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Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($) | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Revenues: |  |  |  |
Net patient revenues | $ 279,918,000 | $ 269,605,000 | $ 565,741,000 | $ 527,612,000
Other revenues | 11,295,000 | 12,977,000 | 22,648,000 | 24,533,000
Government stimulus income | 9,445,000 | 0 | 9,445,000 | 0
Net operating revenues and grant income | 300,658,000 | 282,582,000 | 597,834,000 | 552,145,000
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 180,076,000 | 175,294,000 | 363,214,000 | 343,118,000
Other operating | 78,154,000 | 73,234,000 | 155,583,000 | 144,723,000
Rent | 10,570,000 | 9,901,000 | 20,918,000 | 19,993,000
Depreciation and amortization | 9,338,000 | 10,083,000 | 19,924,000 | 20,131,000
Interest | 0 | 93,000 | 46,000 | 191,000
Total costs and expenses | 278,138,000 | 268,605,000 | 559,685,000 | 528,156,000
Income from operations | 22,520,000 | 13,977,000 | 38,149,000 | 23,989,000
Non-operating income (loss) | 4,956,000 | 3,696,000 | 10,641,000 | 8,019,000
Unrealized gains on marketable equity securities | 9,124,000 | 4,650,000 | 23,523,000 | 6,036,000
Income before income taxes | 36,600,000 | 22,323,000 | 72,313,000 | 38,044,000
Inpatient Services Segment [Member] |  |  |  |
Revenues: |  |  |  |
Net patient revenues | 245,385,000 | 236,760,000 | 497,638,000 | 462,929,000
Other revenues | 324,000 | 326,000 | 339,000 | 597,000
Government stimulus income | 0 |  | 0 |
Net operating revenues and grant income | 245,709,000 | 237,086,000 | 497,977,000 | 463,526,000
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 148,059,000 | 144,666,000 | 298,949,000 | 283,605,000
Other operating | 66,813,000 | 64,535,000 | 135,496,000 | 128,245,000
Rent | 8,262,000 | 7,857,000 | 16,374,000 | 15,709,000
Depreciation and amortization | 8,383,000 | 9,153,000 | 18,013,000 | 18,271,000
Interest | 0 | 93,000 | 46,000 | 191,000
Total costs and expenses | 231,517,000 | 226,304,000 | 468,878,000 | 446,021,000
Income from operations | 14,192,000 | 10,782,000 | 29,099,000 | 17,505,000
Non-operating income (loss) | 0 | 0 | 0 | 0
Unrealized gains on marketable equity securities | 0 | 0 | 0 | 0
Income before income taxes | 14,192,000 | 10,782,000 | 29,099,000 | 17,505,000
Homecare Services Segment [Member] |  |  |  |
Revenues: |  |  |  |
Net patient revenues | 34,533,000 | 32,845,000 | 68,103,000 | 64,683,000
Other revenues | 0 | 0 | 0 | 0
Government stimulus income | 0 |  | 0 |
Net operating revenues and grant income | 34,533,000 | 32,845,000 | 68,103,000 | 64,683,000
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 21,296,000 | 20,494,000 | 42,305,000 | 40,737,000
Other operating | 6,394,000 | 5,990,000 | 12,367,000 | 11,488,000
Rent | 567,000 | 543,000 | 1,133,000 | 1,101,000
Depreciation and amortization | 186,000 | 184,000 | 374,000 | 369,000
Interest | 0 | 0 | 0 | 0
Total costs and expenses | 28,443,000 | 27,211,000 | 56,179,000 | 53,695,000
Income from operations | 6,090,000 | 5,634,000 | 11,924,000 | 10,988,000
Non-operating income (loss) | 0 | 0 | 0 | 0
Unrealized gains on marketable equity securities | 0 | 0 | 0 | 0
Income before income taxes | 6,090,000 | 5,634,000 | 11,924,000 | 10,988,000
Other Operating Segment [Member] |  |  |  |
Revenues: |  |  |  |
Net patient revenues | 0 | 0 | 0 | 0
Other revenues | 10,971,000 | 12,651,000 | 22,309,000 | 23,936,000
Government stimulus income | 9,445,000 |  | 9,445,000 |
Net operating revenues and grant income | 20,416,000 | 12,651,000 | 31,754,000 | 23,936,000
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 10,721,000 | 10,134,000 | 21,960,000 | 18,776,000
Other operating | 4,947,000 | 2,709,000 | 7,720,000 | 4,990,000
Rent | 1,741,000 | 1,501,000 | 3,411,000 | 3,183,000
Depreciation and amortization | 769,000 | 746,000 | 1,537,000 | 1,491,000
Interest | 0 | 0 | 0 | 0
Total costs and expenses | 18,178,000 | 15,090,000 | 34,628,000 | 28,440,000
Income from operations | 2,238,000 | (2,439,000) | (2,874,000) | (4,504,000)
Non-operating income (loss) | 4,956,000 | 3,696,000 | 10,641,000 | 8,019,000
Unrealized gains on marketable equity securities | 9,124,000 | 4,650,000 | 23,523,000 | 6,036,000
Income before income taxes | $ 16,318,000 | $ 5,907,000 | $ 31,290,000 | $ 9,551,000

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