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Note 8 - Business Segments (Tables)
9 Months Ended
Sep. 30, 2021
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
  

Three Months Ended September 30, 2021

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $222,884  $31,933  $-  $254,817 

Other revenues

  128   -   11,363   11,491 

Government stimulus income

  10,429   -   -   10,429 

Net operating revenues and grant income

  233,441   31,933   11,363   276,737 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  131,567   17,592   10,146   159,305 

Other operating

  74,506   6,797   2,736   84,039 

Rent

  8,169   594   1,441   10,204 

Depreciation and amortization

  9,300   118   811   10,229 

Interest

  198   -   -   198 

Total costs and expenses

  223,740   25,101   15,134   263,975 
                 

Income (loss) from operations

  9,701   6,832   (3,771

)

  12,762 

Non-operating income

  -   -   3,399   3,399 

Unrealized losses on marketable equity securities

  -   -   (23,797

)

  (23,797

)

                 

Income (loss) before income taxes

 $9,701  $6,832  $(24,169

)

 $(7,636

)

  

Three Months Ended September 30, 2020

 
  

Inpatient
Services

  

Homecare

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $214,211  $13,172  $-  $227,383 

Other revenues

  84   -   11,027   11,111 

Government stimulus income

  12,132   -   -   12,132 

Net operating revenues and grant income

  226,427   13,172   11,027   250,626 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  132,245   8,210   11,109   151,564 

Other operating

  65,066   3,311   2,510   70,887 

Rent

  8,377   448   1,495   10,320 

Depreciation and amortization

  9,629   106   813   10,548 

Interest

  325   -   (40

)

  285 

Total costs and expenses

  215,642   12,075   15,887   243,604 
                 

Income (loss) from operations

  10,785   1,097   (4,860

)

  7,022 

Non-operating income

  -   -   6,478   6,478 

Unrealized losses on marketable equity securities

  -   -   (241

)

  (241

)

                 

Income before income taxes

 $10,785  $1,097  $1,377  $13,259 
  

Nine Months Ended September 30, 2021

 
  

Inpatient
Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $644,986  $63,662  $-  $708,648 

Other revenues

  324   -   33,592   33,916 

Government stimulus income

  48,304   -   -   48,304 

Net operating revenues and grant income

  693,614   63,662   33,592   790,868 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  388,949   36,483   35,807   461,239 

Other operating

  204,445   13,730   8,060   226,235 

Rent

  24,641   1,478   4,318   30,437 

Depreciation and amortization

  27,790   299   2,432   30,521 

Interest

  657   -   -   657 

Total costs and expenses

  646,482   51,990   50,617   749,089 
                 

Income (loss) from operations

  47,132   11,672   (17,025

)

  41,779 

Non-operating income

  -   -   15,245   15,245 

Gain on acquisition of equity method investment

  -   -   95,202   95,202 

Unrealized losses on marketable equity securities

  -   -   (23,227

)

  (23,227

)

                 

Income before income taxes

 $47,132  $11,672  $70,195  $128,999 
  

Nine Months Ended September 30, 2020

 
  

Inpatient
Services

  

Homecare

  

All Other

  

Total

 

Revenues and grant income:

                

Net patient revenues

 $659,585  $37,564  $-  $697,149 

Other revenues

  645   -   33,818   34,463 

Government stimulus income

  34,754   2,026   -   36,780 

Net operating revenues and grant income

  694,984   39,590   33,818   768,392 
                 

Costs and expenses:

                

Salaries, wages, and benefits

  403,840   24,490   27,617   455,947 

Other operating

  194,170   11,471   7,775   213,416 

Rent

  25,134   1,351   4,487   30,972 

Depreciation and amortization

  28,826   266   2,439   31,531 

Interest

  1,073   -   77   1,150 

Total costs and expenses

  653,043   37,578   42,395   733,016 
                 

Income (loss) from operations

  41,941   2,012   (8,577

)

  35,376 

Non-operating income

  -   -   18,870   18,870 
Gain on acquisition of equity method investment  -   -   1,708   1,708 

Unrealized losses on marketable equity securities

  -   -   (40,580

)

  (40,580

)

                 

Income (loss) before income taxes

 $41,941  $2,012  $(28,579

)

 $15,374