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Note 6 - Business Segments (Tables)
3 Months Ended
Mar. 31, 2019
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
   
Three Months Ended March 31, 2019
 
   
Inpatient
Services
   
Homecare
   
All Other
   
Total
 
Revenues:
                               
Net patient revenues
  $
221,635
    $
14,476
    $
-
    $
236,111
 
Other revenues
   
231
     
-
     
11,943
     
12,174
 
Net operating revenues
   
221,866
     
14,476
     
11,943
     
248,285
 
                                 
Costs and expenses:
                               
Salaries, wages and benefits
   
126,101
     
8,026
     
7,261
     
141,388
 
Other operating
   
62,629
     
4,252
     
2,551
     
69,432
 
Rent
   
8,291
     
462
     
1,485
     
10,238
 
Depreciation and amortization
   
9,653
     
61
     
803
     
10,517
 
Interest
   
348
     
-
     
578
     
926
 
Total costs and expenses
   
207,022
     
12,801
     
12,678
     
232,501
 
                                 
Income (loss) from operations
   
14,844
     
1,675
     
(735
)    
15,784
 
                                 
Non-operating income
   
-
     
-
     
6,001
     
6,001
 
Unrealized gains on marketable equity securities
   
-
     
-
     
6,838
     
6,838
 
                                 
Income before income taxes
  $
14,844
    $
1,675
    $
12,104
    $
28,623
 
   
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 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
)