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BUSINESS SEGMENTS (Tables)
 12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Segment revenues by major payor source
Revenue by payor for the years ended December 31, 2019, 2018 and 2017, is summarized in the following tables:

Year Ended December 31, 2019
Home Health and Hospice Services
Home Health ServicesHospice ServicesSenior Living ServicesTotal RevenueRevenue %
Medicare$47,819  $93,933  $—  $141,752  41.9 %
Medicaid6,575  10,061  29,819  46,455  13.7  
Subtotal54,394  103,994  29,819  188,207  55.6  
Managed care27,711  1,536  —  29,247  8.6  
Private and other(a)
18,837  152  102,088  121,077  35.8  
Total revenue$100,942  $105,682  $131,907  $338,531  100.0 %

(a)   Private and other payors in our home health and hospice services segment includes revenue from all payors generated in our home care operations.
Year Ended December 31, 2018
Home Health and Hospice Services
Home Health ServicesHospice ServicesSenior Living ServicesTotal RevenueRevenue %
Medicare$42,091  $73,906  $—  $115,997  40.5 %
Medicaid4,680  7,729  23,624  36,033  12.6  
Subtotal46,771  81,635  23,624  152,030  53.1  
Managed care23,541  918  —  24,459  8.6  
Private and other(a)
16,067  105  93,397  109,569  38.3  
Total revenue$86,379  $82,658  $117,021  $286,058  100.0 %
(a)   Private and other payors in our home health and hospice services segment includes revenue from all payors generated in our home care operations.


Year Ended December 31, 2017
Home Health and Hospice Services
Home Health ServicesHospice ServicesSenior Living ServicesTotal RevenueRevenue %
Medicare$36,592  $61,422  $—  $98,014  39.0 %
Medicaid4,398  6,832  19,813  31,043  12.4  
Subtotal40,990  68,254  19,813  129,057  51.4  
Managed care21,058  765  —  21,823  8.7  
Private and other(a)
10,997  339  88,775  100,111  39.9  
Total revenue$73,045  $69,358  $108,588  $250,991  100.0 %
(a)   Private and other payors in our home health and hospice services segment includes revenue from all payors generated in our home care operations.
Financial data combined by business segment
The following table presents certain financial information regarding our reportable segments, general and administrative expenses are not allocated to the reportable segments and are included in “All Other” for the years ended December 31, 2019, 2018 and 2017:
Home Health and Hospice ServicesSenior Living ServicesAll OtherTotal
Year Ended December 31, 2019
Revenue$206,624  $131,907  $—  $338,531  
Segment Adjusted EBITDAR from Operations$33,354  $47,344  $(18,591) $62,107  
Year Ended December 31, 2018
Revenue$169,037  $117,021  $—  $286,058  
Segment Adjusted EBITDAR from Operations$26,427  $47,230  $(16,191) $57,466  
Year Ended December 31, 2017
Revenue$142,403  $108,588  $—  $250,991  
Segment Adjusted EBITDAR from Operations$21,007  $44,230  $(12,643) $52,594  
Reconciliation of total Combined Adjusted EBITDAR from Operations for our reportable segments to Combined Income from Operations
Year Ended December 31,
201920182017
Segment Adjusted EBITDAR from Operations$62,107  $57,466  $52,594  
Less: Depreciation and amortization3,810  2,964  2,544  
Rent—cost of services34,975  31,199  31,304  
Adjustments to Segment EBITDAR from Operations:
Less: Costs at start-up operations(a)
483  129  478  
Share-based compensation expense(b)
3,382  2,382  2,298  
Acquisition related costs(c)
665  —  —  
Spin-off related transaction costs(d)
13,219  756  —  
Transition services costs(e)
532  —  —  
Operating results of closed operations(f)
—  —  728  
Add: Net income attributable to noncontrolling interest629  595  160  
Consolidated and Combined Income from Operations$5,670  $20,631  $15,402  

(a) Represents results related to start-up operations. This amount excludes rent and depreciation and amortization expense related to such operations.
(b) Share-based compensation expense incurred which is included in cost of services and general and administrative expense.
(c) Acquisition related costs that are not capitalizable.
(d) Costs incurred related to the Spin-Off are included in general and administrative expense.
(e) A portion of the costs incurred under the Transition Services Agreement (as defined in Note 3, Related Party Transactions and Net Parent Investment) identified as redundant or nonrecurring that are included in general and administrative expense. Total fees under incurred under the Transition Services agreement were $2,982 for the year ended December 31, 2019.
(f) Operating losses related to the closure of certain, home health, and hospice agencies that were closed in 2017.