Note 6 - Accrued Expenses (Tables)

3 Months Ended

Mar. 31, 2014

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities [Table Text Block]

	December 31, 2013		March 31, 2014
Accrued compensation and benefits	$	9,056	$	11,159
Accrued selling and professional fees		4,317		4,935
Accrued income, value added and other taxes		17,164		18,823
Accrued medical panel fees		3,460		3,197
Other accrued expenses		4,451		3,722
Totals	$	38,448	$	41,836