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Note 8 - Intangible Assets (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2015
Jun. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Dec. 31, 2014
Note 8 - Intangible Assets (Details) [Line Items]          
Impairment of Intangible Assets, Finite-lived       $ 520,000  
Amortization of Intangible Assets $ 51,000   $ 48,000    
Minimum [Member]          
Note 8 - Intangible Assets (Details) [Line Items]          
Finite Lived Intangible Assets, Rate of Attrition       2.00%  
Maximum [Member]          
Note 8 - Intangible Assets (Details) [Line Items]          
Finite Lived Intangible Assets, Rate of Attrition       8.00%  
Contract-Based Intangible Assets [Member]          
Note 8 - Intangible Assets (Details) [Line Items]          
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles         $ 600,000
Impairment of Intangible Assets, Finite-lived   $ 520,000      
Patient Base [Member]          
Note 8 - Intangible Assets (Details) [Line Items]          
Finite-Lived Intangible Asset, Useful Life       5 years  
Ancillary Provider Network [Member]          
Note 8 - Intangible Assets (Details) [Line Items]          
Finite-Lived Intangible Asset, Useful Life       15 years