Note 5 Business Segments

 

The Company has two reportable operating segments: (1) inpatient services, which includes the operation of skilled nursing facilities, assisted and independent living facilities, and behavioral health hospitals; and (2) homecare and hospice services. These reportable operating segments are consistent with information used by the Company’s Chief Executive Officer, as chief operating decision maker (“CODM”), to assess performance and allocate resources. The Company also reports an “all other” category that includes revenues from rental income, management and accounting services fees, insurance services, and costs of the corporate office. 

 

The Company’s CODM evaluates performance including pretax earnings and allocates capital resources to each segment based on an operating model that is designed to improve the quality of patient care and profitability of the Company while enhancing long-term shareholder value. The CODM does not review assets by segment in his resource allocation and therefore, assets by segment are not disclosed below. 

 

The following tables set forth the Company’s consolidated statements of operations by business segment (in thousands):

 

 

  

Year Ended December 31, 2025

 
  

Inpatient

Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $1,315,545  $154,086  $  $1,469,631 

Other revenues

  1,467      46,683   48,150 

Net operating revenues

  1,317,012   154,086   46,683   1,517,781 
                 

Costs and Expenses:

                

Salaries, wages and benefits

  775,477   93,535   52,068   921,080 

Other operating

  336,746   27,537   12,919   377,202 

Facility rent

  35,972   2,373   7,882   46,227 

Depreciation and amortization

  41,066   581   3,273   44,920 

Total costs and expenses

  1,189,261   124,026   76,142   1,389,429 
                 

Income (loss) from operations

  127,751   30,060   (29,459)  128,352 

Non-operating income

        18,107   18,107 

Interest expense

  (6,371)        (6,371)

Unrealized gains on marketable equity securities

        22,344   22,344 
                 

Income before income taxes

 $121,380  $30,060  $10,992  $162,432 

 

  

Year Ended December 31, 2024

 
  

Inpatient

Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $1,111,300  $140,459  $  $1,251,759 

Other revenues

  1,315      44,863   46,178 

Government stimulus income

        9,445   9,445 

Net operating revenues and stimulus income

  1,112,615   140,459   54,308   1,307,382 
                 

Costs and Expenses:

                

Salaries, wages and benefits

  668,029   85,712   57,189   810,930 

Other operating

  280,867   25,927   14,596   321,390 

Facility rent

  33,787   2,295   7,100   43,182 

Depreciation and amortization

  37,988   737   3,260   41,985 

Total costs and expenses

  1,020,671   114,671   82,145   1,217,487 
                 

Income (loss) from operations

  91,944   25,788   (27,837)  89,895 

Non-operating income

        19,690   19,690 

Interest expense

  (4,135)        (4,135)

Unrealized gains on marketable equity securities

        30,958   30,958 
                 

Income before income taxes

 $87,809  $25,788  $22,811  $136,408 

 

  

Year Ended December 31, 2023

 
  

Inpatient

Services

  

Homecare

and Hospice

  

All Other

  

Total

 

Revenues:

                

Net patient revenues

 $956,077  $131,537  $  $1,087,614 

Other revenues

  1,141      52,789   53,930 

Net operating revenues

  957,218   131,537   52,789   1,141,544 
                 

Costs and Expenses:

                

Salaries, wages and benefits

  589,279   80,610   42,455   712,344 

Other operating

  254,559   23,529   10,095   288,183 

Facility rent

  32,542   2,172   6,811   41,525 

Depreciation and amortization

  38,172   786   3,076   42,034 

Total costs and expenses

  914,552   107,097   62,437   1,084,086 
                 

Income (loss) from operations

  42,666   24,440   (9,648) 

57,458

 

Non-operating income

        16,660   16,660 

Interest expense

  (324)        (324)

Unrealized gains on marketable equity securities

        14,944   14,944 
                 

Income before income taxes

 $42,342  $24,440  $21,956  $88,738 

  

About Segments Disclosures

Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.

Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.