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Note 6 - Acquisitions (Details Textual)
$ in Thousands
1 Months Ended 9 Months Ended
Apr. 16, 2017
USD ($)
Dec. 31, 2016
USD ($)
Jan. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Oct. 01, 2016
USD ($)
Business Combinations, Acquisitions with Contingent Consideration Outstanding       5  
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High       $ 2,900  
Goodwill   $ 12,325   12,458  
Allied Health Professionals, LLC [Member]          
Payments to Acquire Businesses, Gross     $ 275    
Goodwill   695      
Business Combination, Consideration Transferred   695      
Allied Health Professionals, LLC [Member] | Contingent Consideration Tied To Certain Gross Profit Targets Earned [Member]          
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High   140      
Allied Health Professionals, LLC [Member] | Unsecured Notes Payable [Member]          
Business Combination, Consideration Transferred, Liabilities Incurred   $ 280      
RAF Services, Inc [Member]          
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High $ 10        
Goodwill 133        
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities 123        
Business Combination, Consideration Transferred $ 133        
Contingent Consideration [Member]          
Payments to Acquire Businesses, Gross       $ 800 $ 800