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Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($) | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Revenues: |  |
Net patient revenues | $ 361,607,000 | $ 285,823,000
Other revenues | 12,090,000 | 11,353,000
Net operating revenues | 373,697,000 | 297,176,000
Costs and expenses: |  |
Salaries, wages, and benefits | 228,130,000 | 183,138,000
Other operating | 92,457,000 | 77,429,000
Rent | 11,365,000 | 10,348,000
Depreciation and amortization | 10,978,000 | 10,586,000
Total costs and expenses | 342,930,000 | 281,501,000
Income/(loss) from operations | 30,767,000 | 15,675,000
Non-operating income (loss) | 4,079,000 | 5,685,000
Interest expense | 2,106,000 | 46,000
Unrealized gains on marketable equity securities | 10,982,000 | 14,399,000
Income/(loss) before income taxes | 43,722,000 | 35,713,000
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member] |  |
Revenues: |  |
Net patient revenues | 0 | 0
Other revenues | 11,717,000 | 11,338,000
Net operating revenues | 11,717,000 | 11,338,000
Costs and expenses: |  |
Salaries, wages, and benefits | 13,289,000 | 11,239,000
Other operating | 3,329,000 | 2,774,000
Rent | 1,923,000 | 1,670,000
Depreciation and amortization | 786,000 | 769,000
Total costs and expenses | 19,327,000 | 16,452,000
Income/(loss) from operations | (7,610,000) | (5,114,000)
Non-operating income (loss) | 4,079,000 | 5,685,000
Interest expense | (0) | (0)
Unrealized gains on marketable equity securities | 10,982,000 | 14,399,000
Income/(loss) before income taxes | 7,451,000 | 14,970,000
Inpatient Services Segment [Member] | Operating Segments [Member] |  |
Revenues: |  |
Net patient revenues | 325,478,000 | 252,254,000
Other revenues | 373,000 | 15,000
Net operating revenues | 325,851,000 | 252,269,000
Costs and expenses: |  |
Salaries, wages, and benefits | 192,437,000 | 150,890,000
Other operating | 81,870,000 | 68,683,000
Rent | 8,834,000 | 8,112,000
Depreciation and amortization | 10,062,000 | 9,630,000
Total costs and expenses | 293,203,000 | 237,315,000
Income/(loss) from operations | 32,648,000 | 14,954,000
Non-operating income (loss) | 0 | 0
Interest expense | 2,106,000 | 46,000
Unrealized gains on marketable equity securities | 0 | 0
Income/(loss) before income taxes | 30,542,000 | 14,908,000
Homecare Services Segment [Member] | Operating Segments [Member] |  |
Revenues: |  |
Net patient revenues | 36,129,000 | 33,569,000
Other revenues | 0 | 0
Net operating revenues | 36,129,000 | 33,569,000
Costs and expenses: |  |
Salaries, wages, and benefits | 22,404,000 | 21,009,000
Other operating | 7,258,000 | 5,972,000
Rent | 608,000 | 566,000
Depreciation and amortization | 130,000 | 187,000
Total costs and expenses | 30,400,000 | 27,734,000
Income/(loss) from operations | 5,729,000 | 5,835,000
Non-operating income (loss) | 0 | 0
Interest expense | (0) | (0)
Unrealized gains on marketable equity securities | 0 | 0
Income/(loss) before income taxes | $ 5,729,000 | $ 5,835,000

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