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Note 6 - Business Segments (Tables)
9 Months Ended
Sep. 30, 2018
Notes Tables  
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
 
(As adjusted)
 
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
 
(As adjusted)
 
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