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Note 11 - Related Party (Details Textual) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Ameritas Life Insurance Corp [Member]        
Related Party Transaction, Amounts of Transaction $ 66,000 $ 67,000 $ 210,000 $ 181,000
Allina Health [Member] | Sale of Certain Products and Services [Member]        
Revenue from Related Parties $ 429,000   1,300,000  
IMA Financial Group [Member] | Purchasing Directors and Officers and Employment Practices Liability Insurance [Member]        
Related Party Transaction, Expenses from Transactions with Related Party   0   478,000
PracticingExcellence.com [Member]        
Revenue from Related Parties   $ 84,000 $ 35,000 $ 251,000