Segment Information

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Segment Information

12. Segment Information

Operating segments are defined as components of a company that engage in business activities from which it may earn revenues and incur expenses, and for which separate financial information is available and is regularly reviewed by the Company’s chief operating decision makers, to assess the performance of the individual segments and make decisions about resources to be allocated to the segments. The Company operates as a multi-state provider of three distinct but related business segments providing in-home services.

In its personal care segment, the Company provides non-medical assistance with activities of daily living, primarily to persons who are at increased risk of hospitalization or institutionalization, such as the elderly, chronically ill or disabled. In its hospice segment, the Company provides physical, emotional and spiritual care for people who are terminally ill as well as related services for their families. In its home health segment, the Company provides services that are primarily medical in nature to individuals who may require assistance during an illness or after hospitalization and include skilled nursing and physical, occupational and speech therapy.

The tables below set forth information about the Company’s reportable segments for the years ended December 31, 2023, 2022 and 2021 along with the items necessary to reconcile the segment information to the totals reported in the accompanying consolidated financial statements. Segment assets are not reviewed by the Company’s chief operating decision maker function and therefore are not disclosed below.

Segment operating income consists of revenue generated by a segment, less the direct costs of service revenues and general and administrative expenses that are incurred directly by the segment. Unallocated general and administrative costs are those costs for functions performed in a centralized manner and therefore not attributable to a particular segment. These costs include accounting, finance, human resources, legal, information technology, corporate office support and facility costs and overall corporate management.

	For the Year Ended December 31, 2023
	(Amounts in Thousands)
	Personal Care		Hospice		Home Health		Total
Net service revenues	$	794,718	$	207,155	$	56,778	$	1,058,651
Cost of services revenues		572,807		110,219		35,749		718,775
Gross profit		221,911		96,936		21,029		339,876
General and administrative expenses		64,382		52,083		14,017		130,482
Segment operating income	$	157,529	$	44,853	$	7,012	$	209,394
	For the Year Ended December 31, 2022
	(Amounts in Thousands)
	Personal Care		Hospice		Home Health		Total
Net service revenues	$	706,507	$	201,772	$	42,841	$	951,120
Cost of services revenues		520,617		100,956		29,808		651,381
Gross profit		185,890		100,816		13,033		299,739
General and administrative expenses		60,532		49,742		10,251		120,525
Segment operating income	$	125,358	$	51,074	$	2,782	$	179,214
	For the Year Ended December 31, 2021
	(Amounts in Thousands)
	Personal Care		Hospice		Home Health		Total
Net service revenues	$	685,854	$	152,253	$	26,392	$	864,499
Cost of services revenues		502,024		75,186		17,441		594,651
Gross profit		183,830		77,067		8,951		269,848
General and administrative expenses		61,565		34,632		5,713		101,910
Segment operating income	$	122,265	$	42,435	$	3,238	$	167,938

	For the Years Ended December 31,
	(Amounts in Thousands)
	2023			2022			2021
Segment reconciliation:
Total segment operating income	$	209,394		$	179,214		$	167,938
Items not allocated at segment level:
Other general and administrative expenses		104,312			96,417			87,508
Depreciation and amortization		14,126			14,060			14,494
Interest income		(1,476	)		(341	)		(268	)
Interest expense		11,106			8,907			5,806
Income before income taxes	$	81,326		$	60,171		$	60,398