Note 15 - Subsequent Events	12 Months Ended
Dec. 31, 2013
Subsequent Events [Abstract]
Subsequent Events [Text Block]	(15) Subsequent Events Acquisitions On February 3, 2014, the Company completed the acquisition of Gould & Lamb, a leader in the Medicare compliance services market. This acquisition enhances the Company’s product offering in the Medicare compliance services market. The Company also successfully completed the acquisitions of Cheselden Limited, Newton Medical Group, and Assess Medical in January and February 2014, strengthening its market position in the IME industry. The purchase price for all of these acquisitions was approximately $97.0 million in cash. Additionally, certain of these acquisitions contain earnout provisions based on future financial performance.

The entire disclosure for significant events or transactions that occurred after the balance sheet date through the date the financial statements were issued or the date the financial statements were available to be issued. Examples include: the sale of a capital stock issue, purchase of a business, settlement of litigation, catastrophic loss, significant foreign exchange rate changes, loans to insiders or affiliates, and transactions not in the ordinary course of business.

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