XML 59 R48.htm IDEA: XBRL DOCUMENT v3.25.3
Note 6 - Business Segments - Summary of Financial Information by Reporting Segment (Details) - USD ($)
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenues:        
Net patient revenues $ 370,989,000 $ 328,674,000 $ 1,095,945,000 $ 894,415,000
Other revenues 11,672,000 11,524,000 35,323,000 34,172,000
Net operating revenues 382,661,000 340,198,000 1,131,268,000 938,032,000
Government stimulus income 0 0 0 9,445,000
Costs and expenses:        
Salaries, wages, and benefits 233,176,000 213,395,000 687,840,000 576,609,000
Other operating 96,604,000 82,509,000 281,004,000 238,092,000
Rent 11,345,000 10,886,000 34,038,000 31,804,000
Depreciation and amortization 11,158,000 10,619,000 33,151,000 30,543,000
Total costs and expenses 352,283,000 317,409,000 1,036,033,000 877,048,000
Income/(loss) from operations 30,378,000 22,789,000 95,235,000 60,984,000
Non-operating income (loss) 4,660,000 4,224,000 13,871,000 14,865,000
Interest expense 1,456,000 1,742,000 5,555,000 1,788,000
Unrealized gains on marketable equity securities 20,827,000 32,767,000 26,748,000 56,290,000
Income before income taxes 54,409,000 58,038,000 130,299,000 130,351,000
Unrealized gains on marketable equity securities 20,827,000 32,767,000 26,748,000 56,290,000
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member]        
Revenues:        
Net patient revenues 0 0 0 0
Other revenues 11,279,000 11,154,000 34,126,000 33,462,000
Net operating revenues 11,279,000 11,154,000 34,126,000 42,907,000
Government stimulus income       9,445,000
Costs and expenses:        
Salaries, wages, and benefits 13,643,000 16,698,000 39,641,000 38,658,000
Other operating 3,195,000 3,513,000 7,971,000 11,232,000
Rent 1,921,000 1,862,000 5,762,000 5,273,000
Depreciation and amortization 798,000 815,000 2,369,000 2,352,000
Total costs and expenses 19,557,000 22,888,000 55,743,000 57,515,000
Income/(loss) from operations (8,278,000) (11,734,000) (21,617,000) (14,608,000)
Non-operating income (loss) 4,660,000 4,224,000 13,871,000 14,865,000
Interest expense (0) (0) (0) (0)
Unrealized gains on marketable equity securities 20,827,000 32,767,000 26,748,000 56,290,000
Income before income taxes 17,209,000 25,257,000 19,002,000 56,547,000
Unrealized gains on marketable equity securities 20,827,000 32,767,000 26,748,000 56,290,000
Inpatient Services Segment [Member] | Operating Segments [Member]        
Revenues:        
Net patient revenues 331,349,000 293,026,000 981,838,000 790,664,000
Other revenues 393,000 370,000 1,197,000 710,000
Net operating revenues 331,742,000 293,396,000 983,035,000 791,374,000
Government stimulus income       0
Costs and expenses:        
Salaries, wages, and benefits 195,745,000 175,241,000 578,824,000 474,190,000
Other operating 86,745,000 72,384,000 252,064,000 207,883,000
Rent 8,823,000 8,422,000 26,486,000 24,795,000
Depreciation and amortization 10,219,000 9,632,000 30,380,000 27,646,000
Total costs and expenses 301,532,000 265,679,000 887,754,000 734,514,000
Income/(loss) from operations 30,210,000 27,717,000 95,281,000 56,860,000
Non-operating income (loss) 0 0 0 0
Interest expense 1,456,000 1,742,000 5,555,000 1,788,000
Unrealized gains on marketable equity securities 0 0 0 0
Income before income taxes 28,754,000 25,975,000 89,726,000 55,072,000
Unrealized gains on marketable equity securities 0 0 0 0
Homecare Services Segment [Member] | Operating Segments [Member]        
Revenues:        
Net patient revenues 39,640,000 35,648,000 114,107,000 103,751,000
Other revenues 0 0 0 0
Net operating revenues 39,640,000 35,648,000 114,107,000 103,751,000
Government stimulus income       0
Costs and expenses:        
Salaries, wages, and benefits 23,788,000 21,456,000 69,375,000 63,761,000
Other operating 6,664,000 6,612,000 20,969,000 18,977,000
Rent 601,000 602,000 1,790,000 1,736,000
Depreciation and amortization 141,000 172,000 402,000 545,000
Total costs and expenses 31,194,000 28,842,000 92,536,000 85,019,000
Income/(loss) from operations 8,446,000 6,806,000 21,571,000 18,732,000
Non-operating income (loss) 0 0 0 0
Interest expense (0) (0) (0) (0)
Unrealized gains on marketable equity securities 0 0 0 0
Income before income taxes 8,446,000 6,806,000 21,571,000 18,732,000
Unrealized gains on marketable equity securities $ 0 $ 0 $ 0 $ 0