Note 3 - Other Revenues (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2015 USD ($)	Jun. 30, 2014 USD ($)	Jun. 30, 2015 USD ($)	Jun. 30, 2014 USD ($)
Note 3 - Other Revenues (Details) [Line Items]
Number of Skilled Nursing Centers	75		75
Workers Compensation Premium Revenue [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue	$ 1,203,000	$ 1,184,000	$ 2,213,000	$ 2,280,000
Professional Liability Insurance [Member]
Note 3 - Other Revenues (Details) [Line Items]
Health Care Organization, Premium Revenue	$ 697,000	693,000	$ 1,394,000	1,370,000
National [Member]
Note 3 - Other Revenues (Details) [Line Items]
Number of Skilled Nursing Centers	5		5
Management Fees Revenue	$ 890,000	$ 870,000	$ 1,824,000	$ 1,795,000