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Note 17 - Variable Interest Entity (Details Textual)
1 Months Ended 12 Months Ended
Dec. 31, 2010
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Mar. 01, 2014
Number of Variable Interest Entities   1    
Number of Patient Beds in Facility 120      
Lessee Leasing Arrangements, Operating Leases, Term of Contract 10 years 10 years    
Number of Additional Lease Options 5     2
Lessee Leasing Arrangements, Operating Leases, Renewal Term 5 years      
Notes, Loans and Financing Receivable, Gross, Current $ 4,500,000      
Increase (Decrease) in Notes Payable, Current   $ 4,500,000 $ 4,500,000  
Land and Land Improvements   $ 4,500,000