Note 6 - Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2014

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities [Table Text Block]

	December 31,		September 30,
	2013		2014
Accrued compensation and benefits	$	9,056	$	14,195
Accrued selling and professional fees		4,317		3,517
Accrued income, value added and other taxes		17,164		21,441
Accrued medical panel fees		3,460		3,878
Other accrued expenses		4,451		3,190
Totals	$	38,448	$	46,221