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Note 6 - Revenue Recognition and Accounts Receivable (Tables)
3 Months Ended
Mar. 31, 2016
Notes Tables  
Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]
    March 31, 2016   December 31, 2015
(in thousands)   (Unaudited)   (Audited)
Accounts receivable, trade   $ 3,394     $ 3,236  
Accounts receivable, other     100       -  
Less:                
Estimated allowance for contractual adjustments and uncollectible amounts     (1,719 )     (1,738 )
Accounts receivable, net   $ 1,775     $ 1,498  
Schedule of Revenue Sources, Health Care Organization [Table Text Block]
    Three Months Ended March 31,
(in thousands)   2016   2015
Gross revenue   $ 8,419     $ 5,786  
Less:                
Provision for contractual adjustments and estimated uncollectible amounts     (3,413 )     (3,114 )
Net revenue   $ 5,006     $ 2,672