Schedule of Segment Reporting Information, by Segment [Table Text Block] |
| | Three Months Ended September 30, 2018 | | | | Inpatient Services | | | Homecare | | | All Other | | | Total | | Revenues: | | | | | | | | | | | | | | | | | Net patient revenues | | $ | 220,099 | | | $ | 14,728 | | | $ | – | | | $ | 234,827 | | Other revenues | | | 136 | | | | – | | | | 11,363 | | | | 11,499 | | Net operating revenues | | | 220,235 | | | | 14,728 | | | | 11,363 | | | | 246,326 | | | | | | | | | | | | | | | | | | | Costs and expenses: | | | | | | | | | | | | | | | | | Salaries, wages and benefits | | | 131,418 | | | | 8,367 | | | | 9,403 | | | | 149,188 | | Other operating | | | 57,371 | | | | 4,797 | | | | 2,339 | | | | 64,507 | | Rent | | | 8,255 | | | | 488 | | | | 1,447 | | | | 10,190 | | Depreciation and amortization | | | 9,570 | | | | 55 | | | | 812 | | | | 10,437 | | Interest | | | 369 | | | | – | | | | 801 | | | | 1,170 | | Total costs and expenses | | | 206,983 | | | | 13,707 | | | | 14,802 | | | | 235,492 | | | | | | | | | | | | | | | | | | | Income (loss) from operations | | | 13,252 | | | | 1,021 | | | | (3,439 | ) | | | 10,834 | | Non-operating income | | | – | | | | – | | | | 8,467 | | | | 8,467 | | Unrealized gains on marketable equity securities | | | – | | | | – | | | | 3,486 | | | | 3,486 | | | | | | | | | | | | | | | | | | | Income before income taxes | | $ | 13,252 | | | $ | 1,021 | | | $ | 8,514 | | | $ | 22,787 | | | | Three Months Ended September 30, 2017 | | | | Inpatient Services | | | Homecare | | | All Other | | | Total | | Revenues: | | | | | | | | | | | | | | | | | Net patient revenues | | $ | 213,814 | | | $ | 15,445 | | | $ | – | | | $ | 229,259 | | Other revenues | | | 181 | | | | – | | | | 11,756 | | | | 11,937 | | Net operating revenues | | | 213,995 | | | | 15,445 | | | | 11,756 | | | | 241,196 | | | | | | | | | | | | | | | | | | | Costs and expenses: | | | | | | | | | | | | | | | | | Salaries, wages and benefits | | | 128,403 | | | | 8,318 | | | | 9,179 | | | | 145,900 | | Other operating | | | 56,062 | | | | 5,291 | | | | 1,897 | | | | 63,250 | | Rent | | | 8,128 | | | | 502 | | | | 1,476 | | | | 10,106 | | Depreciation and amortization | | | 9,756 | | | | 41 | | | | 1,036 | | | | 10,833 | | Interest | | | 423 | | | | – | | | | 899 | | | | 1,322 | | Total costs and expenses | | | 202,772 | | | | 14,152 | | | | 14,487 | | | | 231,411 | | | | | | | | | | | | | | | | | | | Income (loss) from operations | | | 11,223 | | | | 1,293 | | | | (2,731 | ) | | | 9,785 | | | | | | | | | | | | | | | | | | | Non-operating income | | | – | | | | – | | | | 6,090 | | | | 6,090 | | | | | | | | | | | | | | | | | | | Income before income taxes | | $ | 11,223 | | | $ | 1,293 | | | $ | 3,359 | | | $ | 15,875 | | | | Nine Months Ended September 30, 2018 | | | | Inpatient Services | | | Homecare | | | All Other | | | Total | | Revenues: | | | | | | | | | | | | | | | | | Net patient revenues | | $ | 652,066 | | | $ | 45,107 | | | $ | – | | | $ | 697,173 | | Other revenues | | | 588 | | | | – | | | | 33,668 | | | | 34,256 | | Net operating revenues | | | 652,654 | | | | 45,107 | | | | 33,668 | | | | 731,429 | | | | | | | | | | | | | | | | | | | Costs and expenses: | | | | | | | | | | | | | | | | | Salaries, wages and benefits | | | 382,913 | | | | 25,009 | | | | 26,827 | | | | 434,749 | | Other operating | | | 171,275 | | | | 14,816 | | | | 6,177 | | | | 192,268 | | Rent | | | 24,780 | | | | 1,460 | | | | 4,451 | | | | 30,691 | | Depreciation and amortization | | | 28,602 | | | | 137 | | | | 2,437 | | | | 31,176 | | Interest | | | 1,149 | | | | - | | | | 2,514 | | | | 3,663 | | Total costs and expenses | | | 608,719 | | | | 41,422 | | | | 42,406 | | | | 692,547 | | | | | | | | | | | | | | | | | | | Income (loss) from operations | | | 43,935 | | | | 3,685 | | | | (8,738 | ) | | | 38,882 | | | | | | | | | | | | | | | | | | | Non-operating income | | | – | | | | – | | | | 11,056 | | | | 11,056 | | Unrealized gains on marketable equity securities | | | – | | | | – | | | | 417 | | | | 417 | | | | | | | | | | | | | | | | | | | Income before income taxes | | $ | 43,935 | | | $ | 3,685 | | | $ | 2,735 | | | $ | 50,355 | | | | Nine Months Ended September 30, 2017 | | | | Inpatient Services | | | Homecare | | | All Other | | | Total | | Revenues: | | | | | | | | | | | | | | | | | Net patient revenues | | $ | 636,311 | | | $ | 47,287 | | | $ | – | | | $ | 683,598 | | Other revenues | | | 631 | | | | – | | | | 34,200 | | | | 34,831 | | Net operating revenues | | | 636,942 | | | | 47,287 | | | | 34,200 | | | | 718,429 | | | | | | | | | | | | | | | | | | | Costs and expenses: | | | | | | | | | | | | | | | | | Salaries, wages and benefits | | | 373,641 | | | | 24,760 | | | | 28,238 | | | | 426,639 | | Other operating | | | 167,454 | | | | 15,484 | | | | 5,584 | | | | 188,522 | | Rent | | | 24,552 | | | | 1,490 | | | | 4,231 | | | | 30,273 | | Depreciation and amortization | | | 28,362 | | | | 120 | | | | 3,127 | | | | 31,609 | | Interest | | | 1,309 | | | | – | | | | 2,290 | | | | 3,599 | | Total costs and expenses | | | 595,318 | | | | 41,854 | | | | 43,470 | | | | 680,642 | | | | | | | | | | | | | | | | | | | Income (loss) from operations | | | 41,624 | | | | 5,433 | | | | (9,270 | ) | | | 37,787 | | | | | | | | | | | | | | | | | | | Non-operating income | | | – | | | | – | | | | 16,047 | | | | 16,047 | | | | | | | | | | | | | | | | | | | Income before income taxes | | $ | 41,624 | | | $ | 5,433 | | | $ | 6,777 | | | $ | 53,834 | |
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