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Note 13 - Income Taxes (Tables)
12 Months Ended
Dec. 31, 2018
Notes Tables  
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
   
Year Ended December 31,
 
   
2018
   
2017
   
2016
 
Current Tax Provision
                       
Federal
  $
13,583
    $
23,038
    $
24,012
 
State
   
1,612
     
2,150
     
661
 
Total current tax provision    
15,195
     
25,188
     
24,673
 
Deferred Tax Provision
                       
Federal
   
610
     
(6,548
)    
4,208
 
State
   
380
     
227
     
788
 
Total deferred tax provision    
990
     
(6,321
)    
4,996
 
Income Tax Provision
  $
16,185
    $
18,867
    $
29,669
 
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
   
December 31,
 
   
2018
   
2017
 
Deferred tax assets:
               
Allowance for doubtful accounts receivable
  $
48
    $
1,304
 
Accrued risk reserves
   
1,433
     
1,288
 
Accrued expenses
   
5,504
     
5,556
 
Financial reporting depreciation in excess of tax depreciation
   
6,340
     
5,301
 
Stock based compensation
   
959
     
607
 
Non-refundable entrance fees
   
103
     
121
 
Obligation to provide future services
   
580
     
747
 
Deferred revenue
   
3,480
     
2,753
 
State net operating loss carryforwards
   
5,762
     
4,732
 
Total gross deferred tax assets
   
24,209
     
22,409
 
Less: Valuation allowance
   
(5,762
)    
(4,732
)
Deferred tax assets less valuation allowance
  $
18,447
    $
17,677
 
                 
Deferred tax liabilities:
               
Unrealized gains on marketable securities
  $
(28,032
)   $
(28,278
)
Deferred gain on sale of assets, net
   
(2,146
)    
(2,078
)
Book basis in excess of tax basis of intangible assets
   
(1,748
)    
(1,337
)
Book basis in excess of tax basis of securities
   
(1,889
)    
(1,585
)
Long–term investments
   
(3,182
)    
(2,775
)
Total deferred tax liabilities
  $
(36,997
)   $
(36,053
)
                 
Net deferred tax liability
  $
(18,550
)   $
(18,376
)
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
   
Year Ended December 31,
 
   
2018
   
2017
   
2016
 
Tax provision at federal statutory rate
  $
15,726
    $
26,092
    $
28,072
 
                         
Increase (decrease) in income taxes resulting from:
                       
Tax expense from minority interest
   
71
     
204
     
-
 
State, net of federal benefit
   
3,213
     
2,647
     
1,783
 
Nondeductible expenses
   
478
     
230
     
156
 
Return to provision
   
(1,418
)    
-
     
-
 
Share based payments
   
(136
)    
(237
)    
-
 
Insurance expense
   
(128
)    
(103
)    
27
 
Revalue tax assets/liabilities due to federal tax reform
   
-
     
(8,488
)    
-
 
Other, net
   
15
     
(338
)    
283
 
Unrecognized tax benefits
   
586
     
613
     
716
 
Expiration of statute of limitations
   
(2,222
)    
(1,753
)    
(1,368
)
Total increases (decreases)    
459
     
(7,225
)    
1,597
 
Effective income tax expense
  $
16,185
    $
18,867
    $
29,669
 
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
   
Deferred
Tax
Asset
   
Liability For
Unrecognized
Tax Benefits
   
Liability
For
Interest
and
Penalties
   
Liability
Total
 
Balance, January 1, 2016
  $
7,818
    $
13,162
    $
3,132
    $
16,294
 
Additions based on tax positions related to the current year
   
1,249
     
1,249
     
-
     
1,249
 
Additions for tax positions of prior years
   
481
     
718
     
934
     
1,652
 
Reductions for statute of limitation expirations
   
(1,525
)    
(2,164
)    
(729
)    
(2,893
)
Balance, December 31, 2016
   
8,023
     
12,965
     
3,337
     
16,302
 
Additions based on tax positions related to the current year
   
1,219
     
1,219
     
-
     
1,219
 
Additions for tax positions of prior years
   
342
     
844
     
865
     
1,709
 
Reductions for statute of limitation expirations
   
(1,682
)    
(2,508
)    
(927
)    
(3,435
)
Revaluation due to federal tax reform
   
(2,854
)    
-
     
-
     
-
 
Balance, December 31, 2017
   
5,048
     
12,520
     
3,275
     
15,795
 
Additions based on tax positions related to the current year
   
811
     
811
     
-
     
811
 
Additions for tax positions of prior years
   
209
     
388
     
937
     
1,325
 
Reductions for statute of limitation expirations
   
(505
)    
(1,786
)    
(941
)    
(2,727
)
Balance, December 31, 2018
  $
5,563
    $
11,933
    $
3,271
    $
15,204