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Percentage points added to the reference rate to compute the variable rate on the debt instrument.

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Amount, before unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but is not limited to, notes payable, bonds payable, commercial loans, mortgage loans, convertible debt, subordinated debt and other types of debt.

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Face (par) amount of debt instrument at time of issuance.

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Note 12 - Debt (Details Textual) - USD ($) $ in Thousands														3 Months Ended			6 Months Ended	12 Months Ended
Note 12 - Debt (Details Textual) - USD ($) $ in Thousands	Feb. 07, 2025	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	Dec. 31, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2024	Dec. 31, 2024	Dec. 31, 2023	Sep. 30, 2024	Dec. 31, 2022
Long-Term Debt, Gross														$ 59,606			$ 59,606	$ 59,606	$ 46,296
Gain (Loss) on Extinguishment of Debt																		(160)	31,616
Long-Term Debt														57,537			57,537	57,537	44,416
Subordinated Liabilities, Period Increase (Decrease)																			(54,200)
Fair Value, Option, Changes in Fair Value, Loss																			300
Fair Value, Option, Changes in Fair Value, Gain																			2,200
Interest Expense, Debt																		4,790	6,250
Subordinated Debt Obligations, Fair Value Disclosure														13,409			13,409	13,409	13,594		$ 67,800
Subordinated Liabilities, Extinguished																			56,100
Reclassification out of Accumulated Other Comprehensive Income [Member]
Gain (Loss) on Extinguishment of Debt																		0	27,177
Subordinated Debt [Member]
Debt Instrument, Face Amount													$ 90,500
Long-Term Debt, Gross														15,000			15,000	15,000	15,000
Gain (Loss) on Extinguishment of Debt																			31,600
Long-Term Debt														13,409			13,409	13,409	13,594
Debt Instrument, Term (Year)													30 years
Subordinated Liabilities, Period Increase (Decrease)																		(200)	1,900
Fair Value, Option, Changes in Fair Value, Loss																		400	100
Fair Value, Option, Changes in Fair Value, Gain																		200	1,800
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	$ 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%							8.00%
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] \| Subsequent Event [Member]
Repayments of Debt	$ 2,200
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																		8.25%
Debt Issuance Costs, Net, Total										$ 100
Amended Ravix Bank Loan [Member] \| Ravix Financial, Inc [Member] \| Subsequent Event [Member]
Repayments of Debt	4,200
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																		8.00%
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%
Ravix Bank Loan 2025 [Member] \| Ravix Financial, Inc [Member] \| Subsequent Event [Member]
Debt Instrument, Face Amount	$ 9,100
The SNS Loan [Member] \| Nursing Service LLC [Member]
Debt Instrument, Face Amount									$ 6,500
Debt Instrument, Interest Rate During Period									5.00%									8.00%
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]
Repayments of Debt															$ 200
Line of Credit Facility, Maximum Borrowing Capacity									$ 1,000
Proceeds from Issuance of Debt														500		$ 200
DDI Loan [Member] \| Digital Diagnostics Imaging, Inc. ("DDI") [Member]
Debt Instrument, Face Amount					$ 5,600
Debt Instrument, Interest Rate During Period					5.00%													8.00%
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			0	$ 0	$ 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	$ 0
Debt Instrument, Interest Rate During Period																		8.00%
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																		7.46%
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														6,000			6,000	$ 6,000
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
Long-Term Debt														$ 1,000			$ 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