Significant Payors (Tables)

3 Months Ended

Mar. 31, 2024

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



Personal Care Segment	For the Three Months Ended March 31,
	2024			2023
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
State, local and other governmental programs	$107,754	51.8	%	$95,320	50.1	%
Managed care organizations	94,276	45.3		87,901	46.3
Private pay	3,906	1.9		4,226	2.2
Commercial insurance	1,486	0.7		1,669	0.9
Other	581	0.3		916	0.5
Total personal care segment net service revenues	$208,003	100.0	%	$190,032	100.0	%



Hospice Segment	For the Three Months Ended March 31,
	2024			2023
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Medicare	$50,652	90.7	%	$44,556	90.7	%
Commercial insurance	3,134	5.6		2,547	5.2
Managed care organizations	1,817	3.3		1,647	3.4
Other	260	0.4		332	0.7
Total hospice segment net service revenues	$55,863	100.0	%	$49,082	100.0	%



Home Health Segment	For the Three Months Ended March 31,
	2024			2023
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Medicare	$11,663	69.1	%	$9,270	74.2	%
Managed care organizations	4,400	26.1		2,539	20.3
Other	817	4.8		676	5.5
Total home health segment net service revenues	$16,880	100.0	%	$12,485	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 March 31,
	2024			2023
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Illinois	$107,575	51.8	%	$98,414	51.8	%
New Mexico	28,967	13.9		28,474	15.0
New York(1)	23,534	11.3		21,885	11.5
All other states	47,927	23.0		41,259	21.7
Total personal care segment net service revenues	$208,003	100.0	%	$190,032	100.0	%

(1)

In 2019, New York initiated a new Request For Offer (“RFO”) process to competitively procure Consumer Directed Personal Assistance Program (“CDPAP”) fiscal intermediaries. The Company was not one of the entities selected to enter into contracts as a Lead Fiscal Intermediary through the initial RFO process. However, the New York legislature intervened in 2022, authorizing fiscal intermediary applicants who satisfied certain criteria to continue operating in all counties contained in their RFO application. Although the Company was permitted to continue its CDPAP fiscal intermediary operations, the Company decided in November 2022 to suspend materially all of its new fee-for-service patient admissions through County Social Service Departments in the CDPAP. On June 6, 2023, the New York State Department of Health (“NYSDOH”) notified the Company that it had received a contract award. Under this contract, the Company is providing services to all current payors and has resumed new fee-for-service patient admissions through County Social Service Departments in the CDPAP. The CDPAP continues to be a focus for changes by New York governmental authorities. For example, 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. The statewide fiscal intermediary, which will be selected by the NYSDOH, will be able to subcontract with several entities to facilitate the delivery of fiscal intermediary services. 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 currently believe it is likely to be selected as the single statewide fiscal intermediary and it is not possible at this time to assess the likelihood of becoming a subcontractor or the financial terms of any such arrangement. At this time, 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. However, we expect this could have a negative impact on our New York CDPAP business, though it would not be material to our business as a whole.



Hospice Segment	For the Three Months Ended March 31,
	2024			2023
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Ohio	$20,236	36.2	%	$18,451	37.6	%
Illinois	12,252	21.9		11,480	23.4
New Mexico	7,515	13.5		6,486	13.2
All other states	15,860	28.4		12,665	25.8
Total hospice segment net service revenues	$55,863	100.0	%	$49,082	100.0	%



Home Health Segment	For the Three Months Ended March 31,
	2024			2023
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
New Mexico	$7,777	46.1	%	$9,116	73.0	%
Illinois	2,942	17.4		3,369	27.0
Tennessee	6,161	36.5		—	—
Total home health segment net service revenues	$16,880	100.0	%	$12,485	100.0	%