Significant Payors (Tables)

12 Months Ended

Dec. 31, 2021

Significant Payors [Abstract]

Schedule of Revenue by Payor Type

For 2021, 2020 and 2019, the Company’s revenue by payor type was as follows:

	Personal Care
	For the Years Ended December 31,
	2021					2020					2019
	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	$	338,325		49.3	%	$	324,670		50.2	%	$	303,479		52.2	%
Managed care organizations		311,801		45.5			287,032		44.3			239,559		41.3
Private pay		19,991		2.9			20,398		3.2			21,765		3.7
Commercial insurance		9,820		1.4			9,991		1.5			9,204		1.6
Other		5,917		0.9			5,142		0.8			6,721		1.2
Total personal care segment net service revenues	$	685,854		100.0	%	$	647,233		100.0	%	$	580,728		100.0	%

	Hospice
	For the Years Ended December 31,
	2021					2020					2019
	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	$	142,086		93.3	%	$	94,068		92.9	%	$	49,649		92.6	%
Managed care organizations		5,664		3.7			4,931		4.9			2,768		5.2
Other		4,503		3.0			2,298		2.2			1,184		2.2
Total hospice segment net service revenues	$	152,253		100.0	%	$	101,297		100.0	%	$	53,601		100.0	%

	Home Health
	For the Years Ended December 31,
	2021					2020					2019
	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	$	20,700		78.4	%	$	12,765		78.6	%	$	11,218		77.6	%
Managed care organizations		4,457		16.9			3,188		19.6			2,942		20.3
Other		1,235		4.7			292		1.8			302		2.1
Total home health segment net service revenues	$	26,392		100.0	%	$	16,245		100.0	%	$	14,462		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 2021, 2020 and 2019 were as follows:

	Personal Care
	For the Years Ended December 31,
	2021					2020					2019
	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	$	328,619		47.9	%	$	288,326		44.6	%	$	247,524		42.6	%
New York		99,732		14.5			115,510		17.8			108,403		18.7
New Mexico		97,784		14.3			86,618		13.4			75,666		13.0
All other states		159,719		23.3			156,779		24.2			149,135		25.7
Total personal care segment net service revenues	$	685,854		100.0	%	$	647,233		100.0	%	$	580,728		100.0	%

	Hospice
	For the Years Ended December 31,
	2021					2020					2019
	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	$	61,415		40.3	%	$	—		—	%	$	—		—	%
New Mexico		36,063		23.7			42,648		42.1			38,790		72.4
All other states		54,775		36.0			58,649		57.9			14,811		27.6
Total hospice segment net service revenues	$	152,253		100.0	%	$	101,297		100.0	%	$	53,601		100.0	%

With the acquisition of Queen City Hospice, the Company expanded its hospice services in the state of Ohio.

	Home Health
	For the Years Ended December 31,
	2021					2020					2019
	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	$	24,735		93.7	%	$	16,245		100.0	%	$	14,462		100.0	%
Illinois		1,657		6.3			—		—			—		—
Total home health segment net service revenues	$	26,392		100.0	%	$	16,245		100.0	%	$	14,462		100.0	%