Note 6 - Debt - Summary of Debt (Details) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Other debt	$ 91,695	$ 85,539
Total debt	91,695	85,539
Less current portion	(76,695)	(70,539)
Long-term debt	15,000	15,000
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	2,000
Related Party July 2018 Note Payable To Great Harbor LLC [Member]
Long-term debt, net	4,437	3,944
Related Party November 2018 Note Payable To Great Harbor LLC [Member]
Long-term debt, net	3,316	2,912
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	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	7,729	7,322
Related-Party Debt January 2015 Note Payable to Golisano Holdings LLC (Formerly Payable to JL-BBNC Mezz Utah, LLC) [Member]
Long-term debt, net	4,542	4,085
February 2015 Note Payable to Golisano Holdings LLC (Formerly Payable to Penta Mezzanine SBIC Fund I, L.P.) [Member]
Long-term debt, net	1,975	1,940
Term Loan [Member]
Long-term debt, net	15,000	15,000
Related Party Debt [Member]
Long-term debt, net	84,073	82,277
Senior Credit Facility With Midcap [Member]
Long-term debt, net	4,567
April 2016 Note Payable To JL-Utah Sub, LLC [Member]
Long-term debt, net		62
Unsecured Promissory Note with Huntington Holdings, LLC [Member]
Long-term debt, net	3,055	3,200
Debt Other Than Related Party Debt and Credit Facility [Member]
Other debt	3,055	3,262
Total debt	$ 3,055	$ 3,262