Note 3 - Net Patient Revenues - Revenue Disaggregation (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Net patient revenues	$ 1,251,759	$ 1,087,614	$ 1,029,085
Revenue, concentration percentage	100.00%	100.00%	100.00%
Inpatient Services [Member]
Net patient revenues	$ 1,111,300	$ 956,077	$ 900,231
Medicare [Member]
Revenue, concentration percentage	33.00%	34.00%	37.00%
Homecare and Hospice [Member]
Net patient revenues	$ 140,459	$ 131,537	$ 128,854
Managed Care [Member]
Revenue, concentration percentage	10.00%	10.00%	10.00%
Medicaid [Member]
Revenue, concentration percentage	29.00%	30.00%	28.00%
Private Pay and Other [Member]
Revenue, concentration percentage	28.00%	26.00%	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