Significant Payors

6 Months Ended

Jun. 30, 2017

Significant Payors [Abstract]

Significant Payors

9. Significant Payors

     A substantial portion of the Company's net service revenues and accounts receivable are derived from services performed for federal, state and local governmental agencies. The Illinois Department on Aging accounted for 36.7% and 43.5% of the Company's net service revenues for the three months ended June 30, 2017 and 2016, respectively and 36.6% and 44.1% of the Company's net service revenues for the six months ended June 30, 2017 and 2016, respectively.

     The related receivables due from the Illinois Department on Aging represented 56.4% and 55.4% of the Company's accounts receivable at June 30, 2017 and December 31, 2016, respectively.

     The State of Illinois's payments have been delayed in the past and may continue to be delayed in the future due to a budget impasse that began in 2015. The State of Illinois did not adopt a comprehensive budget for fiscal year 2016, which ended on June 30, 2016, or a comprehensive budget for fiscal year 2017, which ended on June 30, 2017. On July 6, 2017, the State of Illinois passed a balanced state budget for fiscal year 2018, which began on July 1, 2017. With this budget, the State of Illinois is authorized to pay for the Non-Medicaid consumers the Company serves for prior fiscal years. Accounts receivable attributable to delayed payments from the Illinois Department on Aging totaled $73.8 million as of June 30, 2017.

     Subsequent to the State of Illinois's passing of the fiscal 2018 budget, in July 2017, the Company began receiving delayed payments from the Illinois Department on Aging. Through August 4, 2017, the Company has received an aggregate of $69.4 million in delayed payments.