The lower your case mix, the lower your reimbursement.

They end up coming to a nursing home.

We do rehab here, but because we have Phys A's, it doesn't bring up our Medicaid enough.

When you're sitting in my seat, you just don't see how it's all going to shake out.

With the graying of America, you're going to have to have everything very quickly.

That's tough for a family. It creates a lot of hardship. You might have somebody in another county for weeks or months.

That drags our Medicaid reimbursement down. That's one reason why rural facilities do poorly.

Our mission is to help the people of our county. Our mission is to take people who need services.

We want to go to the state and ask if we can expand it. We think they'd be pretty amenable to letting us grow the long-term home health program.