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Significant Payors (Tables)

6 Months Ended

Jun. 30, 2024

The Company’s revenue by payor type was as follows:


Personal Care Segment		For the Three Months Ended June 30,								For the Six Months Ended June 30,
	2024					2023				2024				2023
	Amount (in Thousands)		% of Segment Net Service Revenues		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	$	113,002	53.1	%	$	100,399	50.6	%	$	220,756	52.5	%	$	195,721	50.4	%
Managed care organizations		94,135	44.2			91,276	46.0			188,411	44.8			179,176	46.1
Private pay		3,689	1.7			4,137	2.2			7,595	1.8			8,363	2.2
Commercial insurance		1,467	0.7			1,637	0.8			2,953	0.7			3,306	0.9
Other		524	0.3			865	0.4			1,105	0.2			1,780	0.4
Total personal care segment net service revenues	$	212,817	100.0	%	$	198,314	100.0	%	$	420,820	100.0	%	$	388,346	100.0	%


Hospice Segment		For the Three Months Ended June 30,								For the Six Months Ended June 30,
	2024					2023				2024				2023
	Amount (in Thousands)		% of Segment Net Service Revenues		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	$	51,122	91.2	%	$	45,566	90.7	%	$	101,774	91.0	%	$	90,122	90.8	%
Commercial insurance		2,844	5.1			2,726	5.4			5,978	5.3			5,273	5.3
Managed care organizations		1,880	3.4			1,567	3.1			3,697	3.3			3,214	3.2
Other		184	0.3			351	0.8			444	0.4			684	0.7
Total hospice segment net service revenues	$	56,030	100.0	%	$	50,210	100.0	%	$	111,893	100.0	%	$	99,293	100.0	%


Home Health Segment		For the Three Months Ended June 30,								For the Six Months Ended June 30,
	2024					2023				2024				2023
	Amount (in Thousands)		% of Segment Net Service Revenues		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	$	12,517	69.3	%	$	8,716	76.1	%	$	24,180	69.2	%	$	17,988	75.1	%
Managed care organizations		4,676	25.9			2,251	19.6			9,076	26.0			4,789	20.0
Other		882	4.8			489	4.3			1,699	4.8			1,164	4.9
Total home health segment net service revenues	$	18,075	100.0	%	$	11,456	100.0	%	$	34,955	100.0	%	$	23,941	100.0	%

Schedule of Revenue by Geographic Location

The percentages of segment revenue for each of these significant states were as follows:


Personal Care Segment		For the Three Months Ended June 30,								For the Six Months Ended June 30,
		2024				2023				2024				2023
	Amount (in Thousands)		% of Segment Net Service Revenues		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	$	110,774	52.1	%	$	103,864	52.4	%	$	218,349	51.9	%	$	202,279	52.1	%
New Mexico		28,644	13.5			27,907	14.1			57,611	13.7			56,381	14.5
New York (1)		23,299	10.9			23,841	12.0			46,833	11.1			45,727	11.8
All other states		50,100	23.5			42,702	21.5			98,027	23.3			83,959	21.6
Total personal care segment net service revenues	$	212,817	100.0	%	$	198,314	100.0	%	$	420,820	100.0	%	$	388,346	100.0	%

(1)

The selection process for CDPAP fiscal intermediaries has changed significantly in recent years and the program continues to be an area of focus for New York governmental authorities. The Company was not one of the entities selected through an RFO process to competitively procure fiscal intermediaries that was initiated in 2019 and, in November 2022, decided to suspend materially all of its new fee-for-service patient admissions through County Social Service Departments. The Company received a contract award in June 2023 and resumed new fee-for-service patient admissions. However, the New York fiscal year 2025 budget will replace the CDPAP fiscal intermediaries with a single statewide fiscal intermediary with a stated deadline of April 1, 2025. All service providers seeking to offer services under CDPAP will be required to contract with the statewide fiscal intermediary or its contractors in order to offer services. The Company does not believe it is likely to be selected as the single statewide fiscal intermediary, and it is difficult to predict the details of the implementation of these modifications and their final timeline and, thus, their impact on the Company’s business and operations. As a result of the changes and uncertainty in the state, the Company determined that its New York personal care operations no longer fit its growth strategy and reached an agreement to divest these operations. See Note 4 to the Notes to Unaudited Condensed Consolidated Financial Statements, Acquisition and Divestiture, for additional details regarding our divestiture.


Hospice Segment		For the Three Months Ended June 30,								For the Six Months Ended June 30,
	2024					2023				2024				2023
	Amount (in Thousands)		% of Segment Net Service Revenues		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	$	20,633	36.8	%	$	19,332	38.5	%	$	40,869	36.5	%	$	37,783	38.1	%
Illinois		13,003	23.2			11,606	23.1			25,255	22.6			23,087	23.3
New Mexico		6,895	12.3			6,540	13.0			14,410	12.9			13,026	13.1
All other states		15,499	27.7			12,732	25.4			31,359	28.0			25,397	25.5
Total hospice segment net service revenues	$	56,030	100.0	%	$	50,210	100.0	%	$	111,893	100.0	%	$	99,293	100.0	%


Home Health Segment		For the Three Months Ended June 30,								For the Six Months Ended June 30,
	2024					2023				2024				2023
	Amount (in Thousands)		% of Segment Net Service Revenues		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	$	8,300	45.9	%	$	8,093	70.6	%	$	16,077	46.0	%	$	17,209	71.9	%
Illinois		3,042	16.8			3,363	29.4			5,984	17.1			6,732	28.1
Tennessee		6,733	37.3			—	—			12,894	36.9			—	—
Total home health segment net service revenues	$	18,075	100.0	%	$	11,456	100.0	%	$	34,955	100.0	%	$	23,941	100.0	%