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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