Note 6 - Accrued Expenses (Tables)

9 Months Ended

Sep. 30, 2015

Payables and Accruals [Abstract]

Schedule of Accrued Liabilities [Table Text Block]

	December 31, 2014		September 30, 2015
Accrued compensation and benefits	$	15,041	$	14,769
Accrued selling and professional fees		4,202		3,557
Accrued income, value added and other taxes		26,576		28,248
Accrued medical panel fees		4,391		4,644
Other accrued expenses		3,768		3,056
Totals	$	53,978	$	54,274