Note 6 - Accrued Expenses (Tables)

6 Months Ended

Jun. 30, 2014

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities [Table Text Block]

	December 31,		June 30,
	2013		2014
Accrued compensation and benefits	$	9,056	$	9,843
Accrued selling and professional fees		4,317		4,789
Accrued income, value added and other taxes		17,164		22,628
Accrued medical panel fees		3,460		3,941
Other accrued expenses		4,451		3,308
Totals	$	38,448	$	44,509