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Note 13 - Significant Payors (Tables)
9 Months Ended
Sep. 30, 2025
Notes Tables  
Revenue from External Customers by Products and Services [Table Text Block]

Personal Care Segment

 

For the Three Months Ended September 30,

  

For the Nine Months Ended September 30,

 
  

2025

  

2024

  

2025

  

2024

 
      

% of Segment

      

% of Segment

      

% of Segment

      

% of Segment

 
  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

 
  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

 

State, local and other governmental programs

 $139,383   50.5% $116,702   54.2% $410,781   51.1% $337,458   53.0%

Managed care organizations

  127,293   46.2   93,321   43.3   366,210   45.6   281,732   44.3 

Private pay

  7,064   2.5   3,599   1.7   21,331   2.7   11,194   1.8 

Commercial insurance

  1,860   0.7   1,415   0.7   4,356   0.5   4,368   0.7 

Other

  170   0.1   396   0.1   560   0.1   1,501   0.2 

Total personal care segment net service revenues

 $275,770   100.0% $215,433   100.0% $803,238   100.0% $636,253   100.0%

Hospice Segment

 

For the Three Months Ended September 30,

  

For the Nine Months Ended September 30,

 
  

2025

  

2024

  

2025

  

2024

 
      

% of Segment

      

% of Segment

      

% of Segment

      

% of Segment

 
  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

 
  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

 

Medicare

 $64,148   93.1% $52,413   91.5% $178,784   92.9% $154,187   91.1%

Commercial insurance

  2,140   3.1   2,892   5.0   6,518   3.4   8,870   5.2 

Managed care organizations

  2,216   3.2   1,821   3.2   6,245   3.2   5,518   3.3 

Other

  387   0.6   183   0.3   993   0.5   627   0.4 

Total hospice segment net service revenues

 $68,891   100.0% $57,309   100.0% $192,540   100.0% $169,202   100.0%

Home Health Segment

 

For the Three Months Ended September 30,

  

For the Nine Months Ended September 30,

 
  

2025

  

2024

  

2025

  

2024

 
      

% of Segment

      

% of Segment

      

% of Segment

      

% of Segment

 
  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

 
  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

 

Medicare

 $11,617   65.9% $12,036   70.6% $36,711   68.4% $36,216   69.6%

Managed care organizations

  4,492   25.5   4,215   24.7   12,564   23.4   13,291   25.6 

State, local and other governmental programs (excluding Medicare)

  993   5.6   (17)     2,878   5.3       

Other

  538   3.0   811   4.7   1,521   2.9   2,493   4.8 

Total home health segment net service revenues

 $17,640   100.0% $17,045   100.0% $53,674   100.0% $52,000   100.0%

Personal Care Segment

 

For the Three Months Ended September 30,

  

For the Nine Months Ended September 30,

 
  

2025

  

2024

  

2025

  

2024

 
      

% of Segment

      

% of Segment

      

% of Segment

      

% of Segment

 
  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

 
  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

 

Illinois

 $115,989   42.1% $111,916   51.9% $342,629   42.7% $330,265   51.9%

New Mexico

  30,029   10.9   28,962   13.4   87,320   10.9   86,573   13.6 

New York(1)

  (318)     21,406   9.9   (104)     68,239   10.7 

Texas

  53,449   19.4         155,773   19.4       

All other states

  76,621   27.6   53,149   24.8   217,620   27.0   151,176   23.8 

Total personal care segment net service revenues

 $275,770   100.0% $215,433   100.0% $803,238   100.0% $636,253   100.0%

Hospice Segment

 

For the Three Months Ended September 30,

  

For the Nine Months Ended September 30,

 
  

2025

  

2024

  

2025

  

2024

 
      

% of Segment

      

% of Segment

      

% of Segment

      

% of Segment

 
  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

 
  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

 

Ohio

 $26,913   39.1% $21,531   37.6% $73,304   38.1% $62,400   36.9%

Illinois

  15,532   22.5   13,289   23.2   44,516   23.1   38,544   22.8 

New Mexico

  8,769   12.7   6,951   12.1   24,865   12.9   21,361   12.6 

All other states

  17,677   25.7   15,538   27.1   49,855   25.9   46,897   27.7 

Total hospice segment net service revenues

 $68,891   100.0% $57,309   100.0% $192,540   100.0% $169,202   100.0%

Home Health Segment

 

For the Three Months Ended September 30,

  

For the Nine Months Ended September 30,

 
  

2025

  

2024

  

2025

  

2024

 
      

% of Segment

      

% of Segment

      

% of Segment

      

% of Segment

 
  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

  

Amount

  

Net Service

 
  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

  

(in Thousands)

  

Revenues

 

New Mexico

 $8,644   49.0% $8,090   47.4% $25,937   48.3% $24,166   46.5%

Tennessee

  6,852   38.8   6,542   38.4   21,672   40.4   19,437   37.4 

Illinois

  1,759   10.0   2,413   14.2   5,680   10.6   8,397   16.1 

All other states

  385   2.2         385   0.7       

Total home health segment net service revenues

 $17,640   100.0% $17,045   100.0% $53,674   100.0% $52,000   100.0%