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Segment Reporting
 6 Months Ended
Jun. 30, 2023
Segment Reporting [Abstract]  
Segment Reporting Segment Reporting:
Our internal financial reporting and management structure is focused on the major types of services provided by the Company. We manage our operations using two operating segments that are also our reportable segments: (1) home health and (2) hospice. These reportable operating segments are consistent with information used by our Chief Executive Officer, who is our chief operating decision maker, to assess performance and allocate resources. The following is a brief description of our reportable segments:
•Home Health - Our home health operations represent the nation’s fourth largest provider of Medicare-certified skilled home health services, measured by 2020 Medicare revenues. As of June 30, 2023, we operated 255 home health locations in 34 states, with a concentration in the southern half of the United States. We are the sole owner of 244 of these locations. We retain 50.0% to 81.0% ownership in the remaining 11 jointly owned locations. Our home health services include a comprehensive range of Medicare-certified home nursing services to adult patients in need of care. These services include, among others, skilled nursing, physical, occupational, and speech therapy, medical social work, and home health aide services. See Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements included in the Form 10-K for a definition of episodic and non-episodic revenue.
•Hospice - Our hospice operations represent the nation’s twelfth largest provider of Medicare-certified hospice services, measured by 2020 Medicare revenues. As of June 30, 2023, we operated 108 hospice locations in 23 states, with a concentration in the southern half of the United States. We are the sole owner of 104 of these locations. We retain 50.0% to 90.0% ownership in the remaining four jointly owned locations. Our hospice services include in-home services to terminally ill patients and their families to address patients’ physical needs, including pain control and symptom management, and to provide emotional and spiritual support.
The accounting policies of our reportable segments are the same as those described in Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements included in the Form 10-K. All revenues for our services are generated through external customers. See Note 1, Summary of Significant Accounting Policies—Net Service Revenue, for the disaggregation of our revenues. No corporate overhead is allocated to either of our reportable segments. Our Chief Executive Officer evaluates the performance of our segments and allocates resources to them based on adjusted earnings before interest, taxes, depreciation, and amortization (“Segment Adjusted EBITDA”). Segment assets are not reviewed by our Chief Executive Officer and therefore are not disclosed below.
Selected financial information for our reportable segments is as follows (in millions):
Home HealthHospice
Three Months Ended June 30,Three Months Ended June 30,
2023202220232022
Net service revenue$213.8 $220.2 $48.5 $47.8 
Cost of service, excluding depreciation and amortization111.4 108.8 24.1 21.5 
General and administrative expenses59.4 57.8 16.1 15.5 
Other income(0.1)— — — 
Noncontrolling interests0.3 0.6 — 0.1 
Segment Adjusted EBITDA$42.8 $53.0 $8.3 $10.7 
Home HealthHospice
Six Months Ended
June 30,		Six Months Ended
June 30,
2023202220232022
Net service revenue$429.7 $445.1 $97.7 $97.2 
Cost of service, excluding depreciation and amortization219.5 216.8 48.6 43.2 
General and administrative expenses122.3 116.5 32.4 30.4 
Other income(0.1)— — — 
Noncontrolling interests0.8 1.1 — 0.2 
Segment Adjusted EBITDA$87.2 $110.7 $16.7 $23.4 
Segment reconciliations (in millions):
Three Months Ended June 30,Six Months Ended
June 30,
2023202220232022
Total Segment Adjusted EBITDA$51.1 $63.7 $103.9 $134.1 
Non-segment general and administrative expenses(29.7)(27.7)(59.5)(53.5)
Depreciation and amortization(7.7)(8.2)(15.5)(16.7)
Impairment of goodwill(85.8)— (85.8)— 
Interest expense and amortization of debt discounts and fees(10.3)(0.1)(19.8)(0.1)
Net income attributable to noncontrolling interests0.3 0.7 0.8 1.3 
Stock-based compensation expense(2.6)(1.2)(4.1)(2.5)
(Loss) income before income taxes and noncontrolling interests$(84.7)$27.2 $(80.0)$62.6 
Additional detail regarding the revenues of our operating segments by service line follows (in millions):
Three Months Ended June 30,Six Months Ended
June 30,
2023202220232022
Home Health:
Episodic$165.5 $186.3 $335.7 $378.0 
Non-episodic45.7 31.2 88.6 61.6 
Other2.6 2.7 5.4 5.5 
Total home health213.8 220.2 429.7 445.1 
Hospice48.5 47.8 97.7 97.2 
Total net service revenue$262.3 $268.0 $527.4 $542.3