XML 28 R17.htm IDEA: XBRL DOCUMENT
v3.21.1

Significant Payors | 3 Months Ended
--- | ---
Mar. 31, 2021
Significant Payors [Abstract] |
Significant Payors | 11. Significant Payors For the three months ended March 31, 2021 and 2020, the Company’s revenue by payor type was as follows:
|  | Personal Care |  |
|  | For the Three Months Ended March 31, |  |
|  | 2021 |  |  |  | 2020 |  |
|  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |  |  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |
State, local and other governmental programs |  | $ | 80,849 |  |  |  | 49.0 |  | % |  | $ | 79,346 |  |  |  | 49.4 |  | %
Managed care organizations |  |  | 75,456 |  |  |  | 45.8 |  |  |  |  | 72,110 |  |  |  | 44.9 |  |
Private pay |  |  | 4,903 |  |  |  | 3.0 |  |  |  |  | 5,270 |  |  |  | 3.3 |  |
Commercial insurance |  |  | 2,346 |  |  |  | 1.4 |  |  |  |  | 2,576 |  |  |  | 1.6 |  |
Other |  |  | 1,314 |  |  |  | 0.8 |  |  |  |  | 1,363 |  |  |  | 0.8 |  |
Total personal care segment net service revenues |  | $ | 164,868 |  |  |  | 100.0 |  | % |  | $ | 160,665 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Three Months Ended March 31, |  |
|  | 2021 |  |  |  | 2020 |  |
|  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |  |  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |
Medicare |  | $ | 33,985 |  |  |  | 94.2 |  | % |  | $ | 23,219 |  |  |  | 92.1 |  | %
Managed care organizations |  |  | 1,487 |  |  |  | 4.1 |  |  |  |  | 1,385 |  |  |  | 5.5 |  |
Other |  |  | 622 |  |  |  | 1.7 |  |  |  |  | 608 |  |  |  | 2.4 |  |
Total hospice segment net service revenues |  | $ | 36,094 |  |  |  | 100.0 |  | % |  | $ | 25,212 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | For the Three Months Ended March 31, |  |
|  | 2021 |  |  |  | 2020 |  |
|  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |  |  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |
Medicare |  | $ | 3,502 |  |  |  | 80.7 |  | % |  | $ | 3,470 |  |  |  | 80.0 |  | %
Managed care organizations |  |  | 798 |  |  |  | 18.4 |  |  |  |  | 807 |  |  |  | 18.6 |  |
Other |  |  | 40 |  |  |  | 0.9 |  |  |  |  | 62 |  |  |  | 1.4 |  |
Total home health segment net service revenues |  | $ | 4,340 |  |  |  | 100.0 |  | % |  | $ | 4,339 |  |  |  | 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 months ended March 31, 2021 and 2020 were as follows:
|  | Personal Care |  |
|  | For the Three Months Ended March 31, |  |
|  | 2021 |  |  |  | 2020 |  |
|  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |  |  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |
Illinois |  | $ | 73,385 |  |  |  | 44.5 |  | % |  | $ | 71,545 |  |  |  | 44.5 |  | %
New York |  |  | 27,575 |  |  |  | 16.7 |  |  |  |  | 31,838 |  |  |  | 19.8 |  |
New Mexico |  |  | 23,593 |  |  |  | 14.3 |  |  |  |  | 20,694 |  |  |  | 12.9 |  |
All other states |  |  | 40,315 |  |  |  | 24.5 |  |  |  |  | 36,588 |  |  |  | 22.8 |  |
Total personal care segment net service revenues |  | $ | 164,868 |  |  |  | 100.0 |  | % |  | $ | 160,665 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Three Months Ended March 31, |  |
|  | 2021 |  |  |  | 2020 |  |
|  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |  |  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |
Ohio |  | $ | 14,114 |  |  |  | 39.1 |  | % |  | $ | — |  |  |  | — |  | %
New Mexico |  |  | 9,230 |  |  |  | 25.6 |  |  |  |  | 11,009 |  |  |  | 43.7 |  |
All other states |  |  | 12,750 |  |  |  | 35.3 |  |  |  |  | 14,203 |  |  |  | 56.3 |  |
Total hospice segment net service revenues |  | $ | 36,094 |  |  |  | 100.0 |  | % |  | $ | 25,212 |  |  |  | 100.0 |  | %
| With the acquisition of Queen City Hospice, the Company expanded our hospice services in the state of Ohio.
|  | Home Health |  |
|  | For the Three Months Ended March 31, |  |
|  | 2021 |  |  |  | 2020 |  |
|  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |  |  | Amount (in Thousands) |  |  | % of Segment Net Service Revenues |  |
New Mexico |  | $ | 4,340 |  |  |  | 100.0 |  | % |  | $ | 4,339 |  |  |  | 100.0 |  | %
Total home health segment net service revenues |  | $ | 4,340 |  |  |  | 100.0 |  | % |  | $ | 4,339 |  |  |  | 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 35.8%, and 37.7% of our net service revenues for the three months ended March 31, 2021, and 2020, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 20.4% and 23.2% of the Company’s net service revenues for the three months ended March 31, 2021 and 2020, respectively. The related receivables due from the Illinois Department on Aging represented 23.8% and 15.9% of the Company’s net accounts receivable at March 31, 2021 and December 31, 2020, respectively.

X
- Definition Significant Payors [Abstract] + References No definition available. + Details
Name: | adus_SignificantPayorsAbstract
Namespace Prefix: | adus_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- 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
Name: | us-gaap_ConcentrationRiskDisclosureTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration