Note 6 - Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2013

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities [Table Text Block]

	December 31, 2012		September 30, 2013
Accrued compensation and benefits	$	7,217	$	9,848
Accrued selling and professional fees		5,777		5,768
Accrued income, value added and other taxes		17,256		15,152
Accrued medical panel fees		2,646		2,804
Other accrued expenses		3,099		4,200
Total	$	35,995	$	37,772