Note 13 - Related Party (Details Textual) - USD ($)	12 Months Ended
Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Payments to Acquire Intangible Assets		$ 250,000
Ameritas Life Insurance Corp [Member]
Related Party Transaction, Amounts of Transaction	200,000	248,000	232,000
Nebraska Global Investment Company LLC [Member]
Related Party Transaction, Amounts of Transaction		12,500	$ 488,000
Nebraska Global Investment Company LLC [Member] \| Chief Executive Officer [Member]
Officer Ownership Percentage in Vendor			14.00%
Mr. Hays [Member]
Costs and Expenses, Related Party		538,000
PracticingExcellence.com [Member]
Payments to Acquire Intangible Assets		250,000
Revenue from Related Parties	$ 439,000	$ 633,000	$ 28,000

The percentage ownership by officer of the company in the company's vendor.

No definition available.

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- Definition

Costs of sales and operating expenses for the period incurred from transactions with related parties.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 220
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.2)
-URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227

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- Definition

The cash outflow to acquire asset without physical form usually arising from contractual or other legal rights, excluding goodwill.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3213-108585

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- Definition

Amount of transactions with related party during the financial reporting period.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 850
-SubTopic 10
-Section 50
-Paragraph 1
-Subparagraph (c)
-URI http://asc.fasb.org/extlink&oid=6457730&loc=d3e39549-107864

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-Name Accounting Standards Codification
-Topic 850
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-Section 50
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-URI http://asc.fasb.org/extlink&oid=6457730&loc=d3e39603-107864

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- Definition

Amount of revenue, fees and commissions earned from transactions between (a) a parent company and its subsidiaries; (b) subsidiaries of a common parent; (c) an entity and trusts for the benefit of employees, for example, but not limited to, pension and profit-sharing trusts that are managed by or under the trusteeship of the entity's management; (d) an entity and its principal, owners, management, or members of their immediate families; and (e) affiliates.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 946
-SubTopic 220
-Section S99
-Paragraph 1
-Subparagraph (SX 210.6-07.1(c))
-URI http://asc.fasb.org/extlink&oid=114873854&loc=SL114874292-224272

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-URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227

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- Details

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- Details

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