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Note 18 - Reportable Segments - Schedule of Reportable Segments (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Jun. 30, 2024 | Mar. 31, 2024 | Sep. 30, 2023 | Jun. 30, 2023 | Mar. 31, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Revenue | $ 15,367 |  |  | $ 15,290 |  |  | $ 49,849 | $ 21,123
Cost of revenue | 11,847 |  |  | 10,705 |  |  | 35,713 | 15,074
Selling, general and administrative | 2,293 |  |  | 4,187 |  |  | 6,516 | 7,496
Salaries, wages and payroll taxes | 2,875 |  |  | 2,483 |  |  | 8,284 | 4,039
Impairment loss | 3,729 |  |  | 0 |  |  | 13,653 | 0
Professional fees | 2,144 |  |  | 521 |  |  | 4,133 | 1,385
Depreciation and amortization | 478 |  |  | 871 |  |  | 2,287 | 1,201
Total expenses | 23,366 |  |  | 18,767 |  |  | 70,586 | 29,195
Loss before other (income) expense | (7,999) |  |  | (3,477) |  |  | (20,737) | (8,072)
Other (income) expense | (380) |  |  | 1 |  |  | (721) | (558)
Loss before income taxes | (7,619) |  |  | (3,478) |  |  | (20,016) | (7,514)
Income taxes | (45) |  |  | (23) |  |  | (92) | (75)
Net loss | (7,664) | $ (10,743) | $ (1,701) | 2,637 | $ (4,341) | $ (1,187) | (20,108) | (2,891)
Loss before equity method investment | (7,664) |  |  | (3,501) |  |  | (20,108) | (7,589)
Gain on equity method investment | 0 |  |  | 6,138 |  |  | 0 | 6,138
Equity in net loss of affiliate | 0 |  |  | 0 |  |  | 0 | (1,440)
Approximation [Member] |  |  |  |  |  |  |  |
Loss before other (income) expense | (7,999) |  |  |  |  |  |  |
Loss before income taxes | (7,619) |  |  |  |  |  |  |
Net loss | (7,664) |  |  |  |  |  |  |
Segment Expense [Member] |  |  |  |  |  |  |  |
Selling, general and administrative | 2,293 |  |  | 4,187 |  |  | 6,516 | 7,496
Professional fees | 2,144 |  |  | 521 |  |  | 4,133 | 1,385
Depreciation and amortization | 478 |  |  | 871 |  |  | 2,287 | 1,201
Pharmacy Prescription and Other Revenue, Net of PBM Fees [Member] |  |  |  |  |  |  |  |
Revenue | 9,076 |  |  | 9,888 |  |  | 30,922 | 9,888
E-Commerce Revenue [Member] |  |  |  |  |  |  |  |
Revenue | 3,834 |  |  | 2,931 |  |  | 10,210 | 8,764
Pharmacy 340B Contract [Member] |  |  |  |  |  |  |  |
Revenue | 2,457 |  |  | 2,471 |  |  | 8,717 | 2,471
Consolidation, Eliminations [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
Cost of revenue | 0 |  |  | 0 |  |  | 0 | 0
Salaries, wages and payroll taxes | 0 |  |  | 0 |  |  | 0 | 0
Impairment loss | 0 |  |  |  |  |  | 0 |
Total expenses | (60) |  |  | (60) |  |  | (180) | (60)
Loss before other (income) expense | 60 |  |  | 60 |  |  | 180 | 60
Other (income) expense | 60 |  |  | 60 |  |  | 180 | 60
Loss before income taxes | 0 |  |  | 0 |  |  | 0 | 0
Income taxes | 0 |  |  | 0 |  |  | 0 | 0
Net loss | 0 |  |  | 0 |  |  | 0 | 0
Loss before equity method investment |  |  |  | 0 |  |  |  | 0
Gain on equity method investment |  |  |  | 0 |  |  |  | 0
Equity in net loss of affiliate |  |  |  | 0 |  |  |  | 0
Consolidation, Eliminations [Member] | Segment Expense [Member] |  |  |  |  |  |  |  |
Selling, general and administrative | (60) |  |  | (60) |  |  | (180) | (60)
Professional fees | 0 |  |  | 0 |  |  | 0 | 0
Depreciation and amortization | 0 |  |  | 0 |  |  | 0 | 0
Consolidation, Eliminations [Member] | Pharmacy Prescription and Other Revenue, Net of PBM Fees [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
Consolidation, Eliminations [Member] | E-Commerce Revenue [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
Consolidation, Eliminations [Member] | Pharmacy 340B Contract [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
E-Commerce [Member] | Operating Segments [Member] |  |  |  |  |  |  |  |
Revenue | 3,834 |  |  | 2,931 |  |  | 10,210 | 8,764
Cost of revenue | 2,756 |  |  | 2,127 |  |  | 7,217 | 6,495
Salaries, wages and payroll taxes | 617 |  |  | 564 |  |  | 1,744 | 2,120
Impairment loss | 0 |  |  |  |  |  | 0 |
Total expenses | 5,964 |  |  | 5,111 |  |  | 15,503 | 15,538
Loss before other (income) expense | (2,130) |  |  | (2,180) |  |  | (5,293) | (6,774)
Other (income) expense | (324) |  |  | (76) |  |  | (735) | (635)
Loss before income taxes | (1,806) |  |  | (2,104) |  |  | (4,558) | (6,139)
Income taxes | (45) |  |  | (23) |  |  | (92) | (75)
Net loss | (1,851) |  |  | 4,011 |  |  | (4,650) | (1,516)
Loss before equity method investment |  |  |  | (2,127) |  |  |  | (6,214)
Gain on equity method investment |  |  |  | 6,138 |  |  |  | 6,138
Equity in net loss of affiliate |  |  |  | 0 |  |  |  | (1,440)
E-Commerce [Member] | Operating Segments [Member] | Segment Expense [Member] |  |  |  |  |  |  |  |
Selling, general and administrative | 969 |  |  | 1,978 |  |  | 3,517 | 5,287
Professional fees | 1,481 |  |  | 278 |  |  | 2,608 | 1,143
Depreciation and amortization | 141 |  |  | 164 |  |  | 417 | 493
E-Commerce [Member] | Operating Segments [Member] | Pharmacy Prescription and Other Revenue, Net of PBM Fees [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
E-Commerce [Member] | Operating Segments [Member] | E-Commerce Revenue [Member] |  |  |  |  |  |  |  |
Revenue | 3,834 |  |  | 2,931 |  |  | 10,210 | 8,764
E-Commerce [Member] | Operating Segments [Member] | Pharmacy 340B Contract [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
Healthcare Operations [Member] |  |  |  |  |  |  |  |
Revenue |  |  |  | 15,290 |  |  |  | 21,123
Healthcare Operations [Member] | Pharmacy Prescription and Other Revenue, Net of PBM Fees [Member] |  |  |  |  |  |  |  |
Revenue |  |  |  | 9,888 |  |  |  | 9,888
Healthcare Operations [Member] | Pharmacy 340B Contract [Member] |  |  |  |  |  |  |  |
Revenue |  |  |  | 2,471 |  |  |  | 2,471
Healthcare Operations [Member] | Operating Segments [Member] |  |  |  |  |  |  |  |
Revenue | 11,533 |  |  | 12,359 |  |  | 39,639 | 12,359
Cost of revenue | 9,091 |  |  | 8,578 |  |  | 28,496 | 8,579
Salaries, wages and payroll taxes | 2,258 |  |  | 1,919 |  |  | 6,540 | 1,919
Impairment loss | 3,729 |  |  |  |  |  | 13,653 |
Total expenses | 17,462 |  |  | 13,716 |  |  | 55,263 | 13,717
Loss before other (income) expense | (5,929) |  |  | (1,357) |  |  | (15,624) | (1,358)
Other (income) expense | (116) |  |  | 17 |  |  | (166) | 17
Loss before income taxes | (5,813) |  |  | (1,374) |  |  | (15,458) | (1,375)
Income taxes | 0 |  |  | 0 |  |  | 0 | 0
Net loss | (5,813) |  |  | (1,374) |  |  | (15,458) | (1,375)
Loss before equity method investment |  |  |  | (1,374) |  |  |  | (1,375)
Gain on equity method investment |  |  |  | 0 |  |  |  | 0
Equity in net loss of affiliate |  |  |  | 0 |  |  |  | 0
Healthcare Operations [Member] | Operating Segments [Member] | Segment Expense [Member] |  |  |  |  |  |  |  |
Selling, general and administrative | 1,384 |  |  | 2,269 |  |  | 3,179 | 2,269
Professional fees | 663 |  |  | 243 |  |  | 1,525 | 242
Depreciation and amortization | 337 |  |  | 707 |  |  | 1,870 | 708
Healthcare Operations [Member] | Operating Segments [Member] | Pharmacy Prescription and Other Revenue, Net of PBM Fees [Member] |  |  |  |  |  |  |  |
Revenue | 9,076 |  |  | 9,888 |  |  | 30,922 | 9,888
Healthcare Operations [Member] | Operating Segments [Member] | E-Commerce Revenue [Member] |  |  |  |  |  |  |  |
Revenue | 0 |  |  | 0 |  |  | 0 | 0
Healthcare Operations [Member] | Operating Segments [Member] | Pharmacy 340B Contract [Member] |  |  |  |  |  |  |  |
Revenue | $ 2,457 |  |  | $ 2,471 |  |  | $ 8,717 | $ 2,471

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