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)

v3.8.0.1
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, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Clinics in operation at the end of the period 389 354 389 354    
Number of Stores 389 354 389 354 389 354
Clinics licenses sold but not yet developed         105 134
Executed letters of intent for future clinic licenses         5
Franchised Units [Member]            
Clinics open at beginning of period 336 280 309 265    
Opened or Purchased during the period 6 13 35 38    
Acquired during the period (6)    
Closed during the period (2) (4)    
Clinics in operation at the end of the period 342 293 342 293    
Acquired during the period 6    
Number of Stores 336 280 309 265 342 293
Entity Operated Units [Member]            
Clinics open at beginning of period 47 61 61 47    
Opened or Purchased during the period 8    
Acquired during the period (6)    
Closed during the period (14)    
Clinics in operation at the end of the period 47 61 47 61    
Acquired during the period 6    
Number of Stores 47 61 61 47 47 61