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Note 6 - Business Segments (Tables)
6 Months Ended
Jun. 30, 2018
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
   
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