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Note 4 - Acquisitions - Assets Acquired and Liabilities Assumed (Details) - USD ($)
$ in Thousands
Sep. 26, 2024
Oct. 26, 2023
Sep. 07, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Goodwill       $ 56,524 $ 50,358 $ 45,498
Image Solutions, LLC [Member]            
Business Combination, Consideration Transferred $ 20,354          
Cash and cash equivalents 293          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables 575          
Other receivables 160          
Property and equipment, net 85          
Other assets - inventory and prepaid expenses 954          
Total assets 14,667          
Accrued expenses and other liabilities 799          
Total liabilities 799          
Total identifiable assets and liabilities 13,868          
Goodwill 6,486          
Image Solutions, LLC [Member] | Customer Relationships [Member]            
Intangible asset subject to amortization 11,100          
Image Solutions, LLC [Member] | Trade Names [Member]            
Intangible asset not subject to amortization - trade name $ 1,500          
Systems Products International, Inc.(SPI) [Member]            
Business Combination, Consideration Transferred     $ 2,800      
Cash and cash equivalents     121      
Accrued expenses and other liabilities     126      
Total liabilities     1,238      
Total identifiable assets and liabilities     2,437      
Goodwill     363 400 100  
Restricted cash     6      
Service fee receivable     381      
Other assets - contract asset and prepaid expenses     1,447      
Total assets     3,675      
Deferred service fees     423      
Net deferred income tax liabilities     689      
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]            
Business Combination, Consideration Transferred   $ 10,983        
Cash and cash equivalents   124        
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables   495        
Property and equipment, net   799        
Intangible asset not subject to amortization - trade name   260        
Intangible asset subject to amortization   6,700        
Accrued expenses and other liabilities   214        
Total liabilities   2,466        
Total identifiable assets and liabilities   6,064        
Goodwill   4,919   $ 4,900 $ 4,800  
Other assets - contract asset and prepaid expenses   7        
Total assets   8,530        
Net deferred income tax liabilities   1,966        
Right-of-use asset   145        
Income taxes payable   141        
Lease liability   $ 145