Note 22 - Segmented Information (Details Textual)	3 Months Ended	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2023
Number of Reportable Segments	3	2
Number of States in which Entity Operates		24
Penn Member [Member]
Number of States in which Entity Operates		47
Prime [Member]
Number of States in which Entity Operates		40
Digital Diagnostics Imaging, Inc. ("DDI") [Member]
Number of States in which Entity Operates		42