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Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($)
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenues:    
Net patient revenues $ 285,823,000 $ 258,007,000
Other revenues 11,353,000 11,556,000
Net operating revenues 297,176,000 269,563,000
Costs and expenses:    
Salaries, wages, and benefits 183,138,000 167,824,000
Other operating 77,429,000 71,489,000
Rent 10,348,000 10,092,000
Depreciation and amortization 10,586,000 10,048,000
Interest 46,000 98,000
Total costs and expenses 281,547,000 259,551,000
Income/(loss) from operations 15,629,000 10,012,000
Non-operating income (loss) 5,685,000 4,323,000
Unrealized gains on marketable equity securities 14,399,000 1,386,000
Income before income taxes 35,713,000 15,721,000
Inpatient Services Segment [Member]    
Revenues:    
Net patient revenues 252,254,000 226,169,000
Other revenues 15,000 271,000
Net operating revenues 252,269,000 226,440,000
Costs and expenses:    
Salaries, wages, and benefits 150,890,000 138,939,000
Other operating 68,683,000 62,264,000
Rent 8,112,000 8,168,000
Depreciation and amortization 9,630,000 9,117,000
Interest 46,000 98,000
Total costs and expenses 237,361,000 218,586,000
Income/(loss) from operations 14,908,000 7,854,000
Non-operating income (loss) 0 0
Unrealized gains on marketable equity securities 0 0
Income before income taxes 14,908,000 7,854,000
Homecare Services Segment [Member]    
Revenues:    
Net patient revenues 33,569,000 31,838,000
Other revenues 0 0
Net operating revenues 33,569,000 31,838,000
Costs and expenses:    
Salaries, wages, and benefits 21,009,000 20,244,000
Other operating 5,972,000 5,499,000
Rent 566,000 558,000
Depreciation and amortization 187,000 185,000
Interest 0 0
Total costs and expenses 27,734,000 26,486,000
Income/(loss) from operations 5,835,000 5,352,000
Non-operating income (loss) 0 0
Unrealized gains on marketable equity securities 0 0
Income before income taxes 5,835,000 5,352,000
Other Operating Segment [Member]    
Revenues:    
Net patient revenues 0 0
Other revenues 11,338,000 11,285,000
Net operating revenues 11,338,000 11,285,000
Costs and expenses:    
Salaries, wages, and benefits 11,239,000 8,641,000
Other operating 2,774,000 3,726,000
Rent 1,670,000 1,366,000
Depreciation and amortization 769,000 746,000
Interest 0 0
Total costs and expenses 16,452,000 14,479,000
Income/(loss) from operations (5,114,000) (3,194,000)
Non-operating income (loss) 5,685,000 4,323,000
Unrealized gains on marketable equity securities 14,399,000 1,386,000
Income before income taxes $ 14,970,000 $ 2,515,000