Quarterly report pursuant to Section 13 or 15(d)

Note 1 - Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details)

v3.10.0.1
Note 1 - Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Clinics in operation at the end of the period 422 389 422 389    
Total clinics in operation at the end of the period 422 389 422 389 422 389
Clinic licenses sold but not yet developed         126 105
Executed letters of intent for future clinic licenses         12 5
Franchised Units [Member]            
Clinics open at beginning of period 365 336 352 309    
Opened or purchased during the period 10 6 25 35    
Acquired during the period (1)    
Closed during the period (1) (2) (2)    
Clinics in operation at the end of the period 374 342 374 342    
Opened during the period 10 6 25 35    
Acquired during the period 1    
Closed or sold during the period (1) (2) (2)    
Total clinics in operation at the end of the period 365 336 352 309 374 342
Entity Operated Units [Member]            
Clinics open at beginning of period 48 47 47 61    
Opened or purchased during the period    
Acquired during the period (1)    
Closed during the period (14)    
Clinics in operation at the end of the period 48 47 48 47    
Opened during the period    
Acquired during the period 1    
Closed or sold during the period (14)    
Total clinics in operation at the end of the period 48 47 47 61 48 47