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Note 5 - Business Segments (Tables)
12 Months Ended
Dec. 31, 2019
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
   

Year Ended December 31, 2019

 
   

Inpatient

Services

   

Homecare

   

All Other

   

Total

 

Revenues:

                               

Net patient revenues

  $ 893,201     $ 54,671     $     $ 947,872  

Other revenues

    910             47,601       48,511  

Net operating revenues

    894,111       54,671       47,601       996,383  
                                 

Costs and Expenses:

                               

Salaries, wages and benefits

    526,430       33,037       33,364       592,831  

Other operating

    242,435       17,003       9,004       268,442  

Facility rent

    32,748       1,854       5,916       40,518  

Depreciation and amortization

    38,731       250       3,438       42,419  

Interest

    1,578             1,557       3,135  

Total costs and expenses

    841,922       52,144       53,279       947,345  
                                 

Income (loss) before non-operating income

    52,189       2,527       (5,678 )     49,038  

Non-operating income

                26,747       26,747  

Unrealized gains on marketable equity securities

                12,230       12,230  
                                 

Income before income taxes

  $ 52,189     $ 2,527     $ 33,299     $ 88,015  
   

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

 
   

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