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Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($)
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Revenues:    
Net patient revenues $ 361,607,000 $ 285,823,000
Other revenues 12,090,000 11,353,000
Net operating revenues 373,697,000 297,176,000
Costs and expenses:    
Salaries, wages, and benefits 228,130,000 183,138,000
Other operating 92,457,000 77,429,000
Rent 11,365,000 10,348,000
Depreciation and amortization 10,978,000 10,586,000
Total costs and expenses 342,930,000 281,501,000
Income/(loss) from operations 30,767,000 15,675,000
Non-operating income (loss) 4,079,000 5,685,000
Interest expense 2,106,000 46,000
Unrealized gains on marketable equity securities 10,982,000 14,399,000
Income/(loss) before income taxes 43,722,000 35,713,000
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member]    
Revenues:    
Net patient revenues 0 0
Other revenues 11,717,000 11,338,000
Net operating revenues 11,717,000 11,338,000
Costs and expenses:    
Salaries, wages, and benefits 13,289,000 11,239,000
Other operating 3,329,000 2,774,000
Rent 1,923,000 1,670,000
Depreciation and amortization 786,000 769,000
Total costs and expenses 19,327,000 16,452,000
Income/(loss) from operations (7,610,000) (5,114,000)
Non-operating income (loss) 4,079,000 5,685,000
Interest expense (0) (0)
Unrealized gains on marketable equity securities 10,982,000 14,399,000
Income/(loss) before income taxes 7,451,000 14,970,000
Inpatient Services Segment [Member] | Operating Segments [Member]    
Revenues:    
Net patient revenues 325,478,000 252,254,000
Other revenues 373,000 15,000
Net operating revenues 325,851,000 252,269,000
Costs and expenses:    
Salaries, wages, and benefits 192,437,000 150,890,000
Other operating 81,870,000 68,683,000
Rent 8,834,000 8,112,000
Depreciation and amortization 10,062,000 9,630,000
Total costs and expenses 293,203,000 237,315,000
Income/(loss) from operations 32,648,000 14,954,000
Non-operating income (loss) 0 0
Interest expense 2,106,000 46,000
Unrealized gains on marketable equity securities 0 0
Income/(loss) before income taxes 30,542,000 14,908,000
Homecare Services Segment [Member] | Operating Segments [Member]    
Revenues:    
Net patient revenues 36,129,000 33,569,000
Other revenues 0 0
Net operating revenues 36,129,000 33,569,000
Costs and expenses:    
Salaries, wages, and benefits 22,404,000 21,009,000
Other operating 7,258,000 5,972,000
Rent 608,000 566,000
Depreciation and amortization 130,000 187,000
Total costs and expenses 30,400,000 27,734,000
Income/(loss) from operations 5,729,000 5,835,000
Non-operating income (loss) 0 0
Interest expense (0) (0)
Unrealized gains on marketable equity securities 0 0
Income/(loss) before income taxes $ 5,729,000 $ 5,835,000