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Note 7 - Estimated Liability for Appeals and Estimated Allowance for Appeals (Tables)
3 Months Ended
Mar. 31, 2016
Notes Tables  
Valuation and Qualifying Accounts Disclosure [Table Text Block]
    Three Months Ended
March 31,
    2016   2015
Balance--beginning of period
(1)
  $ 39,692     $ 41,623  
Provision     998       2,321  
Appeals found in providers favor     (4,729 )     (1,485 )
Balance--end of period
(2)
  $ 35,961     $ 42,459