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Note 6 - Business Segments
6 Months Ended
Jun. 30, 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 June 30, 2018
 
   
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
215,617
    $
15,037
    $
-
    $
230,654
 
Other revenues
   
181
     
-
     
11,307
     
11,488
 
Net operating revenues
   
215,798
     
15,037
     
11,307
     
242,142
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
128,115
     
8,611
     
8,740
     
145,466
 
Other operating
   
56,069
     
4,740
     
1,780
     
62,589
 
Rent
   
8,267
     
485
     
1,520
     
10,272
 
Depreciation and amortization
   
9,571
     
44
     
782
     
10,397
 
Interest
   
383
     
-
     
870
     
1,253
 
Total costs and expenses
   
202,405
     
13,880
     
13,692
     
229,977
 
                                 
Income (loss) from operations
   
13,393
     
1,157
     
(2,385
)    
12,165
 
Non-operating income
   
-
     
-
     
5,654
     
5,654
 
Unrealized gains on marketable equity securities
   
-
     
-
     
12,448
     
12,448
 
                                 
Income before income taxes
  $
13,393
    $
1,157
    $
15,717
    $
30,267
 
 
 
   
Three Months Ended June 30, 2017
 
(As adjusted)
 
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
211,057
    $
16,028
    $
-
    $
227,085
 
Other revenues
   
225
     
-
     
11,385
     
11,610
 
Net operating revenues
   
211,282
     
16,028
     
11,385
     
238,695
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
125,614
     
8,615
     
8,455
     
142,684
 
Other operating
   
55,227
     
5,058
     
1,809
     
62,094
 
Rent
   
8,257
     
499
     
1,323
     
10,079
 
Depreciation and amortization
   
9,396
     
39
     
1,046
     
10,481
 
Interest
   
436
     
-
     
783
     
1,219
 
Total costs and expenses
   
198,930
     
14,211
     
13,416
     
226,557
 
                                 
Income (loss) from operations
   
12,352
     
1,817
     
(2,031
)    
12,138
 
                                 
Non-operating income
   
-
     
-
     
5,189
     
5,189
 
                                 
Income before income taxes
  $
12,352
    $
1,817
    $
3,158
    $
17,327
 
 
   
Six Months Ended June 30, 2018
 
   
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
431,968
    $
30,378
    $
-
    $
462,346
 
Other revenues
   
451
     
-
     
22,306
     
22,757
 
Net operating revenues
   
432,419
     
30,378
     
22,306
     
485,103
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
251,495
     
16,642
     
17,424
     
285,561
 
Other operating
   
113,904
     
10,019
     
3,838
     
127,761
 
Rent
   
16,524
     
973
     
3,004
     
20,501
 
Depreciation and amortization
   
19,032
     
82
     
1,625
     
20,739
 
Interest
   
780
     
-
     
1,713
     
2,493
 
Total costs and expenses
   
401,735
     
27,716
     
27,604
     
457,055
 
                                 
Income (loss) from operations
   
30,684
     
2,662
     
(5,298
)    
28,048
 
                                 
Non-operating income
   
-
     
-
     
2,589
     
2,589
 
Unrealized losses on marketable equity securities
   
-
     
-
     
(3,069
)    
(3,069
)
                                 
Income (loss) before income taxes
  $
30,684
    $
2,662
    $
(5,778
)   $
27,568
 
 
 
   
Six Months Ended June 30, 2017
 
(As adjusted)
 
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
422,497
    $
31,842
    $
-
    $
454,339
 
Other revenues
   
451
     
-
     
22,443
     
22,894
 
Net operating revenues
   
422,948
     
31,842
     
22,443
     
477,233
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
245,238
     
16,442
     
19,059
     
280,739
 
Other operating
   
111,392
     
10,193
     
3,687
     
125,272
 
Rent
   
16,424
     
987
     
2,756
     
20,167
 
Depreciation and amortization
   
18,605
     
80
     
2,091
     
20,776
 
Interest
   
886
     
-
     
1,391
     
2,277
 
Total costs and expenses
   
392,545
     
27,702
     
28,984
     
449,231
 
                                 
Income (loss) from operations
   
30,403
     
4,140
     
(6,541
)    
28,002
 
                                 
Non-operating income
   
-
     
-
     
9,957
     
9,957
 
                                 
Income before income taxes
  $
30,403
    $
4,140
    $
3,416
    $
37,959