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Note 10 - Income Taxes - Components of Income Tax (Provision) Benefit (Details) - USD ($)
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Current federal income tax expense $ 0 $ 0
Current state income tax expense 2,992 166,223
Deferred federal income tax benefit 272,435 (2,138,204)
Deferred state income tax benefit (550,248) (1,006,757)
Total income tax benefit (274,821) (2,978,738)
Net operating loss carryforwards 21,943,518 18,672,782
Tax credits 643,945 643,945
Lease liabilities 13,228,639 14,555,615
Premium adjustments and IBNR 440,447 580,373
Long-term investments 4,768,942 0
Disallowed interest expense carryforwards 78,388 1,204
Other 103,687 70,452
Total deferred tax assets 41,207,566 34,524,371
Valuation allowance (862,510) (846,633)
Net deferred tax assets 40,345,056 33,677,738
Property and equipment (22,263,046) (19,504,745)
Intangibles (11,510,781) (8,269,752)
Right of use assets (13,224,225) (14,684,988)
Long-term investments 0 (2,570,253)
Unrealized gain on securities (5,272,973) (759,812)
Total deferred tax liabilities (52,271,025) (45,789,550)
Net deferred tax liabilities $ (11,925,969) $ (12,111,812)