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Note 7 - Business Segments (Tables)
9 Months Ended
Sep. 30, 2020
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
  

Three Months Ended September 30, 2020

 
  

Inpatient
Services

  

Homecare

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $214,211  $13,172  $-  $227,383 

Other revenues

  84   -   11,027   11,111 

Government stimulus income

  12,132   -   -   12,132 

Net operating revenues and grant income

  226,427   13,172   11,027   250,626 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  132,245   8,210   11,109   151,564 

Other operating

  65,066   3,311   2,510   70,887 

Rent

  8,377   448   1,495   10,320 

Depreciation and amortization

  9,629   106   813   10,548 

Interest

  325   -   (40

)

  285 

Total costs and expenses

  215,642   12,075   15,887   243,604 
                 

Income (loss) from operations

  10,785   1,097   (4,860

)

  7,022 

Non-operating income

  -   -   6,478   6,478 

Unrealized losses on marketable equity securities

  -   -   (241

)

  (241

)

                 

Income before income taxes

 $10,785  $1,097  $1,377  $13,259 
  

Three Months Ended September 30, 2019

 
  

Inpatient
Services

  

Homecare

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $222,246  $12,844  $-  $235,090 

Other revenues

  199   -   11,778   11,977 

Net operating revenues

  222,445   12,844   11,778   247,067 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  133,949   8,630   9,596   152,175 

Other operating

  60,800   4,267   1,663   66,730 

Rent

  8,234   450   1,483   10,167 

Depreciation and amortization

  9,666   61   936   10,663 

Interest

  312   -   452   764 

Total costs and expenses

  212,961   13,408   14,130   240,499 
                 

Income (loss) from operations

  9,484   (564

)

  (2,352

)

  6,568 

Non-operating income

  -   -   6,663   6,663 

Unrealized gains on marketable equity securities

  -   -   9,312   9,312 
                 

Income (loss) before income taxes

 $9,484  $(564

)

 $13,623  $22,543 
  

Nine Months Ended September 30, 2020

 
  

Inpatient
Services

  

Homecare

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $659,585  $37,564  $-  $697,149 

Other revenues

  645   -   33,818   34,463 

Government stimulus income

  34,754   2,026   -   36,780 

Net operating revenues and grant income

  694,984   39,590   33,818   768,392 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  403,840   24,490   27,617   455,947 

Other operating

  194,170   11,471   7,775   213,416 

Rent

  25,134   1,351   4,487   30,972 

Depreciation and amortization

  28,826   266   2,439   31,531 

Interest

  1,073   -   77   1,150 

Total costs and expenses

  653,043   37,578   42,395   733,016 
                 

Income (loss) from operations

  41,941   2,012   (8,577

)

  35,376 

Non-operating income

  -   -   20,578   20,578 

Unrealized losses on marketable equity securities

  -   -   (40,580

)

  (40,580

)

                 

Income (loss) before income taxes

 $41,941  $2,012  $(28,579

)

 $15,374 
  

Nine Months Ended September 30, 2019

 
  

Inpatient
Services

  

Homecare

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $664,768  $41,697  $-  $706,465 

Other revenues

  672   -   35,366   36,038 

Net operating revenues

  665,440   41,697   35,366   742,503 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  390,770   25,136   25,535   441,441 

Other operating

  183,602   13,193   6,965   203,760 

Rent

  24,754   1,400   4,448   30,602 

Depreciation and amortization

  28,790   183   2,542   31,515 

Interest

  979   -   1,665   2,644 

Total costs and expenses

  628,895   39,912   41,155   709,962 
                 

Income (loss) from operations

  36,545   1,785   (5,789

)

  32,541 

Non-operating income

  -   -   20,936   20,936 

Unrealized gains on marketable equity securities

  -   -   16,096   16,096 
                 

Income before income taxes

 $36,545  $1,785  $31,243  $69,573