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Note 7 - Business Segments (Tables)
9 Months Ended
Sep. 30, 2023
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
  

Three Months Ended September 30, 2023

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $243,865  $33,140  $-  $277,005 

Other revenues

  297   -   11,183   11,480 

Net operating revenues

  244,162   33,140   11,183   288,485 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  151,912   20,066   10,686   182,664 

Other operating

  64,228   5,868   2,394   72,490 

Rent

  8,186   538   1,370   10,094 

Depreciation and amortization

  9,203   185   747   10,135 

Interest

  77   -   -   77 

Total costs and expenses

  233,606   26,657   15,197   275,460 
                 

Income/(loss) from operations

  10,556   6,483   (4,014

)

  13,025 

Non-operating income

  -   -   4,097   4,097 

Unrealized losses on marketable equity securities

  -   -   (3,093

)

  (3,093

)

                 

Income/(loss) before income taxes

 $10,556  $6,483  $(3,010

)

 $14,029 
  

Three Months Ended September 30, 2022

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $228,138  $32,109  $-  $260,247 

Other revenues

  (198

)

  -   10,794   10,596 

Net operating revenues

  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

)

  

Nine Months Ended September 30, 2023

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $706,795  $97,822  $-  $804,617 

Other revenues

  894   -   35,119   36,013 

Net operating revenues

  707,689   97,822   35,119   840,630 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  435,517   60,804   29,461   525,782 

Other operating

  192,473   17,356   7,384   217,213 

Rent

  24,520   1,639   3,928   30,087 

Depreciation and amortization

  27,474   555   2,237   30,266 

Interest

  268   -   -   268 

Total costs and expenses

  680,252   80,354   43,010   803,616 
                 

Income/(loss) from operations

  27,437   17,468   (7,891

)

  37,014 

Non-operating income

  -   -   12,116   12,116 

Unrealized gains on marketable equity securities

  -   -   2,943   2,943 
                 

Income before income taxes

 $27,437  $17,468  $7,168  $52,073 
  

Nine Months Ended September, 2022

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues and grant income:

                

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