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Significant Payors (Tables) | 3 Months Ended
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Mar. 31, 2025
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 March 31, |
|  | 2025 |  |  | 2024 |
|  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
State, local and other governmental programs |  | $132,904 |  | 51.5 | % |  | $107,754 |  | 51.8 | %
Managed care organizations |  | 117,007 |  | 45.3 |  |  | 94,276 |  | 45.3 |
Private pay |  | 6,976 |  | 2.7 |  |  | 3,906 |  | 1.9 |
Commercial insurance |  | 1,160 |  | 0.4 |  |  | 1,486 |  | 0.7 |
Other |  | 239 |  | 0.1 |  |  | 581 |  | 0.3 |
Total personal care segment net service revenues |  | $258,286 |  | 100.0 | % |  | $208,003 |  | 100.0 | %
Hospice Segment |  | For the Three Months Ended March 31, |
|  | 2025 |  |  | 2024 |
|  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Medicare |  | $56,788 |  | 92.4 | % |  | $50,652 |  | 90.7 | %
Commercial insurance |  | 2,383 |  | 3.9 |  |  | 3,134 |  | 5.6 |
Managed care organizations |  | 2,028 |  | 3.3 |  |  | 1,817 |  | 3.3 |
Other |  | 238 |  | 0.4 |  |  | 260 |  | 0.4 |
Total hospice segment net service revenues |  | $61,437 |  | 100.0 | % |  | $55,863 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended March 31, |
|  | 2025 |  |  | 2024 |
|  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Medicare |  | $12,576 |  | 69.9 | % |  | $11,663 |  | 69.1 | %
Managed care organizations |  | 3,810 |  | 21.2 |  |  | 4,400 |  | 26.1 |
State, local and other governmental programs (excluding Medicare) |  | 1,087 |  | 6.0 |  |  | 26 |  | 0.2 |
Other |  | 512 |  | 2.9 |  |  | 791 |  | 4.6 |
Total home health segment net service revenues |  | $17,985 |  | 100.0 | % |  | $16,880 |  | 100.0 | %
Schedule of Revenue by Geographic Location | The percentages of segment revenue for each of these significant states and New York for the three months ended March 31, 2025 and 2024 were as follows:
Personal Care Segment |  | For the Three Months Ended March 31, |
|  | 2025 |  |  | 2024 |
|  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Illinois |  | $111,414 |  | 43.1 | % |  | $107,575 |  | 51.8 | %
New Mexico |  | 28,305 |  | 11.0 |  |  | 28,967 |  | 13.9 |
New York(1) |  | 273 |  | 0.1 |  |  | 23,534 |  | 11.3 |
Texas |  | 49,861 |  | 19.3 |  |  | — |  | — |
All other states |  | 68,433 |  | 26.5 |  |  | 47,927 |  | 23.0 | %
Total personal care segment net service revenues |  | $258,286 |  | 100.0 | % |  | $208,003 |  | 100.0 |
(1) The selection process of 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 3 to the Notes to Unaudited Condensed Consolidated Financial Statements, Divestiture, for additional details regarding our divestiture.
Hospice Segment |  | For the Three Months Ended March 31, |
|  | 2025 |  |  | 2024 |
|  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
Ohio |  | $23,187 |  | 37.7 | % |  | $20,236 |  | 36.2 | %
Illinois |  | 14,564 |  | 23.7 |  |  | 12,252 |  | 21.9 |
New Mexico |  | 7,913 |  | 12.9 |  |  | 7,515 |  | 13.5 |
All other states |  | 15,773 |  | 25.7 |  |  | 15,860 |  | 28.4 |
Total hospice segment net service revenues |  | $61,437 |  | 100.0 | % |  | $55,863 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended March 31, |
|  | 2025 |  |  | 2024 |
|  | Amount (in Thousands) |  | % of Segment Net Service Revenues |  |  | Amount (in Thousands) |  | % of Segment Net Service Revenues |
New Mexico |  | $8,555 |  | 47.6 | % |  | $7,777 |  | 46.1 | %
Illinois |  | 1,932 |  | 10.7 |  |  | 2,942 |  | 17.4 |
Tennessee |  | 7,498 |  | 41.7 |  |  | 6,161 |  | 36.5 |
Total home health segment net service revenues |  | $17,985 |  | 100.0 | % |  | $16,880 |  | 100.0 | %

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- Definition Tabular disclosure of entity-wide revenues from external customers for each product or service or each group of similar products or services if the information is not provided as part of the reportable operating segment information. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-40 + Details
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