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Note 4 - Acquisitions (Details Textual) - USD ($) $ in Thousands |  |  |  |  | 2 Months Ended | 3 Months Ended | 4 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Oct. 26, 2023 | Sep. 07, 2023 | Nov. 18, 2022 | Nov. 01, 2022 | Dec. 31, 2023 | Mar. 31, 2023 | Dec. 31, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Nov. 01, 2021
Business Combination, Acquisition Related Costs |  |  |  |  |  |  |  | $ 700 | $ 1,100 |
Goodwill |  |  |  |  | $ 50,358 |  | $ 50,358 | 50,358 | 45,498 |
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual |  |  |  |  |  |  |  | 107,188 | 125,510 |
Revenues, Total |  |  |  |  |  |  |  | $ 103,244 | 93,280 |
Systems Products International, Inc.(SPI) [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired |  | 100.00% |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  | $ 2,800 |  |  |  |  |  |  |  |
Goodwill |  | $ 107 |  |  |  |  |  |  |  |
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual |  |  |  |  |  |  | 800 |  |  |
Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual |  |  |  |  |  |  | $ 400 |  |  |
Digital Diagnostics Imaging, Inc. ("DDI") [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired | 100.00% |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross | $ 11,000 |  |  |  |  |  |  |  |  |
Goodwill | $ 4,762 |  |  |  |  |  |  |  |  |
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual |  |  |  |  | 900 |  |  |  |  |
Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual |  |  |  |  | $ 1,500 |  |  |  |  |
Ravix Financial, Inc [Member] |  |  |  |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired |  |  |  | 100.00% |  |  |  |  |  |
CSuite Acquisition, LLC [Member] |  |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  |  |  | $ 8,500 |  |  |  |  |  |
Goodwill |  |  |  |  |  |  |  |  | 4,100 | $ 4,100
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred |  |  |  |  |  | $ 100 |  |  |  |
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High |  |  |  |  |  |  |  |  | 3,600 |
Revenues, Total |  |  |  |  |  |  |  |  | 1,300 |
Net Income (Loss) Attributable to Parent, Total |  |  |  |  |  |  |  |  | 100 |
Secure Nursing Service Inc [Member] |  |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  |  | $ 11,500 |  |  |  |  |  |  |
Goodwill |  |  | $ 1,600 |  |  |  |  |  | 1,600 |
Revenues, Total |  |  |  |  |  |  |  |  | 2,400 |
Net Income (Loss) Attributable to Parent, Total |  |  |  |  |  |  |  |  | $ 100 |

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