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Note 19 - Financial Instruments (Tables)
12 Months Ended
Dec. 31, 2020
Notes Tables  
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
    Carrying value at   Fair value measurements
    December 31, 2020   Level 1   Level 2   Level 3
                 
Contingent consideration liability   $
24,128
    $
-
    $
-
    $
24,128
 
Interest rate swap liability    
2,101
     
-
     
2,101
     
-
 
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Balance, December 31, 2019   $
14,423
 
Amounts recognized on acquisitions    
13,259
 
Amounts recognized on acquisitions of management contracts    
890
 
Fair value adjustments    
(261
)
Resolved and settled in cash    
(4,664
)
Other    
481
 
Balance, December 31, 2020   $
24,128
 
         
Less: current portion   $
4,243
 
Non-current portion   $
19,885
 
Fair Value, by Balance Sheet Grouping [Table Text Block]
    2020   2019
    Carrying   Fair   Carrying   Fair
    amount   value   amount   value
                 
Other receivables   $
4,170
    $
4,170
    $
4,033
    $
4,033
 
Long-term debt    
589,604
     
604,091
     
766,623
     
779,279