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Note 11 - Related Party (Details Textual) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Ameritas Life Insurance Corp [Member]        
Related Party Transaction, Amounts of Transaction $ 73,000 $ 42,000 $ 144,000 $ 114,000
Allina Health [Member] | Sale of Certain Products and Services [Member]        
Revenue from Related Parties 409,000   844,000  
IMA Financial Group [Member] | Purchasing Directors and Officers and Employment Practices Liability Insurance [Member]        
Related Party Transaction, Expenses from Transactions with Related Party   478,000   478,000
PracticingExcellence.com [Member]        
Revenue from Related Parties $ 17,000 $ 83,000 $ 35,000 $ 166,000