Annual report pursuant to Section 13 and 15(d)

Note 1 - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details)

v3.3.1.900
Note 1 - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details)
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Franchised Units [Member]        
Clinics open at beginning of period 242 175    
Opened during the period 54 73    
Acquired during the period (24)      
Closed during the period (7) (2)    
Clinics in operation at the end of the period 265 242    
Acquired during the period 24      
Total clinics in operation at the end of the period 242 242 265 242
Entity Operated Units [Member]        
Clinics open at beginning of period 4      
Opened during the period 21      
Acquired during the period (24)      
Closed during the period (2)      
Clinics in operation at the end of the period 47 4    
Acquired during the period 24      
Total clinics in operation at the end of the period 4 4 47 4
Clinics open at beginning of period 246      
Clinics in operation at the end of the period 312 246    
Total clinics in operation at the end of the period 312 246 312 246
Clinics licenses sold but not yet developed     168 268