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Significant Payors (Tables) | 9 Months Ended
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Sep. 30, 2020
Significant Payors [Abstract] |
Schedule of Revenue by Payor Type | 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 |  | %
Schedule of Revenue by Geographic Location | 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 |  | %

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