v3.26.1
Note 4 - Net Patient Revenues (Details Textual) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Dec. 31, 2025
Revenue from Contract with Customer, Including Assessed Tax $ 378,359,000 $ 363,349,000 $ 748,164,000 $ 724,956,000  
Medicare and Medicaid [Member]          
Accounts Receivable, Allowance for Credit Loss 14,868,000   14,868,000   $ 13,739,000
Medicaid [Member]          
Revenue from Contract with Customer, Including Assessed Tax $ 1,821,000 $ 1,812,000 $ 3,605,000 $ 3,684,000