Significant Payors

3 Months Ended

Mar. 31, 2021

Significant Payors [Abstract]

Significant Payors

11. Significant Payors

For the three months ended March 31, 2021 and 2020, the Company’s revenue by payor type was as follows:

	Personal Care
	For the Three Months Ended March 31,
	2021					2020
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
State, local and other governmental programs	$	80,849		49.0	%	$	79,346		49.4	%
Managed care organizations		75,456		45.8			72,110		44.9
Private pay		4,903		3.0			5,270		3.3
Commercial insurance		2,346		1.4			2,576		1.6
Other		1,314		0.8			1,363		0.8
Total personal care segment net service revenues	$	164,868		100.0	%	$	160,665		100.0	%

	Hospice
	For the Three Months Ended March 31,
	2021					2020
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	33,985		94.2	%	$	23,219		92.1	%
Managed care organizations		1,487		4.1			1,385		5.5
Other		622		1.7			608		2.4
Total hospice segment net service revenues	$	36,094		100.0	%	$	25,212		100.0	%

	Home Health
	For the Three Months Ended March 31,
	2021					2020
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	3,502		80.7	%	$	3,470		80.0	%
Managed care organizations		798		18.4			807		18.6
Other		40		0.9			62		1.4
Total home health segment net service revenues	$	4,340		100.0	%	$	4,339		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 months ended March 31, 2021 and 2020 were as follows:

	Personal Care
	For the Three Months Ended March 31,
	2021					2020
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Illinois	$	73,385		44.5	%	$	71,545		44.5	%
New York		27,575		16.7			31,838		19.8
New Mexico		23,593		14.3			20,694		12.9
All other states		40,315		24.5			36,588		22.8
Total personal care segment net service revenues	$	164,868		100.0	%	$	160,665		100.0	%

	Hospice
	For the Three Months Ended March 31,
	2021					2020
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Ohio	$	14,114		39.1	%	$	—		—	%
New Mexico		9,230		25.6			11,009		43.7
All other states		12,750		35.3			14,203		56.3
Total hospice segment net service revenues	$	36,094		100.0	%	$	25,212		100.0	%

With the acquisition of Queen City Hospice, the Company expanded our hospice services in the state of Ohio.

	Home Health
	For the Three Months Ended March 31,
	2021					2020
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	4,340		100.0	%	$	4,339		100.0	%
Total home health segment net service revenues	$	4,340		100.0	%	$	4,339		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 35.8%, and 37.7% of our net service revenues for the three months ended March 31, 2021, and 2020, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 20.4% and 23.2% of the Company’s net service revenues for the three months ended March 31, 2021 and 2020, respectively.

The related receivables due from the Illinois Department on Aging represented 23.8% and 15.9% of the Company’s net accounts receivable at March 31, 2021 and December 31, 2020, respectively.