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Note 7 - Business Segments (Tables)
9 Months Ended
Sep. 30, 2022
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
  

Three Months Ended September 30, 2022

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $228,138  $32,109  $-  $260,247 

Other revenues

  (198

)

  -   10,794   10,596 

Net operating revenues and grant income

  227,940   32,109   10,794   270,843 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  144,047   19,581   9,570   173,198 

Other operating

  66,522   6,310   51   72,883 

Rent

  8,088   575   1,631   10,294 

Depreciation and amortization

  9,198   248   807   10,253 

Interest

  137   -   -   137 

Total costs and expenses

  227,992   26,714   12,059   266,765 
                 

Income/(loss) from operations

  (52

)

  5,395   (1,265)  4,078 

Non-operating income

  -   -   2,731   2,731 

Unrealized losses on marketable equity securities

  -   -   (11,056

)

  (11,056

)

                 

Income/(loss) before income taxes

 $(52

)

 $5,395  $(9,590

)

 $(4,247

)

  

Three Months Ended September 30, 2021

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $222,884  $31,933  $-  $254,817 

Other revenues

  128   -   11,363   11,491 

Government stimulus income

  10,429   -   -   10,429 

Net operating revenues and grant income

  233,441   31,933   11,363   276,737 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  141,318   18,771   10,146   170,235 

Other operating

  64,755   5,618   2,736   73,109 

Rent

  7,998   594   1,612   10,204 

Depreciation and amortization

  9,300   118   811   10,229 

Interest

  198   -   -   198 

Total costs and expenses

  223,569   25,101   15,305   263,975 
                 

Income/(loss) from operations

  9,872   6,832   (3,942

)

  12,762 

Non-operating income

  -   -   3,399   3,399 

Unrealized losses on marketable equity securities

  -   -   (23,797

)

  (23,797

)

                 

Income/(loss) before income taxes

 $9,872  $6,832  $(24,340

)

 $(7,636

)

  

Nine Months Ended September 30, 2022

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $680,776  $95,885  $-  $776,661 

Other revenues

  15   -   33,569   33,584 

Government stimulus income

  10,940   -   -   10,940 

Net operating revenues and grant income

  691,731   95,885   33,569   821,185 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  435,322   58,007   25,499   518,828 

Other operating

  192,791   19,848   5,640   218,279 

Rent

  24,498   1,759   4,513   30,770 

Depreciation and amortization

  27,120   472   2,419   30,011 

Interest

  451   -   -   451 

Total costs and expenses

  680,182   80,086   38,071   798,339 
                 

Income/(loss) from operations

  11,549   15,799   (4,502

)

  22,846 

Non-operating income

  -   -   8,451   8,451 

Unrealized losses on marketable equity securities

  -   -   (11,479

)

  (11,479

)

                 

Income/(loss) before income taxes

 $11,549  $15,799  $(7,530

)

 $19,818 
  

Nine Months Ended September 30, 2021

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $644,986  $63,662  $-  $708,648 

Other revenues

  324   -   33,592   33,916 

Government stimulus income

  48,304   -   -   48,304 

Net operating revenues and grant income

  693,614   63,662   33,592   790,868 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  407,534   39,922   35,807   483,263 

Other operating

  185,860   10,291   8,060   204,211 

Rent

  24,129   1,478   4,830   30,437 

Depreciation and amortization

  27,790   299   2,432   30,521 

Interest

  657   -   -   657 

Total costs and expenses

  645,970   51,990   51,129   749,089 
                 

Income/(loss) from operations

  47,644   11,672   (17,537

)

  41,779 

Non-operating income

  -   -   15,245   15,245 

Gain on acquisition of equity method investment

  -   -   95,202   95,202 

Unrealized losses on marketable equity securities

  -   -   (23,227

)

  (23,227

)

                 

Income before income taxes

 $47,644  $11,672  $69,683  $128,999