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Note 3 - Net Patient Revenues (Details Textual) - USD ($)
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Revenue from Contract with Customer, Including Assessed Tax $ 285,823,000 $ 258,007,000  
Contract with Customer, Liability, Current 7,667,000   $ 0
Accounts Receivable, Allowance for Credit Loss 9,174,000   8,054,000
Medicare and Medicaid [Member]      
Accounts Receivable, Allowance for Credit Loss 19,988,000   $ 18,369,000
Medicaid [Member]      
Revenue from Contract with Customer, Including Assessed Tax $ 3,462,000 $ 4,883,000