Significant Payors (Tables)

12 Months Ended

Dec. 31, 2023

Significant Payors [Abstract]

Schedule of Revenue by Payor Type

For 2023, 2022 and 2021, the Company’s revenue by payor type was as follows:

	Personal Care
	For the Years Ended December 31,
	2023					2022					2021
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
State, local and other governmental programs	$	400,753		50.4	%	$	348,234		49.3	%	$	338,325		49.3	%
Managed care organizations		367,557		46.2			326,778		46.3			311,801		45.5
Private pay		16,268		2.0			18,301		2.6			19,991		2.9
Commercial insurance		6,321		0.8			7,689		1.1			9,820		1.4
Other		3,819		0.6			5,505		0.7			5,917		0.9
Total personal care segment net service revenues	$	794,718		100.0	%	$	706,507		100.0	%	$	685,854		100.0	%

	Hospice
	For the Years Ended December 31,
	2023					2022					2021
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	186,317		89.9	%	$	183,407		90.9	%	$	142,086		93.3	%
Managed care organizations		7,037		3.4			7,353		3.6			5,664		3.7
Other		13,801		6.7			11,012		5.5			4,503		3.0
Total hospice segment net service revenues	$	207,155		100.0	%	$	201,772		100.0	%	$	152,253		100.0	%

	Home Health
	For the Years Ended December 31,
	2023					2022					2021
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	41,078		72.3	%	$	31,505		73.5	%	$	20,700		78.4	%
Managed care organizations		12,613		22.2			8,698		20.3			4,457		16.9
Other		3,087		5.5			2,638		6.2			1,235		4.7
Total home health segment net service revenues	$	56,778		100.0	%	$	42,841		100.0	%	$	26,392		100.0	%

Schedule of Revenue by Geographic Location

The Company derives a significant amount of its revenue from its operations in Illinois, New Mexico and New York. The percentages of segment revenue for each of these significant states for 2023, 2022 and 2021 were as follows:

	Personal Care
	For the Years Ended December 31,
	2023					2022					2021
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Illinois	$	411,081		51.7	%	$	360,778		51.1	%	$	328,619		47.9	%
New York		92,469		11.6			86,592		12.3			99,732		14.5
New Mexico		115,986		14.6			105,315		14.9			97,784		14.3
All other states		175,182		22.1			153,822		21.7			159,719		23.3
Total personal care segment net service revenues	$	794,718		100.0	%	$	706,507		100.0	%	$	685,854		100.0	%

	Hospice
	For the Years Ended December 31,
	2023					2022					2021
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Ohio	$	74,871		36.1	%	$	70,503		35.0	%	$	61,415		40.3	%
New Mexico		30,782		14.9			30,722		15.2			36,063		23.7
Illinois		47,247		22.8			47,181		23.4			—		—
All other states		54,255		26.2			53,366		26.4			54,775		36.0
Total hospice segment net service revenues	$	207,155		100.0	%	$	201,772		100.0	%	$	152,253		100.0	%

With the acquisition of JourneyCare in 2022, the Company expanded its hospice services to patients in the state of Illinois.

	Home Health
	For the Years Ended December 31,
	2023					2022					2021
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	32,949		58.0	%	$	34,111		79.6	%	$	24,735		93.7	%
Illinois		12,851		22.6			8,730		20.4			1,657		6.3
Tennessee		10,978		19.4			—		—			—		—
Total home health segment net service revenues	$	56,778		100.0	%	$	42,841		100.0	%	$	26,392		100.0	%