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Note 4 - Net Patient Revenues - Revenue Disaggregation (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Net patient revenues $ 269,605 $ 260,077 $ 527,612 $ 516,414
Revenue, concentration percentage 100.00% 100.00% 100.00% 100.00%
Medicare [Member]        
Revenue, concentration percentage 35.00% 36.00% 35.00% 37.00%
Inpatient Services [Member]        
Net patient revenues $ 236,760 $ 227,796 $ 462,929 $ 452,638
Managed Care [Member]        
Revenue, concentration percentage 9.00% 10.00% 10.00% 10.00%
Homecare and Hospice [Member]        
Net patient revenues $ 32,845 $ 32,281 $ 64,683 $ 63,776
Medicaid [Member]        
Revenue, concentration percentage 30.00% 29.00% 29.00% 28.00%
Private Pay and Other [Member]        
Revenue, concentration percentage 26.00% 25.00% 26.00% 25.00%