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Note 4 - Non-operating Income (Details Textual) - USD ($)
3 Months Ended 12 Months Ended
Jun. 30, 2019
Sep. 30, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Gain (Loss) on Acquisition of Equity Method Investment     $ 1,975,000 $ 2,050,000 $ (0)
Nonoperating Income (Expense) [Member]          
Gain (Loss) on Acquisition of Equity Method Investment $ 1,975,000        
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