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Note 3 - Net Patient Revenues (Tables)
 6 Months Ended
Jun. 30, 2018
Notes Tables  
Disaggregation of Revenue [Table Text Block]
   
Three Months Ended
June 30
    
Six Months Ended
June 30
  
(in thousands)
  
2018
    
2017
    
2018
    
2017
  
Net patient revenues:
                                
Inpatient services
   $
215,617
     $
211,057
     $
431,968
     $
422,497
  
Homecare
    
15,037
      
16,028
      
30,378
      
31,842
  
Total net patient revenue
   $
230,654
     $
227,085
     $
462,346
     $
454,339
  
   
Three Months Ended
June 30
    
Six Months Ended
June 30
  
Source
  
2018
    
2017
    
2018
    
2017
  
Medicare
    
35
 %    
35
 %    
36
 %    
35
 %
Managed Care
    
12
 %    
13
 %    
12
 %    
13
 %
Medicaid
    
26
 %    
26
 %    
26
 %    
26
 %
Private Pay and Other
    
27
 %    
26
 %    
26
 %    
26
 %
Total
    
100
 %    
100
 %    
100
 %    
100
 %