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Note 23 - Fair Value of Financial Instruments - Fair Values for Level 3 Measurements (Details) - Fair Value, Inputs, Level 3 [Member] - Fair Value, Nonrecurring [Member] $ in Thousands	Oct. 26, 2023 USD ($)	Sep. 07, 2023 USD ($)	Nov. 18, 2022 USD ($)	Nov. 01, 2022 USD ($)
Customer Relationships [Member] | CSuite Acquisition, LLC [Member]
Finite-lived assets, fair value				$ 2,500
Customer Relationships [Member] | CSuite Acquisition, LLC [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Long-Term Revenue Growth Rate [Member]
Finite-lived intangible assets, measurement input				0.03
Customer Relationships [Member] | CSuite Acquisition, LLC [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Attrition Rate [Member]
Finite-lived intangible assets, measurement input				0.25
Customer Relationships [Member] | CSuite Acquisition, LLC [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input				0.165
Customer Relationships [Member] | Secure Nursing Service Inc [Member]
Finite-lived assets, fair value			$ 3,600
Customer Relationships [Member] | Secure Nursing Service Inc [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Long-Term Revenue Growth Rate [Member]
Finite-lived intangible assets, measurement input			0.03
Customer Relationships [Member] | Secure Nursing Service Inc [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Attrition Rate [Member]
Finite-lived intangible assets, measurement input			0.10
Customer Relationships [Member] | Secure Nursing Service Inc [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input			0.21
Customer Relationships [Member] | Systems Products International, Inc.(SPI) [Member]
Finite-lived assets, fair value		$ 1,000
Customer Relationships [Member] | Systems Products International, Inc.(SPI) [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Long-Term Revenue Growth Rate [Member]
Finite-lived intangible assets, measurement input		0.03
Customer Relationships [Member] | Systems Products International, Inc.(SPI) [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Attrition Rate [Member]
Finite-lived intangible assets, measurement input		0.05
Customer Relationships [Member] | Systems Products International, Inc.(SPI) [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input		0.215
Customer Relationships [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member]
Finite-lived assets, fair value	$ 6,500
Customer Relationships [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Long-Term Revenue Growth Rate [Member]
Finite-lived intangible assets, measurement input	0.03
Customer Relationships [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Attrition Rate [Member]
Finite-lived intangible assets, measurement input	0.05
Customer Relationships [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member] | Multi-period Excess Earnings [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input	0.27
Trade Names [Member] | CSuite Acquisition, LLC [Member]
Finite-lived assets, fair value				$ 1,500
Trade Names [Member] | CSuite Acquisition, LLC [Member] | Relief from Royalty [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input				0.155
Trade Names [Member] | CSuite Acquisition, LLC [Member] | Relief from Royalty [Member] | Measurement Input, Royalty Rate [Member]
Finite-lived intangible assets, measurement input				0.025
Trade Names [Member] | Secure Nursing Service Inc [Member]
Finite-lived assets, fair value			$ 3,100
Trade Names [Member] | Secure Nursing Service Inc [Member] | Relief from Royalty [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input			0.21
Trade Names [Member] | Secure Nursing Service Inc [Member] | Relief from Royalty [Member] | Measurement Input, Royalty Rate [Member]
Finite-lived intangible assets, measurement input			0.03
Trade Names [Member] | Systems Products International, Inc.(SPI) [Member]
Finite-lived assets, fair value		$ 120
Trade Names [Member] | Systems Products International, Inc.(SPI) [Member] | Relief from Royalty [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input		0.195
Trade Names [Member] | Systems Products International, Inc.(SPI) [Member] | Relief from Royalty [Member] | Measurement Input, Royalty Rate [Member]
Finite-lived intangible assets, measurement input		0.008
Trade Names [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member]
Finite-lived assets, fair value	$ 260
Trade Names [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member] | Relief from Royalty [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input	0.25
Trade Names [Member] | Digital Diagnostics Imaging, Inc. ("DDI") [Member] | Relief from Royalty [Member] | Measurement Input, Royalty Rate [Member]
Finite-lived intangible assets, measurement input	0.01
Developed Technology Rights [Member] | Systems Products International, Inc.(SPI) [Member]
Finite-lived assets, fair value		$ 600
Developed Technology Rights [Member] | Systems Products International, Inc.(SPI) [Member] | Relief from Royalty [Member] | Measurement Input, Discount Rate [Member]
Finite-lived intangible assets, measurement input		0.195
Developed Technology Rights [Member] | Systems Products International, Inc.(SPI) [Member] | Relief from Royalty [Member] | Measurement Input, Royalty Rate [Member]
Finite-lived intangible assets, measurement input		0.05

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+ References

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- Definition

Fair value portion of assets, excluding financial assets, that lack physical substance, having a limited useful life.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 820
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482106/820-10-50-2

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