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Significant Payors | 9 Months Ended
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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.

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- Definition Significant Payors [Abstract] + References No definition available. + Details
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- Definition The entire disclosure for any concentrations existing at the date of the financial statements that make an entity vulnerable to a reasonably possible, near-term, severe impact. This disclosure informs financial statement users about the general nature of the risk associated with the concentration, and may indicate the percentage of concentration risk as of the balance sheet date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -URI http://asc.fasb.org/topic&trid=2134479 + Details
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