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Note 3 - Net Patient Revenues (Details Textual) - USD ($)
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Dec. 31, 2023
Revenue from Contract with Customer, Including Assessed Tax $ 279,918,000 $ 269,605,000 $ 565,741,000 $ 527,612,000  
Accounts Receivable, Allowance for Credit Loss 10,074,000   10,074,000   $ 8,054,000
Medicare and Medicaid [Member]          
Accounts Receivable, Allowance for Credit Loss 18,218,000   18,218,000   $ 18,369,000
Medicaid [Member]          
Revenue from Contract with Customer, Including Assessed Tax $ 2,585,000 $ 6,247,000 $ 6,047,000 $ 11,130,000