Note 6 - Intangible Assets (Details Textual) - USD ($) $ in Thousands |
12 Months Ended | 24 Months Ended | |
|---|---|---|---|
Dec. 31, 2018 |
Dec. 31, 2017 |
Dec. 31, 2018 |
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| Amortization of Intangible Assets, Total | $ 4,649 | $ 5,560 | |
| Physician and Customer Relationships [Member] | |||
| Finite-Lived Intangible Assets, Remaining Amortization Period | 4 years | ||
| Noncompete Agreements [Member] | |||
| Finite-Lived Intangible Assets, Remaining Amortization Period | 0 years | ||
| Computer Software, Intangible Asset [Member] | |||
| Finite-Lived Intangible Assets, Remaining Amortization Period | 2 years | ||
| Impairment of Intangible Assets, Finite-lived | $ 1,000 | $ 0 | |
| X | ||||||||||
- 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://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Remaining amortization period of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. No definition available.
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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/2009/role/commonPracticeRef
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