2022 Guidance and E.S.G. Considerations
Operational Excellence: Home Health Cost Per Visit (CPV)-Adjusted
YOY Total CPV impacted by planned wage increases, wage inflation, new hire pay and higher health
insurance costs. Contractor costs down slightly year over year as utilization has stabilized
Components
Salaries
4Q'20
3Q'21
4Q'21
YoY Variance
$66.09
$67.58
$69.73
$3.64
Contractors
$5.08
$4.96
$4.93
($0.15)
Benefits
$12.98
$13.16
$14.52
$1.54
Detail
YoY increase (+5.5%) due to higher
fixed new hire pay (+1.9%), planned
wage increases, wage inflation and
clinician bonuses
Sequential increase due to the same
drivers, including one additional
month of raises
YoY and Sequential variances
minimal due to relatively consistent
utilization
YoY increase due to the impact of
COVID-19 on health insurance costs
(lower utilization in prior year)
Sequential increase due to the
seasonality of claims
Initiatives
Staffing mix optimization,
productivity and scheduling
improvement initiatives in place
to help overcome salary increases
Focused efforts on filling
positions with full-time clinicians
Focus on cost containment and
spend optimization with specific
focus on high-cost claims
Transportation & Supplies
$7.16
$7.28
$7.10
($0.06)
*Visiting Clinician CPV
$91.31
$92.98
Clinical Managers
$9.38
$9.85
$96.28
$10.39
$4.97
$1.01
Fixed cost associated with non-
visiting clinicians
YoY increase driven by additional
staff and planned wage increases
Total CPV
$100.69
$102.83
$106.67
$5.98
*Note: Direct comparison with industry competitors CPV calculation
Unit cost reduced as volume
increases
$91.31
Cost Per Visit (CPV)
$92.98
$96.28
$100.00
$75.00
$50.00
$25.00
4Q20
3Q21
4Q21
■Salaries ■Contractors ■Benefits
Transportation
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