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v3.20.4

Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2020 | Sep. 30, 2020 | Jun. 30, 2020 | Mar. 31, 2020 | Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Net service revenues | $ 195,996 | $ 193,987 | $ 184,576 | $ 190,216 | $ 192,376 | $ 168,993 | $ 148,915 | $ 138,507 | $ 764,775 | $ 648,791 | $ 516,647
Personal Care [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | 647,233 | 580,728 | 490,941
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 647,233 | $ 580,728 | $ 490,941
Concentration risk, percentage |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 324,670 | $ 303,479 | $ 285,973
Concentration risk, percentage |  |  |  |  |  |  |  |  | 50.20% | 52.20% | 58.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 287,032 | $ 239,559 | $ 173,391
Concentration risk, percentage |  |  |  |  |  |  |  |  | 44.30% | 41.30% | 35.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 20,398 | $ 21,765 | $ 20,003
Concentration risk, percentage |  |  |  |  |  |  |  |  | 3.20% | 3.70% | 4.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 9,991 | $ 9,204 | $ 6,173
Concentration risk, percentage |  |  |  |  |  |  |  |  | 1.50% | 1.60% | 1.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 5,142 | $ 6,721 | $ 5,401
Concentration risk, percentage |  |  |  |  |  |  |  |  | 0.80% | 1.20% | 1.10%
Hospice [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 101,297 | $ 53,601 | $ 18,850
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 101,297 | $ 53,601 | $ 18,850
Concentration risk, percentage |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 94,068 | $ 49,649 | $ 17,652
Concentration risk, percentage |  |  |  |  |  |  |  |  | 92.90% | 92.60% | 93.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 4,931 | $ 2,768 | $ 1,047
Concentration risk, percentage |  |  |  |  |  |  |  |  | 4.90% | 5.20% | 5.60%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 2,298 | $ 1,184 | $ 151
Concentration risk, percentage |  |  |  |  |  |  |  |  | 2.20% | 2.20% | 0.80%
Home Health [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 16,245 | $ 14,462 | $ 6,856
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 16,245 | $ 14,462 | $ 6,856
Concentration risk, percentage |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 12,765 | $ 11,218 | $ 6,034
Concentration risk, percentage |  |  |  |  |  |  |  |  | 78.60% | 77.60% | 88.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 3,188 | $ 2,942 | $ 752
Concentration risk, percentage |  |  |  |  |  |  |  |  | 19.60% | 20.30% | 11.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  |  |  |  |  | $ 292 | $ 302 | $ 70
Concentration risk, percentage |  |  |  |  |  |  |  |  | 1.80% | 2.10% | 1.00%

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