Note 4 - Property and Equipment  | 
6 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Notes to Financial Statements | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Property, Plant and Equipment Disclosure [Text Block] | 
 Note  4:  Property and EquipmentProperty and equipment consists of the following:  
 Depreciation expense was   $356,329  and $759,459  for the three  and six  months ended  June 30, 2017,  respectively. Depreciation expense was $462,233  and $864,100  for the three  and six  months ended  June 30, 2016,  respectively.In  
 December 2016,  the Company determined that 14  clinics from its Corporate Clinics segment met the criteria for classification as held for sale. Accordingly, in  December 2016,  the Company recognized a $2.4  million impairment charge to lower the carrying costs of the property and equipment to its estimated fair value less cost to sell which was recorded in the loss on disposition or impairment line of the 2016  consolidated statement of operations. The Company completed the sale of the property in the first  quarter of 2017  for nominal consideration. | 
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