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Note 1 - Overview and Summary of Significant Accounting Policies (Details Textual)
shares in Thousands, $ in Thousands
3 Months Ended 6 Months Ended 9 Months Ended
Dec. 12, 2022
USD ($)
Feb. 28, 2022
USD ($)
Feb. 21, 2022
USD ($)
Jan. 24, 2022
USD ($)
Jan. 19, 2022
USD ($)
Sep. 30, 2022
USD ($)
shares
Sep. 30, 2023
USD ($)
shares
Sep. 30, 2023
USD ($)
shares
Sep. 30, 2022
USD ($)
shares
Dec. 31, 2022
USD ($)
Number of Franchisee Owned Offices             425 425    
Number of States in which Entity Operates             42 42    
Number of Employees             85,000 85,000    
Gain (Loss), Foreign Currency Transaction, after Tax           $ 0 $ 0 $ 0 $ 0  
Accounts Receivable, Allowance for Credit Loss             $ 186 $ 186   $ 70
Royalty Fees, Percentage of Payroll             4.50% 4.50%    
Revenue, Percentage of Gross Margin             18.00% 18.00%    
License Fee, Percentage of Gross Margin             9.00% 9.00%    
Financing Receivable, Allowance for Credit Loss             $ 560 $ 560   $ 405
Impairment of Intangible Assets (Excluding Goodwill)               $ 0    
Common, Equivalent Shares, Outstanding (in shares) | shares           240 173 173 240  
Minimum [Member]                    
Percentage of Sales for Services             6.00% 6.00%    
Royalty Fees, Percentage of Contractor Payments             4.00% 4.00%    
Finite-Lived Intangible Asset, Useful Life (Year)             5 years 5 years    
Franchise Advertising Fee, Percent               0.50%    
Minimum [Member] | MRI Franchise [Member]                    
Royalty Fees, Percentage of Payroll             20.00% 20.00%    
Minimum [Member] | Franchise [Member]                    
Percentage of Sales for Services             5.00% 5.00%    
Maximum [Member]                    
Percentage of Sales for Services             8.00% 8.00%    
Royalty Fees, Percentage of Contractor Payments             10.00% 10.00%    
Finite-Lived Intangible Asset, Useful Life (Year)             15 years 15 years    
Franchise Advertising Fee, Percent               1.00%    
Maximum [Member] | MRI Franchise [Member]                    
Royalty Fees, Percentage of Payroll             25.00% 25.00%    
Maximum [Member] | Franchise [Member]                    
Percentage of Sales for Services             8.00% 8.00%    
Temporary Alternatives [Member]                    
Significant Changes, Franchises Purchased During Period       3            
Business Combination, Consideration Transferred, Total       $ 7,043            
Business Combination, Consideration Transferred, Liabilities Incurred       $ 336            
Dubin [Member]                    
Business Combination, Consideration Transferred, Total     $ 2,462   $ 2,500          
Business Combination, Consideration Transferred, Liabilities Incurred     362              
Dubin [Member] | Adjusted Net Working Capital Payable [Member]                    
Business Combination, Consideration Transferred, Liabilities Incurred     62              
Dubin [Member] | Notes Payable, Other Payables [Member]                    
Business Combination, Consideration Transferred, Liabilities Incurred     $ 300              
Northbound [Member]                    
Business Combination, Consideration Transferred, Total   $ 11,428                
Northbound [Member] | Adjusted Net Working Capital Payable [Member]                    
Business Combination, Consideration Transferred, Liabilities Incurred   328                
Northbound [Member] | Notes Payable, Other Payables [Member]                    
Business Combination, Consideration Transferred, Liabilities Incurred   $ 1,500                
MRINetwork [Member]                    
Business Combination, Consideration Transferred, Total $ 13,283                  
MRINetwork [Member] | Adjusted Net Working Capital Payable [Member]                    
Business Combination, Consideration Transferred, Liabilities Incurred $ 223