XML 28 R21.htm IDEA: XBRL DOCUMENT
v3.24.3

Significant Payors | 9 Months Ended
--- | ---
Sep. 30, 2024
Significant Payors [Abstract] |
Significant Payors | 13. Significant Payors The Company’s revenue by payor type was as follows:
Personal Care Segment |  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 | $ | 116,702 |  | 54.2 | % | $ | 101,821 |  | 50.4 | % | $ | 337,458 |  | 53.0 | % | $ | 297,541 |  | 50.4 | %
Managed care organizations |  | 93,321 |  | 43.3 |  |  | 93,584 |  | 46.4 |  |  | 281,732 |  | 44.3 |  |  | 272,758 |  | 46.2 |
Private pay |  | 3,599 |  | 1.7 |  |  | 3,990 |  | 2.0 |  |  | 11,194 |  | 1.8 |  |  | 12,354 |  | 2.1 |
Commercial insurance |  | 1,415 |  | 0.7 |  |  | 1,631 |  | 0.8 |  |  | 4,368 |  | 0.7 |  |  | 4,937 |  | 0.8 |
Other |  | 396 |  | 0.1 |  |  | 856 |  | 0.4 |  |  | 1,501 |  | 0.2 |  |  | 2,637 |  | 0.5 |
Total personal care segment net service revenues | $ | 215,433 |  | 100.0 | % | $ | 201,882 |  | 100.0 | % | $ | 636,253 |  | 100.0 | % | $ | 590,227 |  | 100.0 | %
Hospice Segment |  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 | $ | 52,413 |  | 91.5 | % | $ | 47,313 |  | 89.1 | % | $ | 154,187 |  | 91.1 | % | $ | 137,432 |  | 90.2 | %
Commercial insurance |  | 2,892 |  | 5.0 |  |  | 3,640 |  | 6.8 |  |  | 8,870 |  | 5.2 |  |  | 8,916 |  | 5.8 |
Managed care organizations |  | 1,821 |  | 3.2 |  |  | 1,808 |  | 3.4 |  |  | 5,518 |  | 3.3 |  |  | 5,022 |  | 3.3 |
Other |  | 183 |  | 0.3 |  |  | 360 |  | 0.7 |  |  | 627 |  | 0.4 |  |  | 1,044 |  | 0.7 |
Total hospice segment net service revenues | $ | 57,309 |  | 100.0 | % | $ | 53,121 |  | 100.0 | % | $ | 169,202 |  | 100.0 | % | $ | 152,414 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 | $ | 12,036 |  | 70.6 | % | $ | 11,325 |  | 72.1 | % | $ | 36,216 |  | 69.6 | % | $ | 29,306 |  | 73.9 | %
Managed care organizations |  | 4,215 |  | 24.7 |  |  | 3,445 |  | 21.9 |  |  | 13,291 |  | 25.6 |  |  | 8,239 |  | 20.8 |
Other |  | 794 |  | 4.7 |  |  | 948 |  | 6.0 |  |  | 2,493 |  | 4.8 |  |  | 2,114 |  | 5.3 |
Total home health segment net service revenues | $ | 17,045 |  | 100.0 | % | $ | 15,718 |  | 100.0 | % | $ | 52,000 |  | 100.0 | % | $ | 39,659 |  | 100.0 | %
During the three and nine months ended September 30, 2024 and 2023, the Company derived a significant amount of its revenue from its operations in Illinois, New Mexico, New York, Ohio and Tennessee. The percentages of segment revenue for each of these significant states were as follows:
Personal Care Segment |  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 | $ | 111,916 |  | 51.9 | % | $ | 105,206 |  | 52.1 | % | $ | 330,265 |  | 51.9 | % | $ | 306,711 |  | 52.0 | %
New Mexico |  | 28,962 |  | 13.4 |  |  | 28,347 |  | 14.0 |  |  | 86,573 |  | 13.6 |  |  | 84,969 |  | 14.3 |
New York (1) |  | 21,406 |  | 9.9 |  |  | 22,989 |  | 11.4 |  |  | 68,239 |  | 10.7 |  |  | 68,910 |  | 11.7 |
All other states |  | 53,149 |  | 24.8 |  |  | 45,340 |  | 22.5 |  |  | 151,176 |  | 23.8 |  |  | 129,637 |  | 22.0 |
Total personal care segment net service revenues | $ | 215,433 |  | 100.0 | % | $ | 201,882 |  | 100.0 | % | $ | 636,253 |  | 100.0 | % | $ | 590,227 |  | 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. 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 September 30, |  |  | For the Nine Months Ended September 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 | $ | 21,531 |  | 37.6 | % | $ | 18,916 |  | 35.6 | % | $ | 62,400 |  | 36.9 | % | $ | 55,363 |  | 36.3 | %
Illinois |  | 13,289 |  | 23.2 |  |  | 12,477 |  | 23.5 |  |  | 38,544 |  | 22.8 |  |  | 34,750 |  | 22.8 |
New Mexico |  | 6,951 |  | 12.1 |  |  | 7,619 |  | 14.3 |  |  | 21,361 |  | 12.6 |  |  | 23,688 |  | 15.5 |
All other states |  | 15,538 |  | 27.1 |  |  | 14,109 |  | 26.6 |  |  | 46,897 |  | 27.7 |  |  | 38,613 |  | 25.4 |
Total hospice segment net service revenues | $ | 57,309 |  | 100.0 | % | $ | 53,121 |  | 100.0 | % | $ | 169,202 |  | 100.0 | % | $ | 152,414 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 | $ | 8,090 |  | 47.4 | % | $ | 8,040 |  | 51.2 | % | $ | 24,166 |  | 46.5 | % | $ | 25,277 |  | 63.7 | %
Illinois |  | 2,413 |  | 14.2 |  |  | 2,909 |  | 18.5 |  |  | 8,397 |  | 16.1 |  |  | 9,539 |  | 24.1 |
Tennessee |  | 6,542 |  | 38.4 |  |  | 4,769 |  | 30.3 |  |  | 19,437 |  | 37.4 |  |  | 4,843 |  | 12.2 |
Total home health segment net service revenues | $ | 17,045 |  | 100.0 | % | $ | 15,718 |  | 100.0 | % | $ | 52,000 |  | 100.0 | % | $ | 39,659 |  | 100.0 | %
A substantial portion of the Company’s revenue and accounts receivable are derived from services performed for federal, state and local governmental agencies. The personal care segment derives a significant amount of its net service revenues in Illinois, which represented 38.6%, and 38.9% of our net service revenues for the three months ended September 30, 2024, and 2023, respectively, and accounted for 38.5% and 39.2% of our net service revenues for the nine months ended September 30, 2024 and 2023, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 21.4% and 20.5% of the Company’s net service revenues for the three months ended September 30, 2024 and 2023, respectively, and accounted for 21.1% and 21.2% of the Company’s net service revenues for the nine months ended September 30, 2024 and 2023, respectively. The related receivables due from the Illinois Department on Aging represented 21.7% and 25.8% of the Company’s net accounts receivable at September 30, 2024 and December 31, 2023, respectively.

X
- Definition Significant Payors [Abstract] + References No definition available. + Details
Name: | adus_SignificantPayorsAbstract
Namespace Prefix: | adus_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition The entire disclosure for any concentrations existing at the date of the financial statements that make an entity vulnerable to a reasonably possible, near-term, severe impact. This disclosure informs financial statement users about the general nature of the risk associated with the concentration, and may indicate the percentage of concentration risk as of the balance sheet date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 275 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/275/tableOfContent + Details
Name: | us-gaap_ConcentrationRiskDisclosureTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration