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Note 7 - Business Segments (Tables)
9 Months Ended
Sep. 30, 2024
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
   

Three Months Ended September 30, 2024

 
   

Inpatient
Services

   

Homecare

and Hospice

   

All Other

   

Total

 

Revenues:

                               

Net patient revenues

  $ 293,026     $ 35,648     $ -     $ 328,674  

Other revenues

    370       -       11,154       11,524  

Net operating revenues

    293,396       35,648       11,154       340,198  
                                 

Costs and expenses:

                               

Salaries, wages, and benefits

    175,241       21,456       16,698       213,395  

Other operating

    72,384       6,612       3,513       82,509  

Rent

    8,422       602       1,862       10,886  

Depreciation and amortization

    9,632       172       815       10,619  

Interest

    1,742       -       -       1,742  

Total costs and expenses

    267,421       28,842       22,888       319,151  
                                 

Income/(loss) from operations

    25,975       6,806       (11,734 )     21,047  

Non-operating income

    -       -       4,224       4,224  

Unrealized gains on marketable equity securities

    -       -       32,767       32,767  
                                 

Income before income taxes

  $ 25,975     $ 6,806     $ 25,257     $ 58,038  
   

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  
   

Nine Months Ended September 30, 2024

 
   

Inpatient
Services

   

Homecare

and Hospice

   

All Other

   

Total

 

Revenues:

                               

Net patient revenues

  $ 790,664     $ 103,751     $ -     $ 894,415  

Other revenues

    710       -       33,462       34,172  

Government stimulus income

    -       -       9,445       9,445  

Net operating revenues and grant income

    791,374       103,751       42,907       938,032  
                                 

Costs and expenses:

                               

Salaries, wages, and benefits

    474,190       63,761       38,658       576,609  

Other operating

    207,883       18,977       11,232       238,092  

Rent

    24,795       1,736       5,273       31,804  

Depreciation and amortization

    27,646       545       2,352       30,543  

Interest

    1,788       -       -       1,788  

Total costs and expenses

    736,302       85,019       57,515       878,836  
                                 

Income/(loss) from operations

    55,072       18,732       (14,608 )     59,196  

Non-operating income

    -       -       14,865       14,865  

Unrealized gains on marketable equity securities

    -       -       56,290       56,290  
                                 

Income before income taxes

  $ 55,072     $ 18,732     $ 56,547     $ 130,351  
   

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