Significant Payors

12 Months Ended

Dec. 31, 2020

14. Significant Payors

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	%

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	%

A substantial portion of the Company’s revenue and accounts receivable are derived from services performed for state and local governmental agencies. We derive a significant amount of our net service revenues in Illinois, which represented 37.7%, 38.2% and 45.0% of our net service revenues for the years ended December 31, 2020, 2019 and 2018, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 23.0%, 25.3% and 31.7% of the Company’s net service revenues for 2020, 2019 and 2018, respectively.

The related receivables due from the Illinois Department on Aging represented 15.9% and 25.1% of the Company’s net accounts receivable at December 31, 2020 and 2019, respectively.