Note 4 - Net Patient Revenues - Revenue Disaggregation (Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023
Net patient revenues	$ 328,674	$ 277,005	$ 894,415	$ 804,617
Revenue, concentration percentage	100.00%	100.00%	100.00%	100.00%
Medicare [Member]
Revenue, concentration percentage	30.00%	33.00%	32.00%	35.00%
Inpatient Services [Member]
Net patient revenues	$ 293,026	$ 243,865	$ 790,664	$ 706,795
Managed Care [Member]
Revenue, concentration percentage	9.00%	10.00%	10.00%	10.00%
Homecare and Hospice [Member]
Net patient revenues	$ 35,648	$ 33,140	$ 103,751	$ 97,822
Medicaid [Member]
Revenue, concentration percentage	33.00%	32.00%	30.00%	30.00%
Private Pay and Other [Member]
Revenue, concentration percentage	28.00%	25.00%	28.00%	25.00%

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