Note 12 - Goodwill and Other Intangible Assets (Details Textual)	9 Months Ended
	Sep. 30, 2023 USD ($)
Goodwill and Intangible Asset Impairment, Total	$ 0
Acquisition of Caris [Member] | Trade Names [Member]
Indefinite-lived Intangible Assets Acquired	4,340,000
Acquisition of Caris [Member] | Certificates of Need and Licenses [Member]
Indefinite-lived Intangible Assets Acquired	$ 2,698,000