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Note 11 - Related Party (Details Textual) - USD ($)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Allina Health [Member]      
Revenue from Related Parties $ 1,700,000    
Ameritas Life Insurance Corp [Member]      
Related Party Transaction, Amounts of Transaction 278,000 $ 248,000 $ 242,000
IMA Financial Group [Member] | Purchasing Directors and Officers and Employment Practices Liability Insurance [Member]      
Related Party Transaction, Amounts of Transaction   1,100,000  
PracticingExcellence.com [Member]      
Revenue from Related Parties $ 35,000 $ 294,000 $ 578,000