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Note 4 - Acquisitions - Assets Acquired and Liabilities Assumed (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Oct. 26, 2023 | Sep. 07, 2023 | Dec. 31, 2022 | Nov. 18, 2022 | Nov. 01, 2022
--- | --- | --- | --- | --- | --- | ---
Goodwill | $ 50,358 |  |  | $ 45,498 |  |
Systems Products International, Inc.(SPI) [Member] |  |  |  |  |  |
Cash and cash equivalents |  |  | $ 121 |  |  |
Restricted cash |  |  | 6 |  |  |
Service fee receivable |  |  | 381 |  |  |
Goodwill |  |  | 107 |  |  |
Other assets |  |  | 1,789 |  |  |
Total assets |  |  | 4,124 |  |  |
Accrued expenses and other liabilities |  |  | 125 |  |  |
Deferred service fees |  |  | 423 |  |  |
Net deferred income tax liabilities |  |  | 776 |  |  |
Total liabilities |  |  | 1,324 |  |  |
Purchase price |  |  | 2,800 |  |  |
Systems Products International, Inc.(SPI) [Member] | Customer Relationships [Member] |  |  |  |  |  |
Intangible asset subject to amortization |  |  | 1,000 |  |  |
Systems Products International, Inc.(SPI) [Member] | Developed Technology Rights [Member] |  |  |  |  |  |
Intangible asset subject to amortization |  |  | 600 |  |  |
Systems Products International, Inc.(SPI) [Member] | Trade Names [Member] |  |  |  |  |  |
Intangible asset not subject to amortization - trade name |  |  | $ 120 |  |  |
Digital Diagnostics Imaging, Inc. ("DDI") [Member] |  |  |  |  |  |
Cash and cash equivalents |  | $ 124 |  |  |  |
Goodwill |  | 4,762 |  |  |  |
Intangible asset not subject to amortization - trade name |  | 260 |  |  |  |
Intangible asset subject to amortization |  | 6,500 |  |  |  |
Other assets |  | 7 |  |  |  |
Total assets |  | 13,503 |  |  |  |
Accrued expenses and other liabilities |  | 214 |  |  |  |
Net deferred income tax liabilities |  | 2,013 |  |  |  |
Total liabilities |  | 2,513 |  |  |  |
Purchase price |  | 10,990 |  |  |  |
Service fee receivable |  | 522 |  |  |  |
Property and equipment, net |  | 1,183 |  |  |  |
Right-of-use asset |  | 145 |  |  |  |
Income taxes payable |  | 141 |  |  |  |
Lease liability |  | $ 145 |  |  |  |
PWI Holdings [Member] |  |  |  |  |  |
Cash and cash equivalents |  |  |  |  |  | $ 569
Service fee receivable |  |  |  |  |  | 311
Goodwill |  |  |  |  |  | 4,109
Other assets |  |  |  |  |  | 53
Total assets |  |  |  |  |  | 9,063
Accrued expenses and other liabilities |  |  |  |  |  | 539
Total liabilities |  |  |  |  |  | 539
Purchase price |  |  |  |  |  | 8,524
Other receivables |  |  |  |  |  | 21
PWI Holdings [Member] | Customer Relationships [Member] |  |  |  |  |  |
Intangible asset subject to amortization |  |  |  |  |  | 2,500
PWI Holdings [Member] | Trade Names [Member] |  |  |  |  |  |
Intangible asset not subject to amortization - trade name |  |  |  |  |  | $ 1,500
Secure Nursing Service Inc [Member] |  |  |  |  |  |
Service fee receivable |  |  |  |  | $ 3,200 |
Goodwill |  |  |  | $ 1,600 | 1,600 |
Intangible asset not subject to amortization - trade name |  |  |  |  | 3,100 |
Intangible asset subject to amortization |  |  |  |  | 3,600 |
Other assets |  |  |  |  | 6 |
Total assets |  |  |  |  | 11,506 |
Accrued expenses and other liabilities |  |  |  |  | 6 |
Total liabilities |  |  |  |  | 6 |
Purchase price |  |  |  |  | $ 11,500 |

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