000
KWH Bank Loan [Member]
Debt Instrument, Interest Rate During Period									7.49%
Debt Instrument, LIBOR Floor							0.75%
Debt Instrument, SOFR Floor										0.75%
KWH Bank Loan [Member] \| Term Loan [Member]
Long-Term Debt, Gross									$ 13,000			16,000
KWH Bank Loan [Member] \| London Interbank Offered Rate [Member]
Debt Instrument, Basis Spread on Variable Rate							2.75%
KWH Bank Loan [Member] \| Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member] \| Minimum [Member]
Debt Instrument, Basis Spread on Variable Rate										2.62%
KWH Bank Loan [Member] \| Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member] \| Maximum [Member]
Debt Instrument, Basis Spread on Variable Rate										3.12%
KWH Bank Loan [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross									$ 500			500
Debt Issuance Costs, Net, Total												$ 400
KWH Bank Loan [Member] \| PWI Holdings [Member]
Long-Term Debt, Gross							$ 25,700
KWH Bank Loan [Member] \| PWI Holdings [Member] \| Term Loan [Member]
Long-Term Debt, Gross							24,700
KWH Bank Loan [Member] \| PWI Holdings [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross							$ 1,000
Second Amendment to KWH Loan [Member] \| Revolving Credit Facility [Member]
Debt Instrument, Face Amount			$ 10,000
Debt Instrument, Minimum Draw Amount			$ 2,000
Debt Instrument, Interest Rate, Stated Percentage			3.75%