Note 6 - Debt - Summary of Debt (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
Total debt related to continuing operations	$ 92,998	$ 93,637
Total debt	92,998	93,637
Less current portion	92,998	93,637
Long-term debt	0	0
Related Party July 2014 Note Payable to Little Harbor, LLC [Member]
Debt Instrument [Line Items]
Total debt	3,267	3,267
Related Party Debt July 2016 Note Payable to Little Harbor LLC [Member]
Debt Instrument [Line Items]
Total debt	4,770	4,770
Related-Party Debt January 2016 Note Payable to Great Harbor Hospital, LLC [Member]
Debt Instrument [Line Items]
Total debt	2,500	2,500
Related-Party Debt March 2016 Note Payable to Great Harbor Capital, LLC [Member]
Debt Instrument [Line Items]
Total debt	7,000	7,000
Related-Party Debt December 2016 Note Payable to Great Harbor Hospital, LLC [Member]
Debt Instrument [Line Items]
Total debt	2,500	2,500
Related Party August 2017 Note Payable to Great Harbor LLC [Member]
Debt Instrument [Line Items]
Total debt	3,000	3,000
Related Party February 2018 Note Payable to Great Harbor LLC [Member]
Debt Instrument [Line Items]
Total debt	2,000	2,000
Related Party July 2018 Note Payable To Great Harbor LLC [Member]
Debt Instrument [Line Items]
Total debt	5,000	5,000
Related Party November 2018 Note Payable To Great Harbor LLC [Member]
Debt Instrument [Line Items]
Total debt	4,000	4,000
Related Party February 2020 Note Payable To Great Harbor LLC [Member]
Debt Instrument [Line Items]
Total debt	2,500	2,500
Related-Party Debt January 2016 Note payable to Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	2,500	2,500
Related-Party Debt March 2016 note payable to Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	7,000	7,000
Related Part Debt July 2016 Note Payable To Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	4,770	4,770
Related Part Debt December 2016 Note Payable To Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	2,500	2,500
Related-party Debt March 2017 Note payable to Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	3,267	3,267
Related Party February 2018 Note Payable to Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	2,000	2,000
Related Party February 2020 Note Payable to Golisano Holdings LLC [Member]
Debt Instrument [Line Items]
Total debt	2,500	2,500
Related Party Debt November 2014 Note Payable to Golisano Holdings LLC (Formerly Penta Mezzanine SBIC Fund I, L.P.) [Member]
Debt Instrument [Line Items]
Total debt	8,000	8,000
Related-Party Debt January 2015 Note Payable to Golisano Holdings LLC (Formerly Payable to JL-BBNC Mezz Utah, LLC) [Member]
Debt Instrument [Line Items]
Total debt	5,000	5,000
February 2015 Note Payable to Golisano Holdings LLC (Formerly Payable to Penta Mezzanine SBIC Fund I, L.P.) [Member]
Debt Instrument [Line Items]
Total debt	1,999	1,999
Macatawa Bank [Member]
Debt Instrument [Line Items]
Total debt	14,884	14,884
Related Party Debt [Member]
Debt Instrument [Line Items]
Total debt	90,957	90,957
Senior Credit Facility With Midcap [Member]
Debt Instrument [Line Items]
Total debt	$ 2,041	$ 2,680