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Note 11 - Debt (Details Textual) - USD ($) $ in Thousands													3 Months Ended			9 Months Ended
Note 11 - Debt (Details Textual) - USD ($) $ in Thousands	Sep. 26, 2024	Jul. 23, 2024	May 24, 2024	Oct. 26, 2023	Mar. 13, 2023	Mar. 02, 2023	Feb. 28, 2023	Nov. 18, 2022	Nov. 16, 2022	Oct. 01, 2021	Dec. 01, 2020	Dec. 16, 2003	Sep. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023
Long-Term Debt, Gross													$ 60,282			$ 60,282		$ 46,296
Gain (Loss) on Extinguishment of Debt													0		$ 0	(160)	$ 31,616
Long-Term Debt													58,459			58,459		44,416
Interest Expense, Debt													1,173		1,061	3,480	5,119
Reclassification out of Accumulated Other Comprehensive Income [Member]
Gain (Loss) on Extinguishment of Debt													0		$ 0	0	27,177
Subordinated Debt [Member]
Debt Instrument, Face Amount												$ 90,500
Long-Term Debt, Gross													15,000			15,000		15,000
Gain (Loss) on Extinguishment of Debt																	$ 31,600
Long-Term Debt													13,681			13,681		13,594
Debt Instrument, Term (Year)												30 years
Subordinated Liabilities, Period Increase (Decrease)																100
Fair Value, Option, Changes in Fair Value, Loss																100
Fair Value, Option, Changes in Fair Value, Gain																100
Repayments of Subordinated Debt						$ 56,500
Credit for Previous Debt Repayment						2,300
Debt Instrument, Repaid, Principal						75,500
Interest Expense, Debt					$ 5,000	$ 23,000
Debt Instrument, Principal Value													15,000			$ 15,000
London Interbank Offered Rate [Member] \| Minimum [Member] \| Subordinated Debt [Member]
Debt Instrument, Basis Spread on Variable Rate												3.85%
London Interbank Offered Rate [Member] \| Maximum [Member] \| Subordinated Debt [Member]
Debt Instrument, Basis Spread on Variable Rate												4.20%
Ravix Bank Loan [Member]
Debt Instrument, Interest Rate During Period										3.75%						8.50%
Ravix Bank Loan [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate										0.50%
Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member]
Debt Instrument, Face Amount										$ 6,000
Debt Issuance Costs, Net, Total										200
Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross										$ 1,000
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member]
Debt Instrument, Face Amount									$ 6,000
Debt Instrument, Interest Rate During Period																8.75%
Debt Issuance Costs, Net, Total									$ 100
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate									0.75%
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Revolving Credit Facility [Member]
Debt Instrument, Face Amount		$ 500
Long-Term Debt, Gross									$ 1,000
Debt Instrument, Interest Rate During Period																8.50%
Repayments of Debt		$ 1,500
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Revolving Credit Facility [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate									0.50%
The SNS Loan [Member] \| Nursing Service LLC [Member]
Debt Instrument, Face Amount								$ 6,500
Debt Instrument, Interest Rate During Period								5.00%								8.50%
Debt Issuance Costs, Net, Total								$ 100
The SNS Loan [Member] \| Nursing Service LLC [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate								0.50%
The SNS Loan [Member] \| Nursing Service LLC [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross													0			$ 0		0
Line of Credit Facility, Maximum Borrowing Capacity								$ 1,000
DDI Loan [Member] \| Digital Diagnostics Imaging, Inc. ("DDI") [Member]
Debt Instrument, Face Amount				$ 5,600
Debt Instrument, Interest Rate During Period				5.00%												8.50%
Debt Issuance Costs, Net, Total				$ 100
DDI Loan [Member] \| Digital Diagnostics Imaging, Inc. ("DDI") [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate				0.50%
DDI Loan [Member] \| Digital Diagnostics Imaging, Inc. ("DDI") [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross																		$ 0
Line of Credit Facility, Maximum Borrowing Capacity				$ 400
Image Solutions Loan [Member] \| Image Solutions, LLC [Member]
Debt Instrument, Face Amount	$ 7,750
Long-Term Debt, Gross													0			$ 0
Debt Instrument, Interest Rate During Period	8.50%
Debt Issuance Costs, Net, Total	$ 200
Image Solutions Loan [Member] \| Image Solutions, LLC [Member] \| Minimum [Member]
Debt Instrument, Interest Rate During Period	7.25%
Image Solutions Loan [Member] \| Image Solutions, LLC [Member] \| Prime Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	0.50%
Image Solutions Loan [Member] \| Image Solutions, LLC [Member] \| Revolving Credit Facility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 500
KWH Bank Loan [Member]
Debt Instrument, Face Amount			$ 15,000
Debt Instrument, Interest Rate During Period																7.73%
Debt Issuance Costs, Net, Total			100								$ 400
Repayments of Debt			9,600
Debt Instrument, LIBOR Floor											0.75%
Gain (Loss) on Extinguishment of Debt													(200)
Long-Term Debt													5,500			$ 5,500
KWH Bank Loan [Member] \| Delayed Draw Term Loan (DDTL) [Member]
Debt Instrument, Face Amount			6,000
Repayments of Debt			3,100
Debt Instrument, Minimum Draw Amount			2,000
KWH Bank Loan [Member] \| Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member] \| Minimum [Member]
Debt Instrument, Basis Spread on Variable Rate											2.62%
KWH Bank Loan [Member] \| Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member] \| Maximum [Member]
Debt Instrument, Basis Spread on Variable Rate											3.12%
KWH Bank Loan [Member] \| Revolving Credit Facility [Member]
Proceeds from Lines of Credit														$ 500
Repayments of Lines of Credit			$ 1,000
Line of Credit Facility, Current Borrowing Capacity													1,000			1,000
Long-Term Debt													$ 1,000			$ 1,000
KWH Bank Loan [Member] \| PWI Holdings [Member]
Long-Term Debt, Gross											$ 25,700
KWH Bank Loan [Member] \| PWI Holdings [Member] \| Term Loan [Member]
Long-Term Debt, Gross											24,700
KWH Bank Loan [Member] \| PWI Holdings [Member] \| Revolving Credit Facility [Member]
Long-Term Debt, Gross											$ 1,000
Second Amendment to KWH Loan [Member] \| Revolving Credit Facility [Member]
Debt Instrument, Face Amount							$ 10,000
Debt Instrument, Minimum Draw Amount							$ 2,000
Debt Instrument, Interest Rate, Stated Percentage							3.75%
Proceeds from Lines of Credit														$ 3,500