Paul Kusserow -- President And Chief Executive Officer. That one is really performing probably slightly ahead of expectations financially. ET, Greetings, and welcome to the Amedisys, Inc. Third Quarter 2020 Earnings Conference Call. Largely because of the new Patient-Driven Groupings Model (PDGM), the phasing out of Requests for Anticipated Payment (RAPs) and changes to rural add-on policies, many believed 2020 would bring a sweeping downsizing of the home health industry. Is this going to be an interesting year as it relates to Amedisys Layoffs 2020? That was down from 9.2% in Q2.
We know we're going to be a little below where we thought we would exit, but still think the incremental build will be strong going into next year. So I feel really good about the home health side. So yes, I mean, we feel that it's certainly in our sites, less fearful of kind of the ability to handle COVID. At this time, I'd like to turn the floor back over to management for any additional or closing comments. We have made good progress in this product development, which focuses on a package of services in conjunction with traditional home health, aimed at keeping higher acuity patients at home and out of institutions. And if I think about some of the comments you made about the tailwinds earlier, how are you guys thinking about kind of the long-term growth algorithm of the enterprise? Thanks, Bill. And then we're working with some doc groups that would refer into that. So we feel very good about that. So that number, I think, still sequentially, you're probably between those two, somewhere around that $20-ish million range. Our SHP score is 4.5 stars, which is important as there will be no more QPC updates until January 2022. However, we continue to see gains in our non-facility volumes as evidenced by a 9% growth in same-store admissions compared to a 1% decline in Q2. Comprised of companies with strong revenue growth, healthy profits, lots of cash, and low risk, it has outperformed the broader market year after year, consistently. How much of that is on your radar screen now? Now turning to our third quarter adjusted segment performance. And also, Matt, my radio station, we're going to put that in, too. It makes us more bullish and our belief that we can integrate well, operate well and then pay down the debt. AseraCare is a great asset.
No explanation, nothing to sign, VP was recording the conversation without my consent to do so. We would go up to 3 times.
Our average length of stay in our home-based census dropped nearly 10 days as a result of patients on census with COVID-19, bringing down the average. I think the idea is that the technical integrations have gone extraordinarily well, largely because we've been doing that. Excited about that. But in general, we're really happy with where we're at. I mean, just kudos to the team that did the integration, basically when we were in lockdowns, had to train remotely, couldn't get to see some of these folks. And then we're going to make some investments in the organization at this high rate of growth. During the quarter, our revenue per episode was positively impacted by the sequestration and suspension. We're seeing hospice decently run hospices with no -- that are relatively clean over 15 times. On an adjusted basis, total G&A was $176 million or 32.3% of total revenue, which is up 200 basis points over prior year, which includes $11 million in additional costs related to our acquisition, $9 million in our Hospice segment and $2 million in corporate. On a same-store basis, total admissions were up 5%, and total volume was up 6%. Slide 15 of our supplemental slides provides detail regarding these items and the income statement line items each adjustment impacts. BATON ROUGE, La., July 16, 2020 (GLOBE NEWSWIRE) - Amedisys, Inc. (NASDAQ: AMED), announced today that it will report results for the second quarter ended June 30, 2020, after the market closes on July 28, 2020. What we expect is if sequestration is added back on and when the loans become due for the receivables and for payroll is that's when we expect the shakeout to occur. The Company will host an investor conference call to discuss these results at 11:00 a.m. CMS implemented massive and comprehensive home health payment reform in 2020. Sequentially, total G&A was up $24 million and $17 million, excluding the AseraCare acquisition. The process took 2 weeks. And we've got a bunch of reps that are really starting to get into that kind of the maturing stage, if you will, where they're starting to see some additional growth on top of the ramp-up from being new hires. I know, obviously, the sequester is one of those things. During Q3, we averaged approximately 0.4 telehealth business episode, which was down from 0.6 in Q2. Amedisys is focused on delivering the care that is best for our patients, whether that is home-based personal care; recovery and rehabilitation after an operation or injury; care focused on empowering them to manage a chronic disease; or hospice care at the end of life. Yes. We'll probably leave that term loan out there.
I think we have the best business mix of anybody out there with very good weighting in home health and hospice, and then moving on personal care largely into networking. Matthew Borsch -- BMO Capital Markets -- Analyst. This quarter, we will briefly spend time reviewing our progress against our four strategic pillars, digging into our underlying business performance, updating our outlook for 2020 and diving into COVID-19's varying impact on 3Q results as well as exploring our even stronger outlook for 2021 and beyond. For the quarter on an adjusted basis, our results were as follows: revenue increased $49 million or 10% to $544 million. Maybe just give a sense for what the payment mechanism might be given that there might be an additional basket of services associated with it? You don't have to be DJ-ing and pick up that song. Talking about pompous... All Rights Reserved, This is a BETA experience. So on the home health side, yes, we're really happy with how we came out of Q3. We said it was flawed going in, and it's playing out even prior to COVID that data that Paul referenced from Dobson DaVanzo, that study which looked at data from January, February, March, maybe in early April, clearly showed that it wasn't budget neutral. Sie erhalten auf FinanzNachrichten.de kostenlose Realtime-Aktienkurse von. Yes. He and Tiani, who runs home health, had literally set up trial and pilots that were acting like PDGM was there the last fall. The Ascent is The Motley Fool's new personal finance brand devoted to helping you live a richer life. But I want to thank everyone who joined us on our call today. In July, CMS finalized the fiscal year 2021 hospice rule, which was comprised of a 2.4% payment rate update.
So we're continuing to drive that down, continuing to show differentials there, and that's what a lot of the payers are interested in. © Home Health Care News And then I'll jump off. Now you pool all four of these together and blend them in with our legacy, we feel great about where this hospice asset heading in 2021. It was really us disaggregating all the components, identifying the revenue levers and the cost levers and picking a path to those. We do think admits around hospice will accelerate as we move forward, just the timing growing ADC is a little slower as we talked about the lag, but we do see that accelerating. You may now begin. None of these results would be possible without our over 21,000 employees' unwavering commitment to providing outstanding care to our patients in their homes. Bill Sutherland -- Benchmark Company -- Analyst. Motley Fool Transcribers (MFTranscribers) Oct 30, 2020 at … But just to be to be over $200 million, I think at least three straight years is strong for us. BRAZIL - 2020/10/09: In this photo illustration the Amedisys Home Health and Hospice Care logo seen ... [+] displayed on a smartphone. We delivered on our four strategic pillars, all while we and the country continue to deal with this crippling pandemic and our industry with the transition to PDGM. Okay thanks. The increase in cash flow was driven by a 2-day reduction in DSO to 40 days from the end of the second quarter; $18 million in payroll tax deferrals under the Cares Act; $10 million related to an increase in our estimated usage of Cares Act funding, which will be used to offset increased costs related to COVID-19, expected to be incurred through June 30, 2021, in accordance with the updated guidance issued by HHS in September. AMED stock has rallied from $137 to $249 off the recent bottom compared to the S&P which moved 37% over the same period, with the resumption of economic activities as lockdowns are gradually lifted. So I've been hearing that the actual PDGM up codings apparently running behind what CMS had estimated originally.
Scott? Turning now to our hospice segment.
Our impressive cash flow generation continued in the third quarter as we produced $83 million in cash flow from operations. Do you have any comments on that? Joanna, so it's still -- it's kind of a slow and grueling progress -- or process that we're going through in terms of just getting plans to give us opportunity to earn additional rate based on quality metrics.
Amedisys has grown so fast... We've learned a lot from our early days when we acquired Infinity and then Tenet's assets. Thanks, Paul. — Amedisys’ P/E multiple changed from 23x in 2017 to 37x in 2019. I got it, Matt. I would talk to -- the other one will be CCH and AseraCare as they expand. I love that question. And then also, we had a really good progression throughout the quarter on admit growth on hospice.
I mean we feel good. I wanted to follow-up on your SNF- at-home service and your desire to expand capacity to take market share. We had said before, just a loan on CCH, we get a $14 million to 16 million expansion and expected to close somewhere around $34 million to $36 million for this year.
Segment EBITDA was $70 million, up $22 million, with an EBITDA margin of 21.3%, representing a 620 basis point improvement.
SNF- at-home represents an interesting new growth avenue for the company and will be an opportunity for growth even beyond the pandemic. Our clinical team and all of us to support them who will stop at nothing to provide the high-quality clinical care to our patients. I talked about that in the prepared comments.
The layoffs include three full-time positions and two part-time positions. Thank you for taking the question here.
In general, though, it's a mom-and-pop business. And Scott, obviously, a relatively tight range there. So we're getting -- having more conversations there, large areas where they do have specific regional concentration, which plays well when we have that coverage.
Navigating kind of their own existing kind of payer world in systems, a lot of times, it doesn't line up well with home health, which is more of a traditional Medicare fee-for-service business. There's a lot of news and noise on it in the venture and PE worlds, but we haven't seen a lot of -- or virtually any disruption from some of these new models that are out there. So another topic here. Nothing is happening right now @Amedisys - I agree that 2014 might be interesting - we have some head winds to face here. And in those rates, we're assuming kind of a similar growth type movement that we see here.
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