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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