Note 6 - Debt - Summary of Debt (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Other debt	$ 76,397	$ 71,476
Total debt	76,397	71,476
Less current portion	(73,173)	(68,093)
Long-term debt	3,224	3,383
Capital Lease Obligations [Member]
Capital lease obligations, net of discount of $52 and $210 as of September 30, 2018 and December 31, 2017, respectively	389	1,252
Related Party July 2014 Note Payable to Little Harbor, LLC, [Member]
Long-term debt, net	3,267	3,267
Related Party Debt July 2016 Note Payable to Little Harbor LLC [Member]
Long-term debt, net	4,770	4,770
Related-Party Debt January 2016 Note Payable to Great Harbor Hospital, LLC [Member]
Long-term debt, net	2,500	2,500
Related-Party Debt March 2016 Note Payable to Great Harbor Capital, LLC [Member]
Long-term debt, net	7,000	7,000
Related-Party Debt December 2016 Note Payable to Great Harbor Hospital, LLC [Member]
Long-term debt, net	2,500	2,500
Related Party August 2017 Note Payable to Great Harbor LLC [Member]
Long-term debt, net	3,000	3,000
Related Party February 2018 Note Payable to Great Harbor LLC [Member]
Long-term debt, net	2,000
Related Party July 2018 Note Payable To Great Harbor LLC [Member]
Long-term debt, net	3,697
Related-Party Debt January 2016 Note payable to Golisano Holdings LLC [Member]
Long-term debt, net	2,500	2,500
Related-Party Debt March 2016 note payable to Golisano Holdings LLC [Member]
Long-term debt, net	7,000	7,000
Related Part Debt July 2016 Note Payable To Golisano Holdings LLC [Member]
Long-term debt, net	4,770	4,770
Related Part Debt December 2016 Note Payable To Golisano Holdings LLC [Member]
Long-term debt, net	2,500	2,500
Related-party Debt March 2017 Note payable to Golisano Holdings LLC [Member]
Long-term debt, net	3,267	3,267
Related Party February 2018 Note Payable to Golisano Holdings LLC [Member]
Long-term debt, net	2,000
Related Party Debt November 2014 Note Payable to Golisano Holdings LLC (Formerly Penta Mezzanine SBIC Fund I, L.P.) [Member]
Long-term debt, net	7,119	6,509
Related-Party Debt January 2015 Note Payable to Golisano Holdings LLC (Formerly Payable to JL-BBNC Mezz Utah, LLC) [Member]
Long-term debt, net	3,857	3,171
February 2015 Note Payable to Golisano Holdings LLC (Formerly Payable to Penta Mezzanine SBIC Fund I, L.P.) [Member]
Long-term debt, net	1,922	1,869
Related Party Debt [Member]
Long-term debt, net	63,669	54,623
Senior Credit Facility With Midcap [Member]
Long-term debt, net	9,014	12,088
April 2016 Note Payable To JL-Utah Sub, LLC [Member]
Long-term debt, net	125	313
Unsecured Promissory Note with Huntington Holdings, LLC [Member]
Long-term debt, net	3,200	3,200
Debt Other Than Related Party Debt and Credit Facility [Member]
Other debt	3,714	4,765
Total debt	$ 3,714	$ 4,765