Note 12 - Goodwill and Other Intangible Assets - Indefinite-lived Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2024	Dec. 31, 2023
Indefinite-lived intangible assets	$ 19,864	$ 7,038
Trade Names [Member]
Indefinite-lived intangible assets	15,896	4,340
Certificates of Need [Member]
Indefinite-lived intangible assets	1,756	532
Licensing Agreements [Member]
Indefinite-lived intangible assets	$ 2,212	$ 2,166