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Note 4 - Other Revenues (Details Textual) | 1 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2023 USD ($) | Dec. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($)
Insurance Services Revenue |  | $ 3,344,000 | $ 3,857,000 | $ 4,766,000
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property |  | (0) | 6,230,000 | (0)
Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Exchange [Member] | Land [Member] |  |  |  |
Property, Plant, and Equipment, Fair Value Disclosure | $ 8,000,000 |  | 8,000,000 |
Inventory, Land, Held-for-Sale | 1,770,000 |  | 1,770,000 |
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property | 6,230,000 |  |  |
Workers Compensation Revenue [Member] |  |  |  |
Insurance Services Revenue |  | 2,186,000 | 2,611,000 | 2,689,000
Professional Liability Insurance [Member] |  |  |  |
Insurance Services Revenue |  | $ 1,158,000 | 1,246,000 | 2,077,000
National [Member] |  |  |  |
Number of Skilled Nursing Ficilitiess |  | 5 |  |
Property Management Fee Revenue |  | $ 5,643,000 | 5,200,000 | 4,332,000
Unbilled Receivables, Current | $ 19,049,000 | 18,975,000 | 19,049,000 |
Management Services Provided to Other Facilities [Member] |  |  |  |
Property Management Fee Revenue |  | $ 11,594,000 | $ 13,344,000 | $ 11,828,000
FLORIDA |  |  |  |
Number of Skilled Nursing Ficilitiess |  | 4 |  |

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