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Significant Payors (Tables) | 6 Months Ended
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Jun. 30, 2024
Significant Payors [Abstract] |
Schedule of Revenue by Payor Type | The Company’s revenue by payor type was as follows:
Personal Care Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
State, local and other governmental programs | $ | 113,002 |  | 53.1 | % | $ | 100,399 |  | 50.6 | % | $ | 220,756 |  | 52.5 | % | $ | 195,721 |  | 50.4 | %
Managed care organizations |  | 94,135 |  | 44.2 |  |  | 91,276 |  | 46.0 |  |  | 188,411 |  | 44.8 |  |  | 179,176 |  | 46.1 |
Private pay |  | 3,689 |  | 1.7 |  |  | 4,137 |  | 2.2 |  |  | 7,595 |  | 1.8 |  |  | 8,363 |  | 2.2 |
Commercial insurance |  | 1,467 |  | 0.7 |  |  | 1,637 |  | 0.8 |  |  | 2,953 |  | 0.7 |  |  | 3,306 |  | 0.9 |
Other |  | 524 |  | 0.3 |  |  | 865 |  | 0.4 |  |  | 1,105 |  | 0.2 |  |  | 1,780 |  | 0.4 |
Total personal care segment net service revenues | $ | 212,817 |  | 100.0 | % | $ | 198,314 |  | 100.0 | % | $ | 420,820 |  | 100.0 | % | $ | 388,346 |  | 100.0 | %
Hospice Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Medicare | $ | 51,122 |  | 91.2 | % | $ | 45,566 |  | 90.7 | % | $ | 101,774 |  | 91.0 | % | $ | 90,122 |  | 90.8 | %
Commercial insurance |  | 2,844 |  | 5.1 |  |  | 2,726 |  | 5.4 |  |  | 5,978 |  | 5.3 |  |  | 5,273 |  | 5.3 |
Managed care organizations |  | 1,880 |  | 3.4 |  |  | 1,567 |  | 3.1 |  |  | 3,697 |  | 3.3 |  |  | 3,214 |  | 3.2 |
Other |  | 184 |  | 0.3 |  |  | 351 |  | 0.8 |  |  | 444 |  | 0.4 |  |  | 684 |  | 0.7 |
Total hospice segment net service revenues | $ | 56,030 |  | 100.0 | % | $ | 50,210 |  | 100.0 | % | $ | 111,893 |  | 100.0 | % | $ | 99,293 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Medicare | $ | 12,517 |  | 69.3 | % | $ | 8,716 |  | 76.1 | % | $ | 24,180 |  | 69.2 | % | $ | 17,988 |  | 75.1 | %
Managed care organizations |  | 4,676 |  | 25.9 |  |  | 2,251 |  | 19.6 |  |  | 9,076 |  | 26.0 |  |  | 4,789 |  | 20.0 |
Other |  | 882 |  | 4.8 |  |  | 489 |  | 4.3 |  |  | 1,699 |  | 4.8 |  |  | 1,164 |  | 4.9 |
Total home health segment net service revenues | $ | 18,075 |  | 100.0 | % | $ | 11,456 |  | 100.0 | % | $ | 34,955 |  | 100.0 | % | $ | 23,941 |  | 100.0 | %
Schedule of Revenue by Geographic Location | The percentages of segment revenue for each of these significant states were as follows:
Personal Care Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
|  | 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Illinois | $ | 110,774 |  | 52.1 | % | $ | 103,864 |  | 52.4 | % | $ | 218,349 |  | 51.9 | % | $ | 202,279 |  | 52.1 | %
New Mexico |  | 28,644 |  | 13.5 |  |  | 27,907 |  | 14.1 |  |  | 57,611 |  | 13.7 |  |  | 56,381 |  | 14.5 |
New York (1) |  | 23,299 |  | 10.9 |  |  | 23,841 |  | 12.0 |  |  | 46,833 |  | 11.1 |  |  | 45,727 |  | 11.8 |
All other states |  | 50,100 |  | 23.5 |  |  | 42,702 |  | 21.5 |  |  | 98,027 |  | 23.3 |  |  | 83,959 |  | 21.6 |
Total personal care segment net service revenues | $ | 212,817 |  | 100.0 | % | $ | 198,314 |  | 100.0 | % | $ | 420,820 |  | 100.0 | % | $ | 388,346 |  | 100.0 | %
(1) The selection process for CDPAP fiscal intermediaries has changed significantly in recent years and the program continues to be an area of focus for New York governmental authorities. The Company was not one of the entities selected through an RFO process to competitively procure fiscal intermediaries that was initiated in 2019 and, in November 2022, decided to suspend materially all of its new fee-for-service patient admissions through County Social Service Departments. The Company received a contract award in June 2023 and resumed new fee-for-service patient admissions. However, the New York fiscal year 2025 budget will replace the CDPAP fiscal intermediaries with a single statewide fiscal intermediary with a stated deadline of April 1, 2025. All service providers seeking to offer services under CDPAP will be required to contract with the statewide fiscal intermediary or its contractors in order to offer services. The Company does not believe it is likely to be selected as the single statewide fiscal intermediary, and it is difficult to predict the details of the implementation of these modifications and their final timeline and, thus, their impact on the Company’s business and operations. As a result of the changes and uncertainty in the state, the Company determined that its New York personal care operations no longer fit its growth strategy and reached an agreement to divest these operations. See Note 4 to the Notes to Unaudited Condensed Consolidated Financial Statements, Acquisition and Divestiture, for additional details regarding our divestiture.
Hospice Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Ohio | $ | 20,633 |  | 36.8 | % | $ | 19,332 |  | 38.5 | % | $ | 40,869 |  | 36.5 | % | $ | 37,783 |  | 38.1 | %
Illinois |  | 13,003 |  | 23.2 |  |  | 11,606 |  | 23.1 |  |  | 25,255 |  | 22.6 |  |  | 23,087 |  | 23.3 |
New Mexico |  | 6,895 |  | 12.3 |  |  | 6,540 |  | 13.0 |  |  | 14,410 |  | 12.9 |  |  | 13,026 |  | 13.1 |
All other states |  | 15,499 |  | 27.7 |  |  | 12,732 |  | 25.4 |  |  | 31,359 |  | 28.0 |  |  | 25,397 |  | 25.5 |
Total hospice segment net service revenues | $ | 56,030 |  | 100.0 | % | $ | 50,210 |  | 100.0 | % | $ | 111,893 |  | 100.0 | % | $ | 99,293 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
New Mexico | $ | 8,300 |  | 45.9 | % | $ | 8,093 |  | 70.6 | % | $ | 16,077 |  | 46.0 | % | $ | 17,209 |  | 71.9 | %
Illinois |  | 3,042 |  | 16.8 |  |  | 3,363 |  | 29.4 |  |  | 5,984 |  | 17.1 |  |  | 6,732 |  | 28.1 |
Tennessee |  | 6,733 |  | 37.3 |  |  | — |  | — |  |  | 12,894 |  | 36.9 |  |  | — |  | — |
Total home health segment net service revenues | $ | 18,075 |  | 100.0 | % | $ | 11,456 |  | 100.0 | % | $ | 34,955 |  | 100.0 | % | $ | 23,941 |  | 100.0 | %

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