Note 3 - Net Patient Revenues - Revenue Disaggregation (Details) - USD ($) $ in Thousands	3 Months Ended
Mar. 31, 2020	Mar. 31, 2019
Net patient revenues	$ 244,095	$ 236,111
Revenue, concentration percentage	100.00%	100.00%
Medicare [Member]
Revenue, concentration percentage	34.00%	36.00%
Inpatient Services [Member]
Net patient revenues	$ 230,987	$ 221,635
Managed Care [Member]
Revenue, concentration percentage	11.00%	12.00%
Homecare [Member]
Net patient revenues	$ 13,108	$ 14,476
Medicaid [Member]
Revenue, concentration percentage	29.00%	26.00%
Private Pay and Other [Member]
Revenue, concentration percentage	26.00%	26.00%

Amount, including tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value-added and excise.

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+ Details