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Note 3 - Property and Equipment - Summary of Property and Equipment (Details) - USD ($)
Dec. 31, 2022
Dec. 31, 2021
Property and equipment, gross   $ 73,951,000
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, after Accumulated Depreciation and Amortization, Total $ 74,237,000  
Accumulated depreciation (50,770,000) (45,697,000)
Net property and equipment 23,467,000 28,254,000
Medical Equipment and Facilities [Member]    
Property and equipment, gross 73,709,000 73,388,000
Office Equipment [Member]    
Property and equipment, gross 422,000 472,000
Construction in Progress [Member]    
Property and equipment, gross $ 106,000 $ 91,000