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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2020
Accounting Policies [Abstract]  
Percentage of Net Service Revenue Earned by Category of Payor
The following table sets forth the percentage of net service revenue earned by category of payor for each segment for the years ending December 31: 
202020192018
Home Health:
Medicare66.8 %70.2 %71.8 %
Managed Care, Commercial, and Other33.2 29.8 28.2 
100.0 %100.0 %100.0 %
Hospice:
Medicare93.1 %92.0 %90.7 %
Managed Care, Commercial, and Other6.9 8.0 9.3 
100.0 %100.0 %100.0 %
Home and Community-Based:
Medicaid21.4 %23.2 %23.9 %
Managed Care, Commercial, and Other78.6 76.8 76.1 
100.0 %100.0 %100.0 %
Facility-Based:
Medicare55.0 %56.2 %59.7 %
Managed Care, Commercial, and Other45.0 43.8 40.3 
100.0 %100.0 %100.0 %
Healthcare Innovations:
Medicare19.2 %21.6 %22.8 %
Managed Care, Commercial, and Other80.8 78.4 77.2 
100.0 %100.0 %100.0 %
Schedules of Percentage of Patient Accounts Receivable by Payor
The following table sets forth the percentage of patient accounts receivable by payor for the years ended December 31:
20202019
Medicare55.3 %48.3 %
Medicaid9.2 9.4 
Managed Care, Commercial, and Other35.5 42.3 
Total patient accounts receivable100.0 %100.0 %
Property, Plant and Equipment
The following table describes the Company’s components of property, building and equipment for the years ended December 31, 2020 and 2019 (amounts in thousands): 
 20202019
Land$7,339 $7,339 
Building and leasehold improvements40,766 36,142 
Transportation equipment19,821 12,470 
Fixed equipment365 376 
Office furniture and medical equipment104,557 94,993 
Construction in progress48,239 16,029 
221,087 167,349 
Less accumulated depreciation82,721 69,441 
  Property, building and equipment, net$138,366 $97,908 
Shares Used in Computation of Basic and Diluted per Share Information
The following table sets forth shares used in the computation of basic and diluted per share information for the years ended December 31, 2020, 2019 and 2018: 
202020192018
Weighted average number of shares outstanding for basic per share calculation31,092,417 30,932,607 27,498,351 
Effect of dilutive potential shares:
Nonvested restricted stock273,348 277,217 275,045 
Adjusted weighted average shares for diluted per share calculation31,365,765 31,209,824 27,773,396 
Antidilutive shares1,155 157,608 46,002