Note 7 - Summary of Estimated Liability and Allowance for Appeals (Details) - Estimated Liability for Appeals and Estimated Allowance for Appeals [Member] - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2016	Mar. 31, 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

[1] For the three months ended December 31, 2015 and 2014 included within the estimated allowance for appeals found in favor of providers, $6,614 million and $4,824, respectively was activity associated with the Medicare RAC contract.

[2] Includes $XX and $XX related to estimated allowance for appeals that apply to uncollected accounts receivable as of March 31, 2016 and March 31, 2015, respectively.