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Note 3 - Net Patient Revenues - Revenue Disaggregation (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Net patient revenues | $ 1,251,759 | $ 1,087,614 | $ 1,029,085
Revenue, concentration percentage | 100.00% | 100.00% | 100.00%
Inpatient Services [Member] |  |  |
Net patient revenues | $ 1,111,300 | $ 956,077 | $ 900,231
Medicare [Member] |  |  |
Revenue, concentration percentage | 33.00% | 34.00% | 37.00%
Homecare and Hospice [Member] |  |  |
Net patient revenues | $ 140,459 | $ 131,537 | $ 128,854
Managed Care [Member] |  |  |
Revenue, concentration percentage | 10.00% | 10.00% | 10.00%
Medicaid [Member] |  |  |
Revenue, concentration percentage | 29.00% | 30.00% | 28.00%
Private Pay and Other [Member] |  |  |
Revenue, concentration percentage | 28.00% | 26.00% | 25.00%

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