SEGMENT INFORMATION

9 Months Ended

Sep. 30, 2021

Segment Reporting [Abstract]

SEGMENT INFORMATION

SEGMENT INFORMATION

Our operations involve servicing patients through our four reportable business segments: home health, hospice, personal care and high acuity care. Our home health segment delivers a wide range of services in the homes of individuals who may be recovering from surgery, have a chronic disability or terminal illness or need assistance with completing important personal tasks. Our hospice segment provides palliative care and comfort to terminally ill patients and their families. Our personal care segment provides patients with assistance with the essential activities of daily living. Our high acuity care segment, which was established with the acquisition of Contessa during the three-month period ended September 30, 2021, delivers the essential elements of inpatient hospital and skilled nursing facility ("SNF") care to patients in their homes. The “other” column in the following tables consists of costs relating to executive management and administrative support functions, primarily information services, accounting, finance, billing and collections, legal, compliance, risk management, procurement, marketing, clinical administration, training, human resources and administration.

Management evaluates performance and allocates resources based on the operating income of the reportable segments, which includes an allocation of corporate expenses directly attributable to the specific segment and includes revenues and all other costs directly attributable to the specific segment. Segment assets are not reviewed by the company’s chief operating decision maker and therefore are not disclosed below (amounts in millions).

	For the Three-Month Period Ended September 30, 2021
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	338.6	$	197.5	$	15.9	$	1.5	$	—	$	553.5
Other operating income	—		—		—		—		—		—
Cost of service, excluding depreciation and amortization	190.1		107.6		11.7		0.9		—		310.3
General and administrative expenses	82.4		49.5		2.6		3.9		40.5		178.9
Depreciation and amortization	1.1		0.7		0.1		0.5		5.1		7.5
Operating expenses	273.6		157.8		14.4		5.3		45.6		496.7
Operating income (loss)	$	65.0	$	39.7	$	1.5	$	(3.8)	$	(45.6)	$	56.8
	For the Three-Month Period Ended September 30, 2020
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	326.0	$	199.7	$	18.4	$	—	$	—	$	544.1
Other operating income	2.6		1.7		0.5		—		—		4.8
Cost of service, excluding depreciation and amortization	180.0		104.1		13.5		—		—		297.6
General and administrative expenses	78.8		47.8		3.2		—		49.9		179.7
Depreciation and amortization	1.0		0.6		—		—		6.7		8.3
Operating expenses	259.8		152.5		16.7		—		56.6		485.6
Operating income (loss)	$	68.8	$	48.9	$	2.2	$	—	$	(56.6)	$	63.3
	For the Nine-Month Period Ended September 30, 2021
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	1,016.5	$	586.9	$	49.9	$	1.5	$	—	$	1,654.8
Other operating income	7.3		6.0		—		—		—		13.3
Cost of service, excluding depreciation and amortization	563.5		314.4		37.4		0.9		—		916.2
General and administrative expenses	243.8		144.4		8.8		3.9		125.5		526.4
Depreciation and amortization	3.3		2.0		0.2		0.5		15.8		21.8
Operating expenses	810.6		460.8		46.4		5.3		141.3		1,464.4
Operating income (loss)	$	213.2	$	132.1	$	3.5	$	(3.8)	$	(141.3)	$	203.7
	For the Nine-Month Period Ended September 30, 2020
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	919.8	$	546.2	$	54.8	$	—	$	—	$	1,520.8
Other operating income	17.7		8.9		1.0		—		—		27.6
Cost of service, excluding depreciation and amortization	543.8		293.1		41.7		—		—		878.6
General and administrative expenses	226.7		127.4		9.5		—		129.2		492.8
Depreciation and amortization	2.9		1.7		0.1		—		15.2		19.9
Operating expenses	773.4		422.2		51.3		—		144.4		1,391.3
Operating income (loss)	$	164.1	$	132.9	$	4.5	$	—	$	(144.4)	$	157.1