SEGMENT INFORMATION

9 Months Ended

Sep. 30, 2023

Segment Reporting [Abstract]

SEGMENT INFORMATION

SEGMENT INFORMATION

Our operations involve servicing patients through our three reportable business segments: home health, hospice and high acuity care. We divested our personal care business on March 31, 2023. 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 tasks. Our hospice segment provides palliative care and comfort to terminally ill patients and their families. Our personal care segment provided patients with assistance with the essential activities of daily living. Our high acuity care segment delivers the essential elements of inpatient hospital, palliative and 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.

In connection with our reorganization initiatives, management has revised its measurement of our reportable segments' operating income (loss). Effective January 1, 2023, we transitioned corporate functions that were previously included within our high acuity care segment to the corporate support function in order to realize operational efficiencies. Additionally, effective January 1, 2023, we transitioned from the high acuity care segment to the home health segment the operations of a home health care center that was contributed to the high acuity care segment by one of our health system partners during 2022. Prior periods have been recast to conform to the current year presentation.

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, 2023
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	351.6	$	200.2	$	—	$	4.4	$	—	$	556.2
Cost of service, inclusive of depreciation	201.6		104.2		—		5.8		—		311.6
General and administrative expenses	91.4		48.4		—		5.3		52.9		198.0
Depreciation and amortization	1.8		0.8		—		0.7		1.1		4.4
Operating expenses	294.8		153.4		—		11.8		54.0		514.0
Operating income (loss)	$	56.8	$	46.8	$	—	$	(7.4)	$	(54.0)	$	42.2
	For the Three-Month Period Ended September 30, 2022
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	339.2	$	198.7	$	16.6	$	3.5	$	—	$	558.0
Cost of service	196.7		109.4		12.2		3.9		—		322.2
General and administrative expenses	89.1		49.1		2.4		5.2		42.6		188.4
Depreciation and amortization	0.9		0.5		—		0.8		3.3		5.5
Investment impairment	—		—		—		3.0		—		3.0
Operating expenses	286.7		159.0		14.6		12.9		45.9		519.1
Operating income (loss)	$	52.5	$	39.7	$	2.0	$	(9.4)	$	(45.9)	$	38.9
	For the Nine-Month Period Ended September 30, 2023
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	1,044.7	$	592.8	$	15.0	$	13.1	$	—	$	1,665.6
Cost of service, inclusive of depreciation	593.1		304.4		11.1		15.5		—		924.1
General and administrative expenses	270.5		144.1		2.3		15.0		173.6		605.5
Depreciation and amortization	4.3		2.2		—		2.3		4.8		13.6
Operating expenses	867.9		450.7		13.4		32.8		178.4		1,543.2
Operating income (loss)	$	176.8	$	142.1	$	1.6	$	(19.7)	$	(178.4)	$	122.4
	For the Nine-Month Period Ended September 30, 2022
	Home Health		Hospice		Personal Care		High Acuity Care		Other		Total
Net service revenue	$	1,016.8	$	590.2	$	45.5	$	8.6	$	—	$	1,661.1
Cost of service	576.6		323.2		34.5		9.0		—		943.3
General and administrative expenses	261.1		152.1		6.8		14.6		126.0		560.6
Depreciation and amortization	3.3		1.7		0.1		2.4		12.2		19.7
Investment impairment	—		—		—		3.0		—		3.0
Operating expenses	841.0		477.0		41.4		29.0		138.2		1,526.6
Operating income (loss)	$	175.8	$	113.2	$	4.1	$	(20.4)	$	(138.2)	$	134.5