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Note 1 - Basis of Consolidation and Presentation (Details Textual)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2017
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Dec. 31, 2016
USD ($)
Number of Operating Segments   6    
Number of Reportable Segments   1    
Payments to Acquire Investments   $ 1,300  
Goodwill and Intangible Asset Impairment   $ 0   $ 0
PracticingExcellence.com [Member]        
Payments to Acquire Investments $ 1,300      
Cost Method Investment, Ownership Percentage 15.70% 15.70%