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Significant Payors (Tables)
9 Months Ended
Sep. 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 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

%

 

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 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

%