Note 5 - Intangible Assets (Details Textual) - USD ($) $ in Thousands |
12 Months Ended | |
|---|---|---|
Dec. 31, 2017 |
Dec. 31, 2016 |
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| Amortization of Intangible Assets | $ 5,560 | $ 3,849 |
| Physician and Customer Relationships [Member] | ||
| Finite-lived Intangible Asset, Weighted Average Remaining Amortization Period | 4 years | |
| Noncompete Agreements [Member] | ||
| Finite-lived Intangible Asset, Weighted Average Remaining Amortization Period | 1 year | |
| Computer Software, Intangible Asset [Member] | ||
| Finite-lived Intangible Asset, Weighted Average Remaining Amortization Period | 2 years | |
| Impairment of Intangible Assets, Finite-lived | $ 1,000 | |
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- Definition Represents the weighted average remaining amortization period of a finite-lived intangible asset. No definition available.
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- Definition The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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- Definition The amount of impairment loss recognized in the period resulting from the write-down of the carrying amount of a finite-lived intangible asset to fair value. Reference 1: http://www.xbrl.org/2003/role/presentationRef
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