Note 3 - Acquisition of White Oak Senior Living (Details Textual)		3 Months Ended		9 Months Ended
	Aug. 01, 2024 USD ($)	Sep. 30, 2024 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2024 USD ($)	Sep. 30, 2023 USD ($)
Number of Skilled Nursing Ficilitiess		80		80
Number of Independent Living Facilities		9		9
Revenue from Contract with Customer, Including Assessed Tax		$ 328,674,000	$ 277,005,000	$ 894,415,000	$ 804,617,000
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest		58,038,000	$ 14,029,000	130,351,000	$ 52,073,000
White Oak Senior Living Portfolio [Member]
Business Combination, Consideration Transferred	$ 221,400,000
Number of Healthcare Operations	22
Number of Skilled Nursing Ficilitiess	15
Number of Independent Living Facilities	4
Number of Long-term Care Pharmacies	1
Number of Licensed Skilled Nursing Beds	1,928
Number of Assisted Living Units	48
Number of Independent Living Units	302
Number of Assisted Living and Independent Living Units	2,278
Number of Continuing Care Retirement Centers	3
Revenue from Contract with Customer, Including Assessed Tax		37,305,000		37,305,000
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest		1,557,000		1,557,000
Business Combination, Acquisition Related Costs		$ 637,000		$ 2,831,000
White Oak Senior Living Portfolio [Member] | SOUTH CAROLINA
Number of Skilled Nursing Facilities	9