Note 2 - Property and Equipment - Summary of Property and Equipment (Details) - USD ($)	Sep. 30, 2024	Dec. 31, 2023
Property and equipment, gross		$ 81,227,000
Property, Plant, and Equipment and Finance Lease Right-of-Use Asset, after Accumulated Depreciation and Amortization, Total	$ 80,692,000
Accumulated depreciation	(45,885,000)	(55,383,000)
Net property and equipment	34,807,000	25,844,000
Property and equipment, net	34,807,000	25,844,000
Non-US [Member]
Net property and equipment	5,934,000	6,174,000
Property and equipment, net	5,934,000	6,174,000
Medical Equipment and Facilities [Member]
Property and equipment, gross	78,981,000	77,150,000
Office Equipment [Member]
Property and equipment, gross	490,000	306,000
Construction in Progress [Member]
Property and equipment, gross	$ 1,221,000	$ 3,771,000