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Note 8 - Intangible Assets (Details Textual) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Dec. 31, 2024
Amortization of Intangible Assets | $ 2,362 | $ 1,437 | $ 5,754 | $ 4,308 |
Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill) | $ 200 | $ 600 | $ 500 | $ 1,800 |
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration] |  |  | Impairment of Intangible Assets (Excluding Goodwill) | Impairment of Intangible Assets (Excluding Goodwill) |
Minimum [Member] |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) | 5 years |  | 5 years |  |
Maximum [Member] |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) | 15 years |  | 15 years |  |
Trade Names [Member] |  |  |  |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill) | $ 23,337 |  | $ 23,337 |  | $ 16,167
Roundhouse, Advanced Plumbing, and Southside Plumbing [Member] | Trade Names [Member] |  |  |  |  |
Indefinite-Lived Intangible Assets Acquired |  |  | 200 |  |
Roundhouse, Advanced Plumbing, and Southside Plumbing [Member] | Customer Relationships [Member] |  |  |  |  |
Finite-Lived Intangible Assets Acquired |  |  | 300 |  |
Roundhouse, Advanced Plumbing, and Southside Plumbing [Member] | Developed Technology Rights [Member] |  |  |  |  |
Finite-Lived Intangible Assets Acquired |  |  | 100 |  |
CSuite Acquisition, LLC [Member] | Trade Names [Member] |  |  |  |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill) | 800 |  | 800 |  |
Ravix [Member] | Trade Names [Member] |  |  |  |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill) | 1,600 |  | 1,600 |  |
Secure Nursing Service Inc [Member] | Trade Names [Member] |  |  |  |  |
Indefinite-Lived Intangible Assets (Excluding Goodwill) | $ 2,200 |  | $ 2,200 |  |

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