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Note 3 - Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2015
Notes Tables  
Property, Plant and Equipment [Table Text Block]
    December 31,
    2015   2014
Equipment   $ 90,496     $ 94,686  
Leasehold improvements     8,512       9,194  
Building     8,624       8,624  
Building improvements     11,367       8,762  
Land     2,769       2,769  
Furniture and fixtures     10,858       12,107  
Capitalized software     104,266       101,069  
      236,892       237,211  
Less accumulated depreciation and amortization     (140,341 )     (121,184 )
Property and equipment, net   $ 96,551     $ 116,027