Note 15 - Guarantees and Contingencies (Details) (USD $)	9 Months Ended	36 Months Ended		45 Months Ended
	Sep. 30, 2014	Dec. 31, 2010	Dec. 31, 2007	Sep. 30, 2014	Dec. 31, 2013
Note 15 - Guarantees and Contingencies (Details) [Line Items]
Self Insurance Reserve	$ 112,836,000			$ 112,836,000	$ 110,557,000
Direct Business Coverage Statutory Limits	1,000,000
Malpractice Loss Contingency, Number of Claims	38			38
Annual Excess Coverage		9,000,000	7,500,000	4,000,000
Coverage Amount per Incident [Member]
Note 15 - Guarantees and Contingencies (Details) [Line Items]
Primary Insurance Coverage Amount Per Incident	1,000,000
Coverage Amount per Location [Member]
Note 15 - Guarantees and Contingencies (Details) [Line Items]
Primary Insurance Coverage Amount Per Location	$ 3,000,000