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Note 8 - Intangible Assets (Details Textual) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025	May 08, 2026	Mar. 31, 2026	Dec. 31, 2025
Intangible Asset, Finite-Lived, Amortization Expense	$ 2,100	$ 1,700	$ 4,300	$ 3,400
Intangible Asset, Excluding Goodwill, Indefinite-Lived, Impairment Loss	$ 300	$ 100	$ 500	$ 200
Minimum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	5 years		5 years
Maximum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	15 years		15 years
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] \| Trinity [Member]
Intangible Asset, Finite-Lived, before Accumulated Amortization					$ 500
Intangible Asset, Finite-Lived, after Accumulated Amortization					$ 0
Trade Names [Member]
Intangible Asset, Excluding Goodwill, Indefinite-Lived	$ 23,437		$ 23,437				$ 23,337
Trade Names [Member] \| CSuite Acquisition, LLC [Member]
Intangible Asset, Excluding Goodwill, Indefinite-Lived	500		500
Trade Names [Member] \| Secure Nursing Service Inc [Member]
Intangible Asset, Excluding Goodwill, Indefinite-Lived						$ 2,000
Kingsway Search Xcelerator [Member] \| Trade Names [Member]
Intangible Asset, Indefinite-Lived, Acquired			100
Customer Relationships [Member]
Intangible Asset, Finite-Lived, before Accumulated Amortization	65,492		65,492				65,112
Intangible Asset, Finite-Lived, after Accumulated Amortization	$ 27,885		27,885				$ 31,245
Customer Relationships [Member] \| Kingsway Search Xcelerator [Member]
Intangible Asset, Finite-Lived, Acquired			$ 900