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Note 3 - Net Patient Revenues (Tables)
 3 Months Ended
Mar. 31, 2018
Notes Tables  
Disaggregation of Revenue [Table Text Block]
   
Three Months Ended March 31
  
(in thousands)
  
2018
    
2017
  
Net patient revenues:
                
Inpatient services
   $
216,351
     $
211,597
  
Homecare
    
15,341
      
15,657
  
Total net patient revenue
   $
231,692
     $
227,254
  
   
Three Months Ended
March 31
  
Source
  
2018
    
2017
  
Medicare
    
36
 %    
36
 %
Managed Care
    
13
 %    
13
 %
Medicaid
    
25
 %    
26
 %
Private Pay and Other
    
26
 %    
25
 %
Total
    
100
 %    
100
 %