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Note 7 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($) | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Revenues: |  |  |  |
Net patient revenues | $ 328,674,000 | $ 277,005,000 | $ 894,415,000 | $ 804,617,000
Other revenues | 11,524,000 | 11,480,000 | 34,172,000 | 36,013,000
Net operating revenues | 340,198,000 | 288,485,000 | 938,032,000 | 840,630,000
Government stimulus income | 0 | 0 | 9,445,000 | 0
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 213,395,000 | 182,664,000 | 576,609,000 | 525,782,000
Other operating | 82,509,000 | 72,490,000 | 238,092,000 | 217,213,000
Rent | 10,886,000 | 10,094,000 | 31,804,000 | 30,087,000
Depreciation and amortization | 10,619,000 | 10,135,000 | 30,543,000 | 30,266,000
Interest | 1,742,000 | 77,000 | 1,788,000 | 268,000
Total costs and expenses | 319,151,000 | 275,460,000 | 878,836,000 | 803,616,000
Income/(loss) from operations | 21,047,000 | 13,025,000 | 59,196,000 | 37,014,000
Non-operating income (loss) | 4,224,000 | 4,097,000 | 14,865,000 | 12,116,000
Unrealized gains on marketable equity securities | 32,767,000 | (3,093,000) | 56,290,000 | 2,943,000
Income before income taxes | 58,038,000 | 14,029,000 | 130,351,000 | 52,073,000
Inpatient Services Segment [Member] |  |  |  |
Revenues: |  |  |  |
Net patient revenues | 293,026,000 | 243,865,000 | 790,664,000 | 706,795,000
Other revenues | 370,000 | 297,000 | 710,000 | 894,000
Net operating revenues | 293,396,000 | 244,162,000 | 791,374,000 | 707,689,000
Government stimulus income |  |  | 0 |
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 175,241,000 | 151,912,000 | 474,190,000 | 435,517,000
Other operating | 72,384,000 | 64,228,000 | 207,883,000 | 192,473,000
Rent | 8,422,000 | 8,186,000 | 24,795,000 | 24,520,000
Depreciation and amortization | 9,632,000 | 9,203,000 | 27,646,000 | 27,474,000
Interest | 1,742,000 | 77,000 | 1,788,000 | 268,000
Total costs and expenses | 267,421,000 | 233,606,000 | 736,302,000 | 680,252,000
Income/(loss) from operations | 25,975,000 | 10,556,000 | 55,072,000 | 27,437,000
Non-operating income (loss) | 0 | 0 | 0 | 0
Unrealized gains on marketable equity securities | 0 | 0 | 0 | 0
Income before income taxes | 25,975,000 | 10,556,000 | 55,072,000 | 27,437,000
Homecare Services Segment [Member] |  |  |  |
Revenues: |  |  |  |
Net patient revenues | 35,648,000 | 33,140,000 | 103,751,000 | 97,822,000
Other revenues | 0 | 0 | 0 | 0
Net operating revenues | 35,648,000 | 33,140,000 | 103,751,000 | 97,822,000
Government stimulus income |  |  | 0 |
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 21,456,000 | 20,066,000 | 63,761,000 | 60,804,000
Other operating | 6,612,000 | 5,868,000 | 18,977,000 | 17,356,000
Rent | 602,000 | 538,000 | 1,736,000 | 1,639,000
Depreciation and amortization | 172,000 | 185,000 | 545,000 | 555,000
Interest | 0 | 0 | 0 | 0
Total costs and expenses | 28,842,000 | 26,657,000 | 85,019,000 | 80,354,000
Income/(loss) from operations | 6,806,000 | 6,483,000 | 18,732,000 | 17,468,000
Non-operating income (loss) | 0 | 0 | 0 | 0
Unrealized gains on marketable equity securities | 0 | 0 | 0 | 0
Income before income taxes | 6,806,000 | 6,483,000 | 18,732,000 | 17,468,000
Other Operating Segment [Member] |  |  |  |
Revenues: |  |  |  |
Net patient revenues | 0 | 0 | 0 | 0
Other revenues | 11,154,000 | 11,183,000 | 33,462,000 | 35,119,000
Net operating revenues | 11,154,000 | 11,183,000 | 42,907,000 | 35,119,000
Government stimulus income |  |  | 9,445,000 |
Costs and expenses: |  |  |  |
Salaries, wages, and benefits | 16,698,000 | 10,686,000 | 38,658,000 | 29,461,000
Other operating | 3,513,000 | 2,394,000 | 11,232,000 | 7,384,000
Rent | 1,862,000 | 1,370,000 | 5,273,000 | 3,928,000
Depreciation and amortization | 815,000 | 747,000 | 2,352,000 | 2,237,000
Interest | 0 | 0 | 0 | 0
Total costs and expenses | 22,888,000 | 15,197,000 | 57,515,000 | 43,010,000
Income/(loss) from operations | (11,734,000) | (4,014,000) | (14,608,000) | (7,891,000)
Non-operating income (loss) | 4,224,000 | 4,097,000 | 14,865,000 | 12,116,000
Unrealized gains on marketable equity securities | 32,767,000 | (3,093,000) | 56,290,000 | 2,943,000
Income before income taxes | $ 25,257,000 | $ (3,010,000) | $ 56,547,000 | $ 7,168,000

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