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Note 6 - Goodwill and Other Intangible Assets - Changes in Carrying Amount of Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Goodwill, balance as of the beginning of the period $ 128,504 $ 28,916
Goodwill acquired during the period 248 99,588
Goodwill, balance as of the end of the period 128,752 128,504
UNITED STATES    
Goodwill, balance as of the beginning of the period 123,635 24,047
Goodwill acquired during the period 248 99,588
Goodwill, balance as of the end of the period 123,883 123,635
Europe [Member]    
Goodwill, balance as of the beginning of the period 4,239 4,239
Goodwill acquired during the period
Goodwill, balance as of the end of the period 4,239 4,239
JAPAN    
Goodwill, balance as of the beginning of the period 630 630
Goodwill acquired during the period
Goodwill, balance as of the end of the period $ 630 $ 630