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Note 6 - Business Segments
3 Months Ended
Mar. 31, 2018
Notes to Financial Statements  
Segment Reporting Disclosure [Text Block]
Note
6
– Business Segments
 
The Company has
two
reportable operating segments: (
1
) inpatient services, which includes the operation of skilled nursing facilities and assisted and independent living facilities, and (
2
) homecare services. These reportable operating segments are consistent with information used by the Company’s Chief Executive Officer, as CODM, to assess performance and allocate resources.
 
The Company also reports an “all other” category that includes revenues from rental income, management and accounting services fees, insurance services, and costs of the corporate office. For additional information on these reportable segments see Note
2
 -
Summary of Significant Accounting Policies.
 
The Company’s CODM evaluates performance and allocates capital resources to each segment based on an operating model that is designed to improve the quality of patient care and profitability of the Company while enhancing long-term shareholder value. The CODM does
not
review assets by segment in his resource allocation and therefore, assets by segment are
not
disclosed below.
 
The following table sets forth the Company’s unaudited interim condensed consolidated statements of operations by business segment
(in thousands
):
 
   
Three Months Ended March 31, 2018
 
   
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
216,351
    $
15,341
    $
-
    $
231,692
 
Other revenues
   
271
     
-
     
10,998
     
11,269
 
Net operating revenues
   
216,622
     
15,341
     
10,998
     
242,961
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
123,380
     
8,030
     
8,685
     
140,095
 
Other operating
   
57,835
     
5,279
     
2,058
     
65,172
 
Rent
   
8,258
     
487
     
1,484
     
10,229
 
Depreciation and amortization
   
9,461
     
38
     
843
     
10,342
 
Interest
   
396
     
-
     
844
     
1,240
 
Total costs and expenses
   
199,330
     
13,834
     
13,914
     
227,078
 
                                 
Income (loss) from operations
   
17,292
     
1,507
     
(2,916
)    
15,883
 
                                 
Non-operating income (loss)
   
-
     
-
     
(3,065
)    
(3,065
)
Unrealized losses on marketable equity securities
   
-
     
-
     
(15,517
)    
(15,517
)
                                 
Income (loss) before income taxes
  $
17,292
    $
1,507
    $
(21,498
)   $
(2,699
)
 
 
   
Three Months Ended March 31, 2017
 
(As adjusted)
 
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
211,597
    $
15,657
    $
-
    $
227,254
 
Other revenues
   
226
     
-
     
11,058
     
11,284
 
Net operating revenues
   
211,823
     
15,657
     
11,058
     
238,538
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
119,623
     
7,828
     
10,604
     
138,055
 
Other operating
   
56,165
     
5,135
     
1,878
     
63,178
 
Rent
   
8,166
     
489
     
1,433
     
10,088
 
Depreciation and amortization
   
9,209
     
40
     
1,046
     
10,295
 
Interest
   
449
     
-
     
609
     
1,058
 
Total costs and expenses
   
193,612
     
13,492
     
15,570
     
222,674
 
                                 
Income (loss) from operations
   
18,211
     
2,165
     
(4,512
)    
15,864
 
                                 
Non-operating income
   
-
     
-
     
4,768
     
4,768
 
                                 
Income before income taxes
  $
18,211
    $
2,165
    $
256
    $
20,632