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Note 2 - Summary of Significant Accounting Policies (Details Textual)
3 Months Ended 9 Months Ended
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Accounts Receivable, Credit Loss Expense (Reversal) $ 1,463,000 $ 827,000 $ 3,538,000 $ 2,866,000  
Accounts Receivable, Allowance for Credit Loss, Ending Balance 6,295,000   $ 6,295,000   $ 4,451,000
Number of Reportable Segments     2    
General and Administrative Expense, Total 10,921,000 $ 7,170,000 $ 24,535,000 $ 18,991,000  
Contract with Customer, Refund Liability, Total 7,462,000   7,462,000   7,455,000
Continuing Care Retirement Communities, Refund Obligation $ 2,035,000   $ 2,035,000   $ 2,035,000
Refundable Advance Fees [Member]          
Nonrefundable Resident Entry Fee Percentage     10.00%    
Original Entry Fee [Member]          
Refundable Resident Entry Fee Percentage     90.00%    
Appreciation [Member]          
Appreciation of Apartment Over Original Residents Entry Fee Percentage     40.00%    
Minimum [Member]          
Lessee, Operating Lease, Term of Contract (Year) 2 years   2 years    
Minimum [Member] | Building and Building Improvements [Member]          
Property, Plant and Equipment, Useful Life (Year)     20 years    
Minimum [Member] | Equipment and Furniture [Member]          
Property, Plant and Equipment, Useful Life (Year)     3 years    
Maximum [Member]          
Lessee, Operating Lease, Term of Contract (Year) 15 years   15 years    
Maximum [Member] | Building and Building Improvements [Member]          
Property, Plant and Equipment, Useful Life (Year)     40 years    
Maximum [Member] | Equipment and Furniture [Member]          
Property, Plant and Equipment, Useful Life (Year)     15 years