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Note 5 - Acquisitions, Disposal and Discontinued Operations (Details Textual)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Nov. 18, 2022
USD ($)
Nov. 30, 2022
USD ($)
Jun. 30, 2023
USD ($)
Mar. 31, 2023
USD ($)
Jun. 30, 2022
USD ($)
Jun. 30, 2023
USD ($)
Jun. 30, 2022
USD ($)
Dec. 31, 2022
USD ($)
Dec. 22, 2022
a
Jul. 29, 2022
Insurance Commissions and Fees     $ 26,197   $ 23,590 $ 52,586 $ 46,046      
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest     (1,564)   (3,170) 26,867 (7,591)      
TEXAS                    
Area of Real Estate Property (Acre) | a                 192  
P W S C [Member]                    
Earnout Payment Required, Minimum Percentage of Closing EBITDA                   103.00%
Earnout Payment, Ratio of EBITDA in Excess of 103% of Closing EBITDA                   5
Insurance Commissions and Fees         2,100   4,200      
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest         400   (300)      
Income (Loss) from Continuing Operations before Income Taxes, Attributable to Controlling Interest         300   (200)      
VA Lafayette [Member]                    
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax     100   $ 600 200 $ 1,900      
P W S C [Member]                    
Noncontrolling Interest, Ownership Percentage by Parent                   80.00%
P W S C [Member] | President [Member]                    
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners                   20.00%
CSuite Acquisition, LLC [Member]                    
Business Acquisition, Percentage of Voting Interests Acquired   100.00%                
Payments to Acquire Businesses, Gross   $ 8,500                
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred       $ 100            
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High   $ 3,600                
Business Combination, Contingent Consideration, Liability     $ 0     $ 0   $ 0    
Secure Nursing Service Inc [Member]                    
Payments to Acquire Businesses, Gross $ 11,500