Note 21 - Discontinued Operations - Cash Flow From Discontinued Operating Activities (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Depreciation $ 21,699 $ 20,234 $ 14,051
Amortization 26,026 38,067 15,437
Stock-based compensation 5,136 26,622 7,562
Deferred income taxes (14,130) (10) (5,208)
Asset Impairment Charges 21,003 1,593 6,915
Discontinued Operations [Member]      
Depreciation 3,661 5,746 3,810
Amortization 17,460 28,557 8,464
Stock-based compensation (18) 115 6
Deferred income taxes 52,338 (4,950) 528
Purchase of property and equipment 9,174 10,303 6,881
Asset Impairment Charges   1,593 6,915
Human Services [Member] | Discontinued Operations [Member]      
Depreciation 2,376 3,202
Amortization 2,455 3,453
Stock-based compensation 7 6
Deferred income taxes (5,680) (155)
Purchase of property and equipment 2,224 4,766
Asset Impairment Charges   1,593 6,915
HA Services [Member] | Discontinued Operations [Member]      
Depreciation 3,661 3,370 608
Amortization 17,460 26,102 5,011
Stock-based compensation (18) 108
Deferred income taxes 52,338 730 683
Purchase of property and equipment $ 9,174 8,079 2,115
Asset Impairment Charges