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Note 5 - Business Segments (Tables)
12 Months Ended
Dec. 31, 2018
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
   
Year Ended December 31, 2018
 
   
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
872,912
    $
59,862
    $
-
    $
932,774
 
Other revenues
   
2,494
     
-
     
45,081
     
47,575
 
Net operating revenues
   
875,406
     
59,862
     
45,081
     
980,349
 
                                 
Costs and Expenses:
                               
Salaries, wages and benefits
   
513,647
     
33,339
     
35,735
     
582,721
 
Other operating
   
225,133
     
19,566
     
9,339
     
254,038
 
Facility rent
   
33,052
     
1,945
     
5,926
     
40,923
 
Depreciation and amortization
   
38,372
     
229
     
3,293
     
41,894
 
Interest
   
1,504
     
-
     
3,193
     
4,697
 
Total costs and expenses
   
811,708
     
55,079
     
57,486
     
924,273
 
                                 
Income (loss) before non-operating income
   
63,698
     
4,783
     
(12,405
)    
56,076
 
Non-operating income
   
-
     
-
     
17,670
     
17,670
 
Unrealized gains on marketable securities
   
-
     
-
     
1,138
     
1,138
 
                                 
Income before income taxes
  $
63,698
    $
4,783
    $
6,403
    $
74,884
 
   
Year Ended December 31, 2017
 
(As adjusted)
 
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
853,662
    $
63,080
    $
-
    $
916,742
 
Other revenues
   
663
     
-
     
46,490
     
47,153
 
Net operating revenues
   
854,325
     
63,080
     
46,490
     
963,895
 
                                 
Costs and Expenses:
                               
Salaries, wages and benefits
   
501,510
     
33,059
     
37,474
     
572,043
 
Other operating
   
221,414
     
20,855
     
7,564
     
249,833
 
Facility rent
   
32,744
     
1,980
     
5,643
     
40,367
 
Depreciation and amortization
   
38,246
     
177
     
4,229
     
42,652
 
Interest
   
1,719
     
-
     
3,171
     
4,890
 
Total costs and expenses
   
795,633
     
56,071
     
58,081
     
909,785
 
                                 
Income (loss) before non-operating income
   
58,692
     
7,009
     
(11,591
)    
54,110
 
                                 
Non-operating income
   
-
     
-
     
20,439
     
20,439
 
                                 
Income before income taxes
  $
58,692
    $
7,009
    $
8,848
    $
74,549
 
   
Year Ended December 31, 2016
 
(As adjusted)
 
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
814,010
    $
63,656
    $
-
    $
877,666
 
Other revenues
   
651
     
-
     
45,263
     
45,914
 
Net operating revenues
   
814,661
     
63,656
     
45,263
     
923,580
 
                                 
Costs and Expenses:
                               
Salaries, wages and benefits
   
480,058
     
32,597
     
35,352
     
548,007
 
Other operating
   
202,827
     
20,705
     
7,243
     
230,775
 
Facility rent
   
33,129
     
1,932
     
6,231
     
41,292
 
Depreciation and amortization
   
34,423
     
190
     
4,410
     
39,023
 
Interest
   
1,921
     
-
     
2,020
     
3,941
 
Total costs and expenses
   
752,358
     
55,424
     
55,256
     
863,038
 
                                 
Income (loss) before non-operating income
   
62,303
     
8,232
     
(9,993
)    
60,542
 
                                 
Non-operating income
   
-
     
-
     
19,665
     
19,665
 
                                 
Income before income taxes
  $
62,303
    $
8,232
    $
9,672
    $
80,207