Significant Payors

9 Months Ended

Sep. 30, 2020

Significant Payors [Abstract]

Significant Payors

12. Significant Payors

For the three and nine months ended September 30, 2020 and 2019, the Company’s revenue by payor type was as follows:

	Personal Care
	For the Three Months Ended September 30,										For the Nine Months Ended September 30,
	2020					2019					2020					2019
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
State, local and other    governmental programs	$	85,344		51.5	%	$	75,176		48.9	%	$	242,751		50.3	%	$	221,450		52.8	%
Managed care organizations		71,700		43.2			68,438		44.5			213,087		44.1			170,004		40.6
Private pay		5,193		3.1			5,720		3.7			15,449		3.2			15,912		3.8
Commercial insurance		2,498		1.5			2,683		1.8			7,468		1.5			6,569		1.6
Other		1,181		0.7			1,736		1.1			4,094		0.9			5,189		1.2	%
Total personal care segment    net service revenues	$	165,916		100.0	%	$	153,753		100.0	%	$	482,849		100.0	%	$	419,124		100.0

	Hospice
	For the Three Months Ended September 30,										For the Nine Months Ended September 30,
	2020					2019					2020					2019
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	22,404		93.4	%	$	10,045		92.4	%	$	68,372		92.8	%	$	25,243		92.7	%
Managed care organizations		1,130		4.7			584		5.4			3,710		5.0			1,419		5.2
Other		452		1.9			245		2.2			1,641		2.2			566		2.1
Total hospice segment net service revenues	$	23,986		100.0	%	$	10,874		100.0	%	$	73,723		100.0	%	$	27,228		100.0	%

	Home Health
	For the Three Months Ended September 30,										For the Nine Months Ended September 30,
	2020					2019					2020					2019
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	3,188		78.0	%	$	3,338		76.5	%	$	9,667		79.2	%	$	7,948		79.0	%
Managed care organizations		829		20.3			959		22.0			2,325		19.0			1,872		18.6
Other		68		1.7			69		1.5			215		1.8			243		2.4
Total home health segment net service revenues	$	4,085		100.0	%	$	4,366		100.0	%	$	12,207		100.0	%	$	10,063		100.0	%

The Company derives a significant amount of its revenue from its operations in Illinois, New York and New Mexico. The percentages of segment revenue for each of these significant states for the three and nine months ended September 30, 2020 and 2019 were as follows:

	Personal Care
	For the Three Months Ended September 30,										For the Nine Months Ended September 30,
	2020					2019					2020					2019
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Illinois	$	74,448		44.9	%	$	61,633		40.1	%	$	215,047		44.6	%	$	178,449		42.5	%
New York		28,381		17.1			34,730		22.6			87,463		18.1			75,330		18.0
New Mexico		21,878		13.2			19,559		12.7			64,402		13.3			54,701		13.1
All other states		41,209		24.8			37,831		24.6			115,937		24.0			110,644		26.4
Total personal care segment    net service revenues	$	165,916		100.0	%	$	153,753		100.0	%	$	482,849		100.0	%	$	419,124		100.0	%

	Hospice
	For the Three Months Ended September 30,										For the Nine Months Ended September 30,
	2020					2019					2020					2019
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	10,979		45.8	%	$	10,874		100.0	%	$	33,431		45.3	%	$	27,228		100.0	%
All other states		13,007		54.2			—		—			40,292		54.7			—		—
Total hospice segment net service revenues	$	23,986		100.0	%	$	10,874		100.0	%	$	73,723		100.0	%	$	27,228		100.0	%

	Home Health
	For the Three Months Ended September 30,										For the Nine Months Ended September 30,
	2020					2019					2020					2019
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	4,085		100.0	%	$	4,366		100.0	%	$	12,207		100.0	%	$	10,063		100.0	%
Total home health segment net service revenues	$	4,085		100.0	%	$	4,366		100.0	%	$	12,207		100.0	%	$	10,063		100.0	%

A substantial portion of the Company’s revenue and accounts receivable are derived from services performed for federal, state and local governmental agencies. We derive a significant amount of our net service revenues in Illinois, which represented 38.5%, and 36.4% of our net service revenues for the three months ended September 30, 2020, and 2019, respectively and accounted for 37.8% and 39.1% of our net service revenues for the nine months ended September 30, 2020 and 2019, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 22.9% and 22.1% of the Company’s net service revenues for the three months ended September 30, 2020 and 2019, respectively, and accounted for 23.1% and 26.0% of the Company’s net service revenues for the nine months ended September 30, 2020 and 2019, respectively.

The related receivables due from the Illinois Department on Aging represented 18.5% and 25.1% of the Company’s net accounts receivable at September 30, 2020 and December 31, 2019, respectively.