Significant Payors

6 Months Ended

Jun. 30, 2021

11. Significant Payors

For the three and six months ended June 30, 2021 and 2020, the Company’s revenue by payor type was as follows:

	Personal Care
	For the Three Months Ended June 30,										For the Six Months Ended June 30,
	2021					2020					2021					2020
	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	$	88,382		50.2	%	$	78,054		50.0	%	$	169,231		49.6	%	$	157,398		49.7	%
Managed care organizations		78,865		44.7			69,282		44.3			154,321		45.2			141,393		44.6
Private pay		5,046		2.9			4,986		3.2			9,949		2.9			10,257		3.2
Commercial insurance		2,676		1.5			2,394		1.5			5,022		1.5			4,970		1.6
Other		1,298		0.7			1,552		1.0			2,612		0.8			2,915		0.9
Total personal care segment net service revenues	$	176,267		100.0	%	$	156,268		100.0	%	$	341,135		100.0	%	$	316,933		100.0	%

	Hospice
	For the Three Months Ended June 30,										For the Six Months Ended June 30,
	2021					2020					2021					2020
	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	$	34,452		93.3	%	$	22,753		92.8	%	$	68,437		93.8	%	$	45,971		92.4	%
Managed care organizations		1,395		3.8			1,198		4.9			2,882		3.9			2,578		5.2
Other		1,062		2.9			574		2.3			1,684		2.3			1,188		2.4
Total hospice segment net service revenues	$	36,909		100.0	%	$	24,525		100.0	%	$	73,003		100.0	%	$	49,737		100.0	%

	Home Health
	For the Three Months Ended June 30,										For the Six Months Ended June 30,
	2021					2020					2021					2020
	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	$	3,825		81.1	%	$	3,010		79.6	%	$	7,327		80.9	%	$	6,480		79.8	%
Managed care organizations		822		17.4			688		18.2			1,620		17.9			1,495		18.4
Other		70		1.5			85		2.2			110		1.2			147		1.8
Total home health segment net service revenues	$	4,717		100.0	%	$	3,783		100.0	%	$	9,057		100.0	%	$	8,122		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 six months ended June 30, 2021 and 2020 were as follows:

	Personal Care
	For the Three Months Ended June 30,										For the Six Months Ended June 30,
	2021					2020					2021					2020
	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	$	84,788		48.0	%	$	69,052		44.2	%	$	158,172		46.3	%	$	140,598		44.4	%
New York		25,535		14.5			27,244		17.4			53,110		15.6			59,082		18.6
New Mexico		25,484		14.5			21,831		14.0			49,077		14.4			42,525		13.4
All other states		40,460		23.0			38,141		24.4			80,776		23.7			74,728		23.6
Total personal care segment net service revenues	$	176,267		100.0	%	$	156,268		100.0	%	$	341,135		100.0	%	$	316,933		100.0	%

	Hospice
	For the Three Months Ended June 30,										For the Six Months Ended June 30,
	2021					2020					2021					2020
	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
Ohio	$	14,694		39.8	%	$	—		—	%	$	28,808		39.4	%	$	—		—	%
New Mexico		8,717		23.6			11,443		46.7			17,948		24.6			22,452		45.1
All other states		13,498		36.6			13,082		53.3			26,247		36.0			27,285		54.9
Total hospice segment net service revenues	$	36,909		100.0	%	$	24,525		100.0	%	$	73,003		100.0	%	$	49,737		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 June 30,										For the Six Months Ended June 30,
	2021					2020					2021					2020
	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	$	4,717		100.0	%	$	3,783		100.0	%	$	9,057		100.0	%	$	8,122		100.0	%
Total home health segment net service revenues	$	4,717		100.0	%	$	3,783		100.0	%	$	9,057		100.0	%	$	8,122		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 38.9%, and 37.4% of our net service revenues for the three months ended June 30, 2021, and 2020, respectively, and accounted for 37.4% and 37.5% of our net service revenues for the six months ended June 30, 2021 and 2020, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 22.6% and 23.2% of the Company’s net service revenues for the three months ended June 30, 2021 and 2020, respectively, and accounted for 21.5% and 23.2% of the Company’s net service revenues for the six months ended June 30, 2021 and 2020, respectively.

The related receivables due from the Illinois Department on Aging represented 16.7% and 15.9% of the Company’s net accounts receivable at June 30, 2021 and December 31, 2020, respectively.