Note 12 - Goodwill and Other Intangible Assets (Details Textual) - USD ($)	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022	Aug. 01, 2024
Goodwill and Intangible Asset Impairment	$ 0	$ 0	$ 0
Goodwill	170,478,000	$ 168,295,000	$ 168,295,000
White Oak Senior Living Portfolio [Member]
Goodwill	2,183,000			$ 2,183,000
Acquisition of Caris [Member] | Trade Names [Member]
Indefinite-Lived Intangible Assets Acquired	11,556,000
Acquisition of Caris [Member] | Certificates of Need and Licenses [Member]
Indefinite-Lived Intangible Assets Acquired	$ 1,270,000