Note 6 - Accrued Expenses (Tables)

6 Months Ended

Jun. 30, 2015

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities [Table Text Block]

	December 31, 2014		June 30, 2015
Accrued compensation and benefits	$	15,041	$	11,630
Accrued selling and professional fees		4,202		2,588
Accrued income, value added and other taxes		26,576		29,950
Accrued medical panel fees		4,391		4,515
Other accrued expenses		3,768		3,198
Totals	$	53,978	$	51,881