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Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Revenues: |  |  |
Net patient revenues | $ 1,251,759,000 | $ 1,087,614,000 | $ 1,029,085,000
Other revenues | 46,178,000 | 53,930,000 | 45,196,000
Government grant income | 9,445,000 | 0 | 11,457,000
Net operating revenues and grant income | 1,307,382,000 | 1,141,544,000 | 1,085,738,000
Costs and Expenses: |  |  |
Salaries, wages and benefits | 810,930,000 | 712,344,000 | 686,169,000
Other operating | 321,390,000 | 288,183,000 | 289,372,000
Facility rent | 43,182,000 | 41,525,000 | 40,977,000
Depreciation and amortization | 41,985,000 | 42,034,000 | 40,489,000
Interest | 4,135,000 | 324,000 | 563,000
Total costs and expenses | 1,221,622,000 | 1,084,410,000 | 1,053,842,000
Income (loss) before non-operating income | 85,760,000 | 57,134,000 | 31,896,000
Non-operating income (loss) | 19,690,000 | 16,660,000 | 11,141,000
Unrealized gains on marketable equity securities | 30,958,000 | 14,944,000 | (15,806,000)
Income before income taxes | 136,408,000 | 88,738,000 | 27,231,000
Recovery of assets | 0 | 0 | (3,728,000)
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member] |  |  |
Revenues: |  |  |
Net patient revenues | 0 | 0 | 0
Other revenues | 44,863,000 | 52,789,000 | 45,060,000
Government grant income | 9,445,000 |  | 0
Net operating revenues and grant income | 54,308,000 | 52,789,000 | 45,060,000
Costs and Expenses: |  |  |
Salaries, wages and benefits | 57,189,000 | 42,455,000 | 27,774,000
Other operating | 14,596,000 | 10,095,000 | 11,698,000
Facility rent | 7,100,000 | 6,811,000 | 6,124,000
Depreciation and amortization | 3,260,000 | 3,076,000 | 3,276,000
Interest | 0 | 0 | 0
Total costs and expenses | 82,145,000 | 62,437,000 | 45,144,000
Income (loss) before non-operating income | (27,837,000) | (9,648,000) | (84,000)
Non-operating income (loss) | 19,690,000 | 16,660,000 | 11,141,000
Unrealized gains on marketable equity securities | 30,958,000 | 14,944,000 | (15,806,000)
Income before income taxes | 22,811,000 | 21,956,000 | (4,749,000)
Recovery of assets |  |  | (3,728,000)
Inpatient Services Segment [Member] | Operating Segments [Member] |  |  |
Revenues: |  |  |
Net patient revenues | 1,111,300,000 | 956,077,000 | 900,231,000
Other revenues | 1,315,000 | 1,141,000 | 136,000
Government grant income | 0 |  | 11,457,000
Net operating revenues and grant income | 1,112,615,000 | 957,218,000 | 911,824,000
Costs and Expenses: |  |  |
Salaries, wages and benefits | 668,029,000 | 589,279,000 | 580,707,000
Other operating | 280,867,000 | 254,559,000 | 251,355,000
Facility rent | 33,787,000 | 32,542,000 | 32,526,000
Depreciation and amortization | 37,988,000 | 38,172,000 | 36,522,000
Interest | 4,135,000 | 324,000 | 563,000
Total costs and expenses | 1,024,806,000 | 914,876,000 | 901,673,000
Income (loss) before non-operating income | 87,809,000 | 42,342,000 | 10,151,000
Non-operating income (loss) | 0 | 0 | 0
Unrealized gains on marketable equity securities | 0 | 0 | 0
Income before income taxes | 87,809,000 | 42,342,000 | 10,151,000
Recovery of assets |  |  | 0
Homecare Services Segment [Member] | Operating Segments [Member] |  |  |
Revenues: |  |  |
Net patient revenues | 140,459,000 | 131,537,000 | 128,854,000
Other revenues | 0 | 0 | 0
Government grant income | 0 |  | 0
Net operating revenues and grant income | 140,459,000 | 131,537,000 | 128,854,000
Costs and Expenses: |  |  |
Salaries, wages and benefits | 85,712,000 | 80,610,000 | 77,688,000
Other operating | 25,927,000 | 23,529,000 | 26,319,000
Facility rent | 2,295,000 | 2,172,000 | 2,327,000
Depreciation and amortization | 737,000 | 786,000 | 691,000
Interest | 0 | 0 | 0
Total costs and expenses | 114,671,000 | 107,097,000 | 107,025,000
Income (loss) before non-operating income | 25,788,000 | 24,440,000 | 21,829,000
Non-operating income (loss) | 0 | 0 | 0
Unrealized gains on marketable equity securities | 0 | 0 | 0
Income before income taxes | $ 25,788,000 | $ 24,440,000 | 21,829,000
Recovery of assets |  |  | $ 0

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