Quarterly report pursuant to Section 13 or 15(d)

Note 6 - Intangible Assets - Summary of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details)

v3.19.1
Note 6 - Intangible Assets - Summary of Carrying Amount and Accumulated Amortization of Identifiable Intangible Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Amortizable intangible assets, accumulated amortization $ (32,183) $ (31,058)
Amortization expense, total 16,740  
Total nonamortizable and amortizable intangible assets, gross assets 50,923 50,923
Total nonamortizable and amortizable intangible assets, net 18,740 19,865
Trade Names [Member]    
Amortizable intangible assets, gross assets 23 23
Amortizable intangible assets, accumulated amortization (23) (23)
Amortization expense, total
Physician and Customer Relationships [Member]    
Amortizable intangible assets, gross assets 36,534 36,534
Amortizable intangible assets, accumulated amortization (24,769) (24,175)
Amortization expense, total 11,765 12,359
Noncompete Agreements [Member]    
Amortizable intangible assets, gross assets 1,136 1,136
Amortizable intangible assets, accumulated amortization (1,136) (1,136)
Amortization expense, total
Computer Software, Intangible Asset [Member]    
Amortizable intangible assets, gross assets 11,230 11,230
Amortizable intangible assets, accumulated amortization (6,255) (5,724)
Amortization expense, total 4,975 5,506
Trade Names 1 [Member]    
Nonamortizable intangible assets $ 2,000 $ 2,000