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Significant Payors (Tables) | 12 Months Ended
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Dec. 31, 2020
Significant Payors [Abstract] |
Schedule of Revenue by Payor Type | For 2020, 2019 and 2018, our revenue by payor type was as follows:
|  | Personal Care |  |
|  | 2020 |  |  |  | 2019 |  |  |  | 2018 |  |
|  | 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 |  | $ | 324,670 |  |  |  | 50.2 |  | % |  | $ | 303,479 |  |  |  | 52.2 |  | % |  | $ | 285,973 |  |  |  | 58.2 |  | %
Managed care organizations |  |  | 287,032 |  |  |  | 44.3 |  |  |  |  | 239,559 |  |  |  | 41.3 |  |  |  |  | 173,391 |  |  |  | 35.3 |  |
Private pay |  |  | 20,398 |  |  |  | 3.2 |  |  |  |  | 21,765 |  |  |  | 3.7 |  |  |  |  | 20,003 |  |  |  | 4.1 |  |
Commercial insurance |  |  | 9,991 |  |  |  | 1.5 |  |  |  |  | 9,204 |  |  |  | 1.6 |  |  |  |  | 6,173 |  |  |  | 1.3 |  |
Other |  |  | 5,142 |  |  |  | 0.8 |  |  |  |  | 6,721 |  |  |  | 1.2 |  |  |  |  | 5,401 |  |  |  | 1.1 |  |
Total personal care segment net service revenues |  | $ | 647,233 |  |  |  | 100.0 |  | % |  | $ | 580,728 |  |  |  | 100.0 |  | % |  | $ | 490,941 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | 2020 |  |  |  | 2019 |  |  |  | 2018 |  |
|  | 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 |  | $ | 94,068 |  |  |  | 92.9 |  | % |  | $ | 49,649 |  |  |  | 92.6 |  | % |  | $ | 17,652 |  |  |  | 93.6 |  | %
Managed care organizations |  |  | 4,931 |  |  |  | 4.9 |  |  |  |  | 2,768 |  |  |  | 5.2 |  |  |  |  | 1,047 |  |  |  | 5.6 |  |
Other |  |  | 2,298 |  |  |  | 2.2 |  |  |  |  | 1,184 |  |  |  | 2.2 |  |  |  |  | 151 |  |  |  | 0.8 |  |
Total hospice segment net service revenues |  | $ | 101,297 |  |  |  | 100.0 |  | % |  | $ | 53,601 |  |  |  | 100.0 |  | % |  | $ | 18,850 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | 2020 |  |  |  | 2019 |  |  |  | 2018 |  |
|  | 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 |  | $ | 12,765 |  |  |  | 78.6 |  | % |  | $ | 11,218 |  |  |  | 77.6 |  | % |  | $ | 6,034 |  |  |  | 88.0 |  | %
Managed care organizations |  |  | 3,188 |  |  |  | 19.6 |  |  |  |  | 2,942 |  |  |  | 20.3 |  |  |  |  | 752 |  |  |  | 11.0 |  |
Other |  |  | 292 |  |  |  | 1.8 |  |  |  |  | 302 |  |  |  | 2.1 |  |  |  |  | 70 |  |  |  | 1.0 |  |
Total home health segment net service revenues |  | $ | 16,245 |  |  |  | 100.0 |  | % |  | $ | 14,462 |  |  |  | 100.0 |  | % |  | $ | 6,856 |  |  |  | 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 2020, 2019 and 2018 were as follows:
|  | Personal Care |  |
|  | 2020 |  |  |  | 2019 |  |  |  | 2018 |  |
|  | 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 |  | $ | 288,326 |  |  |  | 44.6 |  | % |  | $ | 247,524 |  |  |  | 42.6 |  | % |  | $ | 232,518 |  |  |  | 47.3 |  | %
New York |  |  | 115,510 |  |  |  | 17.8 |  |  |  |  | 108,403 |  |  |  | 18.7 |  |  |  |  | 65,117 |  |  |  | 13.3 |  |
New Mexico |  |  | 86,618 |  |  |  | 13.4 |  |  |  |  | 75,666 |  |  |  | 13.0 |  |  |  |  | 58,914 |  |  |  | 12.0 |  |
All other states |  |  | 156,779 |  |  |  | 24.2 |  |  |  |  | 149,135 |  |  |  | 25.7 |  |  |  |  | 134,392 |  |  |  | 27.4 |  |
Total personal care segment net service revenues |  | $ | 647,233 |  |  |  | 100.0 |  | % |  | $ | 580,728 |  |  |  | 100.0 |  | % |  | $ | 490,941 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | 2020 |  |  |  | 2019 |  |  |  | 2018 |  |
|  | 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 |  | $ | 42,648 |  |  |  | 42.1 |  | % |  | $ | 38,790 |  |  |  | 72.4 |  | % |  | $ | 18,850 |  |  |  | 100.0 |  | %
All other states |  |  | 58,649 |  |  |  | 57.9 |  |  |  |  | 14,811 |  |  |  | 27.6 |  |  |  |  | — |  |  |  | — |  |
Total hospice segment net service revenues |  | $ | 101,297 |  |  |  | 100.0 |  | % |  | $ | 53,601 |  |  |  | 100.0 |  | % |  | $ | 18,850 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | 2020 |  |  |  | 2019 |  |  |  | 2018 |  |
|  | 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 |  | $ | 16,245 |  |  |  | 100.0 |  | % |  | $ | 14,462 |  |  |  | 100.0 |  | % |  | $ | 6,856 |  |  |  | 100.0 |  | %
Total home health segment net service revenues |  | $ | 16,245 |  |  |  | 100.0 |  | % |  | $ | 14,462 |  |  |  | 100.0 |  | % |  | $ | 6,856 |  |  |  | 100.0 |  | %

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