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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