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Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($)
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Revenues:        
Net patient revenues $ 279,918,000 $ 269,605,000 $ 565,741,000 $ 527,612,000
Other revenues 11,295,000 12,977,000 22,648,000 24,533,000
Government stimulus income 9,445,000 0 9,445,000 0
Net operating revenues and grant income 300,658,000 282,582,000 597,834,000 552,145,000
Costs and expenses:        
Salaries, wages, and benefits 180,076,000 175,294,000 363,214,000 343,118,000
Other operating 78,154,000 73,234,000 155,583,000 144,723,000
Rent 10,570,000 9,901,000 20,918,000 19,993,000
Depreciation and amortization 9,338,000 10,083,000 19,924,000 20,131,000
Interest 0 93,000 46,000 191,000
Total costs and expenses 278,138,000 268,605,000 559,685,000 528,156,000
Income from operations 22,520,000 13,977,000 38,149,000 23,989,000
Non-operating income (loss) 4,956,000 3,696,000 10,641,000 8,019,000
Unrealized gains on marketable equity securities 9,124,000 4,650,000 23,523,000 6,036,000
Income before income taxes 36,600,000 22,323,000 72,313,000 38,044,000
Inpatient Services Segment [Member]        
Revenues:        
Net patient revenues 245,385,000 236,760,000 497,638,000 462,929,000
Other revenues 324,000 326,000 339,000 597,000
Government stimulus income 0   0  
Net operating revenues and grant income 245,709,000 237,086,000 497,977,000 463,526,000
Costs and expenses:        
Salaries, wages, and benefits 148,059,000 144,666,000 298,949,000 283,605,000
Other operating 66,813,000 64,535,000 135,496,000 128,245,000
Rent 8,262,000 7,857,000 16,374,000 15,709,000
Depreciation and amortization 8,383,000 9,153,000 18,013,000 18,271,000
Interest 0 93,000 46,000 191,000
Total costs and expenses 231,517,000 226,304,000 468,878,000 446,021,000
Income from operations 14,192,000 10,782,000 29,099,000 17,505,000
Non-operating income (loss) 0 0 0 0
Unrealized gains on marketable equity securities 0 0 0 0
Income before income taxes 14,192,000 10,782,000 29,099,000 17,505,000
Homecare Services Segment [Member]        
Revenues:        
Net patient revenues 34,533,000 32,845,000 68,103,000 64,683,000
Other revenues 0 0 0 0
Government stimulus income 0   0  
Net operating revenues and grant income 34,533,000 32,845,000 68,103,000 64,683,000
Costs and expenses:        
Salaries, wages, and benefits 21,296,000 20,494,000 42,305,000 40,737,000
Other operating 6,394,000 5,990,000 12,367,000 11,488,000
Rent 567,000 543,000 1,133,000 1,101,000
Depreciation and amortization 186,000 184,000 374,000 369,000
Interest 0 0 0 0
Total costs and expenses 28,443,000 27,211,000 56,179,000 53,695,000
Income from operations 6,090,000 5,634,000 11,924,000 10,988,000
Non-operating income (loss) 0 0 0 0
Unrealized gains on marketable equity securities 0 0 0 0
Income before income taxes 6,090,000 5,634,000 11,924,000 10,988,000
Other Operating Segment [Member]        
Revenues:        
Net patient revenues 0 0 0 0
Other revenues 10,971,000 12,651,000 22,309,000 23,936,000
Government stimulus income 9,445,000   9,445,000  
Net operating revenues and grant income 20,416,000 12,651,000 31,754,000 23,936,000
Costs and expenses:        
Salaries, wages, and benefits 10,721,000 10,134,000 21,960,000 18,776,000
Other operating 4,947,000 2,709,000 7,720,000 4,990,000
Rent 1,741,000 1,501,000 3,411,000 3,183,000
Depreciation and amortization 769,000 746,000 1,537,000 1,491,000
Interest 0 0 0 0
Total costs and expenses 18,178,000 15,090,000 34,628,000 28,440,000
Income from operations 2,238,000 (2,439,000) (2,874,000) (4,504,000)
Non-operating income (loss) 4,956,000 3,696,000 10,641,000 8,019,000
Unrealized gains on marketable equity securities 9,124,000 4,650,000 23,523,000 6,036,000
Income before income taxes $ 16,318,000 $ 5,907,000 $ 31,290,000 $ 9,551,000