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Note 4 - Non-operating Income (Details Textual) - USD ($)
3 Months Ended 12 Months Ended
Sep. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Gain (Loss) on Acquisition of Equity Method Investment   $ 2,050,000  
Goodwill, Ending Balance   $ 20,995,000 $ 17,600,000 $ 17,600,000 $ 17,600,000
Caris [Member]          
Equity Method Investment, Ownership Percentage   75.10%      
Loss Contingency, Damages Paid, Value   $ 8,364,000      
Psychiatric Hospital in Osage Beach, Missouri [Member]          
Gain (Loss) on Acquisition of Equity Method Investment $ 2,050,000        
Goodwill, Ending Balance $ 3,395,000