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Significant Payors (Tables) | 12 Months Ended
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Dec. 31, 2024
Significant Payors [Abstract] |
Schedule of Revenue by Payor Type | For 2024, 2023 and 2022, the Company’s revenue by payor type was as follows:
|  | Personal Care |  |
|  | For the Years Ended December 31, |  |
|  | 2024 |  |  |  | 2023 |  |  |  | 2022 |  |
|  | 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 |  | $ | 456,885 |  |  |  | 53.3 |  | % |  | $ | 400,753 |  |  |  | 50.4 |  | % |  | $ | 348,234 |  |  |  | 49.3 |  | %
Managed care organizations |  |  | 376,604 |  |  |  | 44.0 |  |  |  |  | 367,557 |  |  |  | 46.2 |  |  |  |  | 326,778 |  |  |  | 46.3 |  |
Private pay |  |  | 15,589 |  |  |  | 1.8 |  |  |  |  | 16,268 |  |  |  | 2.0 |  |  |  |  | 18,301 |  |  |  | 2.6 |  |
Commercial insurance |  |  | 5,593 |  |  |  | 0.7 |  |  |  |  | 6,321 |  |  |  | 0.8 |  |  |  |  | 7,689 |  |  |  | 1.1 |  |
Other |  |  | 1,910 |  |  |  | 0.2 |  |  |  |  | 3,819 |  |  |  | 0.6 |  |  |  |  | 5,505 |  |  |  | 0.7 |  |
Total personal care segment net service revenues |  | $ | 856,581 |  |  |  | 100.0 |  | % |  | $ | 794,718 |  |  |  | 100.0 |  | % |  | $ | 706,507 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Years Ended December 31, |  |
|  | 2024 |  |  |  | 2023 |  |  |  | 2022 |  |
|  | 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 |  | $ | 208,099 |  |  |  | 91.2 |  | % |  | $ | 186,317 |  |  |  | 89.9 |  | % |  | $ | 183,407 |  |  |  | 90.9 |  | %
Managed care organizations |  |  | 7,603 |  |  |  | 3.3 |  |  |  |  | 7,037 |  |  |  | 3.4 |  |  |  |  | 7,353 |  |  |  | 3.6 |  |
Other |  |  | 12,489 |  |  |  | 5.5 |  |  |  |  | 13,801 |  |  |  | 6.7 |  |  |  |  | 11,012 |  |  |  | 5.5 |  |
Total hospice segment net service revenues |  | $ | 228,191 |  |  |  | 100.0 |  | % |  | $ | 207,155 |  |  |  | 100.0 |  | % |  | $ | 201,772 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | For the Years Ended December 31, |  |
|  | 2024 |  |  |  | 2023 |  |  |  | 2022 |  |
|  | 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 |  | $ | 48,562 |  |  |  | 69.5 |  | % |  | $ | 41,078 |  |  |  | 72.3 |  | % |  | $ | 31,505 |  |  |  | 73.5 |  | %
Managed care organizations |  |  | 17,603 |  |  |  | 25.2 |  |  |  |  | 12,613 |  |  |  | 22.2 |  |  |  |  | 8,698 |  |  |  | 20.3 |  |
Other |  |  | 3,662 |  |  |  | 5.3 |  |  |  |  | 3,087 |  |  |  | 5.5 |  |  |  |  | 2,638 |  |  |  | 6.2 |  |
Total home health segment net service revenues |  | $ | 69,827 |  |  |  | 100.0 |  | % |  | $ | 56,778 |  |  |  | 100.0 |  | % |  | $ | 42,841 |  |  |  | 100.0 |  | %
Schedule of Revenue by Geographic Location | The Company has derived a significant amount of its revenue from its operations in Illinois, New Mexico and New York. The percentages of segment revenue for each of these significant states for 2024, 2023 and 2022 were as follows:
|  | Personal Care |  |
|  | For the Years Ended December 31, |  |
|  | 2024 |  |  |  | 2023 |  |  |  | 2022 |  |
|  | 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 |  | $ | 441,012 |  |  |  | 51.5 |  | % |  | $ | 411,081 |  |  |  | 51.7 |  | % |  | $ | 360,778 |  |  |  | 51.1 |  | %
New York (1) |  |  | 71,763 |  |  |  | 8.4 |  |  |  |  | 92,469 |  |  |  | 11.6 |  |  |  |  | 86,592 |  |  |  | 12.3 |  |
New Mexico |  |  | 115,381 |  |  |  | 13.5 |  |  |  |  | 115,986 |  |  |  | 14.6 |  |  |  |  | 105,315 |  |  |  | 14.9 |  |
All other states |  |  | 228,425 |  |  |  | 26.6 |  |  |  |  | 175,182 |  |  |  | 22.1 |  |  |  |  | 153,822 |  |  |  | 21.7 |  |
Total personal care segment net service revenues |  | $ | 856,581 |  |  |  | 100.0 |  | % |  | $ | 794,718 |  |  |  | 100.0 |  | % |  | $ | 706,507 |  |  |  | 100.0 |  | %
(1) The selection process for the New York Consumer Directed Personal Assistance Program (“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 is divesting these operations. See Note 5 to the Notes to Consolidated Financial Statements, Divestiture, for additional details regarding our divestiture.
|  | Hospice |  |
|  | For the Years Ended December 31, |  |
|  | 2024 |  |  |  | 2023 |  |  |  | 2022 |  |
|  | 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 |  | $ | 84,811 |  |  |  | 37.2 |  | % |  | $ | 74,871 |  |  |  | 36.1 |  | % |  | $ | 70,503 |  |  |  | 35.0 |  | %
New Mexico |  |  | 28,532 |  |  |  | 12.5 |  |  |  |  | 30,782 |  |  |  | 14.9 |  |  |  |  | 30,722 |  |  |  | 15.2 |  |
Illinois |  |  | 52,560 |  |  |  | 23.0 |  |  |  |  | 47,247 |  |  |  | 22.8 |  |  |  |  | 47,181 |  |  |  | 23.4 |  |
All other states |  |  | 62,288 |  |  |  | 27.3 |  |  |  |  | 54,255 |  |  |  | 26.2 |  |  |  |  | 53,366 |  |  |  | 26.4 |  |
Total hospice segment net service revenues |  | $ | 228,191 |  |  |  | 100.0 |  | % |  | $ | 207,155 |  |  |  | 100.0 |  | % |  | $ | 201,772 |  |  |  | 100.0 |  | %
With the acquisition of JourneyCare in 2022, the Company expanded its hospice services to patients in the state of Illinois.
|  | Home Health |  |
|  | For the Years Ended December 31, |  |
|  | 2024 |  |  |  | 2023 |  |  |  | 2022 |  |
|  | 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 |  | $ | 32,766 |  |  |  | 46.9 |  | % |  | $ | 32,949 |  |  |  | 58.0 |  | % |  | $ | 34,111 |  |  |  | 79.6 |  | %
Illinois |  |  | 10,564 |  |  |  | 15.1 |  |  |  |  | 12,851 |  |  |  | 22.6 |  |  |  |  | 8,730 |  |  |  | 20.4 |  |
Tennessee |  |  | 26,497 |  |  |  | 38.0 |  |  |  |  | 10,978 |  |  |  | 19.4 |  |  |  |  | — |  |  |  | — |  |
Total home health segment net service revenues |  | $ | 69,827 |  |  |  | 100.0 |  | % |  | $ | 56,778 |  |  |  | 100.0 |  | % |  | $ | 42,841 |  |  |  | 100.0 |  | %

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