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Note 6 - Acquisitions (Details Textual) - USD ($) $ in Millions |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | ---
Sep. 09, 2020 | Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019 | Dec. 31, 2019
Escrow Deposit |  |  | $ 16.8 |  | $ 16.8 |  | $ 10.5
Goodwill, Ending Balance |  |  | 3,924.9 |  | 3,924.9 |  | 3,864.3
Current Portion of Escrow |  |  | 1.7 |  | 1.7 |  | 0.5
Payment for Contingent Consideration Liability, Financing Activities |  |  | (0.0) | $ (0.0) | 34.2 | $ (0.0) |
Franco Signor [Member] |  |  |  |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired |  | 100.00% |  |  |  |  |
Business Combination, Consideration Transferred, Total |  | $ 159.9 |  |  |  |  |
Escrow Deposit |  | 8.0 |  |  |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Restricted Cash | [1] | 5.7 |  |  |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Offsetting Liability Included Within Current Liabilities |  | 5.7 |  |  |  |  |
Goodwill, Ending Balance |  | 99.9 |  |  |  |  |
Business Acquisition, Goodwill Non-tax Deductible, Amount |  | $ 22.8 |  |  |  |  |
Business Combination, Acquisition Related Costs |  |  | 0.5 |  | 0.5 |  |
The 2019 Acquisitions [Member] |  |  |  |  |  |  |
Business Combination, Acquisition Related Costs |  |  |  | $ 0.3 |  | $ 1.6 |
Healix International Holdings Limited and Rebmark Legal Solutions Limited [Member] |  |  |  |  |  |  |
Business Combination, Contingent Consideration, Liability, Current |  |  | 12.6 |  | 12.6 |  | 111.2
Payment for Contingent Consideration Liability, Financing Activities |  |  |  |  | 98.6 |  |
Business Combination, Acquisition Related Liability, Current |  |  | $ 0.2 |  | $ 0.2 |  | $ 0.2
[1] | Within cash and cash equivalents, there is $5.7 million of restricted cash related to Franco Signor's professional administrative services for Medicare Set Asides, with an offsetting liability of $5.7 million included within current liabilities.

X
- Definition Percentage of voting equity interests acquired at the acquisition date in the business combination. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=79982066&loc=d3e1392-128463 + Details
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X
- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 23 -URI http://asc.fasb.org/extlink&oid=116868678&loc=d3e1043-128460 + Details
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- Definition Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6613-128477 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=120321790&loc=d3e6927-128479 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6578-128477 + Details
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- Definition Amount of liability recognized arising from contingent consideration in a business combination, expected to be settled within one year or the normal operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6408-128476 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 35 -Paragraph 1 -Subparagraph b -URI http://asc.fasb.org/extlink&oid=116859824&loc=d3e6819-128478 + Details
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- Definition The designation of funds furnished by a borrower to a lender to assure future payments of the borrower's real estate taxes and insurance obligations with respect to a mortgaged property. Escrow deposits may be made for a variety of other purposes such as earnest money and contingent payments. This element excludes replacement reserves which are an escrow separately provided for within the US GAAP taxonomy. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03.10) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 + Details
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- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(10)(1)) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=120320667&loc=SL49117168-202975 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13770-109266 + Details
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- Definition Amount of cash outflow, not made soon after acquisition date of business combination, to settle contingent consideration liability up to amount recognized at acquisition date, including, but not limited to, measurement period adjustment and less amount paid soon after acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (f) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3291-108585 + Details
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- Definition The amount of goodwill that is non-tax deductible in a business acquisition. + References No definition available. + Details
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- Definition The amount of acquisition related liability classified as current in a business combination. + References No definition available. + Details
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- Definition Amount of offsetting liability included within current liabilities at the acquisition date. + References No definition available. + Details
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- Definition The amount of restricted cash recognized as of the acquisition date. + References No definition available. + Details
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- Definition The designation of funds expected to be paid during the twelve-month period following the balance sheet date which is furnished by a borrower to a lender to assure future payments of the borrower's real estate taxes and insurance obligations with respect to a mortgaged property. Escrow deposits may be made for a variety of other purposes such as earnest money and contingent payments. This element excludes replacement reserves which are an escrow separately provided for within the US GAAP taxonomy. + References No definition available. + Details
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