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BUSINESS SEGMENTS (Tables)
9 Months Ended
Sep. 30, 2024
Segment Reporting [Abstract]  
Schedule of financial data combined by business segment
The following tables present certain financial information regarding the Company’s reportable segments, general and administrative expenses are not allocated to the reportable segments and are included in “All Other” for the three and nine months ended September 30, 2024 and 2023:

Home Health and Hospice ServicesSenior Living ServicesAll OtherTotal
Three Months Ended September 30, 2024
Revenue$135,672 $45,016 $— $180,688 
Segment Adjusted EBITDAR from Operations$23,724 $13,411 $(11,133)$26,002 
Three Months Ended September 30, 2023
Revenue$101,474 $38,718 $— $140,192 
Segment Adjusted EBITDAR from Operations$17,271 $11,473 $(8,097)$20,647 
Home Health and Hospice ServicesSenior Living ServicesAll OtherTotal
Nine Months Ended September 30, 2024
Revenue$377,463 $128,885 $— $506,348 
Segment Adjusted EBITDAR from Operations$64,488 $38,226 $(31,840)$70,874 
Nine Months Ended September 30, 2023
Revenue$287,573 $111,364 $— $398,937 
Segment Adjusted EBITDAR from Operations$47,364 $33,394 $(23,496)$57,262 
Schedule of reconciliation of total combined adjusted EBITDAR from operations for our reportable segments to combined income from operations
The following table provides a reconciliation of Segment Adjusted EBITDAR from Operations to Condensed Consolidated Income from Operations:

Three Months Ended September 30,Nine Months Ended September 30,
2024202320242023
Segment Adjusted EBITDAR from Operations$26,002 $20,647 $70,874 $57,262 
Less: Depreciation and amortization1,493 1,323 4,292 3,817 
Rent—cost of services10,906 10,006 31,814 29,439 
Other income (expense)109 (37)192 28 
Adjustments to Segment EBITDAR from Operations:
Less: Costs at start-up operations(a)
65 (108)(72)160 
Share-based compensation expense and related taxes(b)
2,342 1,391 5,817 4,164 
Acquisition related costs and credit allowances(c)
494 71 996 175 
Costs associated with transitioning operations(d)
12 10 (583)595 
Unusual, non-recurring or redundant charges(e)
239 1,009 546 1,633 
Add: Net income attributable to noncontrolling interest452 79 1,008 351 
Condensed Consolidated Income from Operations$10,794 $7,061 $28,880 $17,602 
(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 and related payroll taxes incurred. Share-based compensation expense and related payroll taxes are included in cost of services and general and administrative expense.
(c)
Non-capitalizable costs associated with acquisitions, credit allowances, and write offs for amounts in dispute with the prior owners of certain acquired operations.
(d)During the nine months ended September 30, 2023, an affiliate of the Company placed its memory care units into transition and began seeking to sublease the units to an unrelated third party. The amount above represents the net operating impact attributable to the units in transition. The amounts reported exclude rent and depreciation and amortization expense related to such operations and include legal settlement costs associated with an entity transitioned to Ensign.
(e)Represents unusual or non-recurring charges for legal services, implementation costs, integration costs, and consulting fees in general and administrative and cost of services expenses.