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Significant Payors | 9 Months Ended
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Sep. 30, 2021
Significant Payors [Abstract] |
Significant Payors | 11. Significant Payors For the three and nine months ended September 30, 2021 and 2020, the Company’s revenue by payor type was as follows:
|  | Personal Care |  |
|  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 |  | $ | 83,821 |  |  |  | 49.5 |  | % | $ | 85,344 |  |  |  | 51.5 |  | % | $ | 253,052 |  |  |  | 49.5 |  | % | $ | 242,751 |  |  |  | 50.3 |  | %
Managed care organizations |  |  | 76,890 |  |  |  | 45.3 |  |  |  | 71,700 |  |  |  | 43.2 |  |  |  | 231,211 |  |  |  | 45.3 |  |  |  | 213,087 |  |  |  | 44.1 |  |
Private pay |  |  | 4,934 |  |  |  | 2.9 |  |  |  | 5,193 |  |  |  | 3.1 |  |  |  | 14,883 |  |  |  | 2.9 |  |  |  | 15,449 |  |  |  | 3.2 |  |
Commercial insurance |  |  | 2,459 |  |  |  | 1.4 |  |  |  | 2,498 |  |  |  | 1.5 |  |  |  | 7,481 |  |  |  | 1.5 |  |  |  | 7,468 |  |  |  | 1.5 |  |
Other |  |  | 1,505 |  |  |  | 0.9 |  |  |  | 1,181 |  |  |  | 0.7 |  |  |  | 4,117 |  |  |  | 0.8 |  |  |  | 4,094 |  |  |  | 0.9 |  |
Total personal care segment net service revenues |  | $ | 169,609 |  |  |  | 100.0 |  | % | $ | 165,916 |  |  |  | 100.0 |  | % | $ | 510,744 |  |  |  | 100.0 |  | % | $ | 482,849 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 |  | $ | 36,278 |  |  |  | 92.8 |  | % | $ | 22,404 |  |  |  | 93.4 |  | % | $ | 104,715 |  |  |  | 93.4 |  | % | $ | 68,372 |  |  |  | 92.8 |  | %
Managed care organizations |  |  | 1,514 |  |  |  | 3.9 |  |  |  | 1,130 |  |  |  | 4.7 |  |  |  | 4,396 |  |  |  | 3.9 |  |  |  | 3,710 |  |  |  | 5.0 |  |
Other |  |  | 1,303 |  |  |  | 3.3 |  |  |  | 452 |  |  |  | 1.9 |  |  |  | 2,987 |  |  |  | 2.7 |  |  |  | 1,641 |  |  |  | 2.2 |  |
Total hospice segment net service revenues |  | $ | 39,095 |  |  |  | 100.0 |  | % | $ | 23,986 |  |  |  | 100.0 |  | % | $ | 112,098 |  |  |  | 100.0 |  | % | $ | 73,723 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 |  | $ | 6,372 |  |  |  | 80.1 |  | % | $ | 3,188 |  |  |  | 78.0 |  | % | $ | 13,699 |  |  |  | 80.5 |  | % | $ | 9,667 |  |  |  | 79.2 |  | %
Managed care organizations |  |  | 1,218 |  |  |  | 15.3 |  |  |  | 829 |  |  |  | 20.3 |  |  |  | 2,838 |  |  |  | 16.7 |  |  |  | 2,325 |  |  |  | 19.0 |  |
Other |  |  | 368 |  |  |  | 4.6 |  |  |  | 68 |  |  |  | 1.7 |  |  |  | 478 |  |  |  | 2.8 |  |  |  | 215 |  |  |  | 1.8 |  |
Total home health segment net service revenues |  | $ | 7,958 |  |  |  | 100.0 |  | % | $ | 4,085 |  |  |  | 100.0 |  | % | $ | 17,015 |  |  |  | 100.0 |  | % | $ | 12,207 |  |  |  | 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 nine months ended September 30, 2021 and 2020 were as follows:
|  | Personal Care |  |
|  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 |  | $ | 81,959 |  |  |  | 48.3 |  | % | $ | 74,448 |  |  |  | 44.9 |  | % | $ | 240,131 |  |  |  | 47.0 |  | % | $ | 215,047 |  |  |  | 44.6 |  | %
New York |  |  | 24,127 |  |  |  | 14.2 |  |  |  | 28,381 |  |  |  | 17.1 |  |  |  | 77,237 |  |  |  | 15.1 |  |  |  | 87,463 |  |  |  | 18.1 |  |
New Mexico |  |  | 24,214 |  |  |  | 14.3 |  |  |  | 21,878 |  |  |  | 13.2 |  |  |  | 73,291 |  |  |  | 14.3 |  |  |  | 64,402 |  |  |  | 13.3 |  |
All other states |  |  | 39,309 |  |  |  | 23.2 |  |  |  | 41,209 |  |  |  | 24.8 |  |  |  | 120,085 |  |  |  | 23.6 |  |  |  | 115,937 |  |  |  | 24.0 |  |
Total personal care segment net service revenues |  | $ | 169,609 |  |  |  | 100.0 |  | % | $ | 165,916 |  |  |  | 100.0 |  | % | $ | 510,744 |  |  |  | 100.0 |  | % | $ | 482,849 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Three Months Ended September 30, |  |  | For the Nine Months Ended September 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 |  | $ | 15,868 |  |  |  | 40.6 |  | % | $ | — |  |  |  | — |  | % | $ | 44,676 |  |  |  | 39.8 |  | % | $ | — |  |  |  | — |  | %
New Mexico |  |  | 9,268 |  |  |  | 23.7 |  |  |  | 10,979 |  |  |  | 45.8 |  |  |  | 27,216 |  |  |  | 24.3 |  |  |  | 33,431 |  |  |  | 45.3 |  |
All other states |  |  | 13,959 |  |  |  | 35.7 |  |  |  | 13,007 |  |  |  | 54.2 |  |  |  | 40,206 |  |  |  | 35.9 |  |  |  | 40,292 |  |  |  | 54.7 |  |
Total hospice segment net service revenues |  | $ | 39,095 |  |  |  | 100.0 |  | % | $ | 23,986 |  |  |  | 100.0 |  | % | $ | 112,098 |  |  |  | 100.0 |  | % | $ | 73,723 |  |  |  | 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 September 30, |  |  | For the Nine Months Ended September 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 |  | $ | 7,958 |  |  |  | 100.0 |  | % | $ | 4,085 |  |  |  | 100.0 |  | % | $ | 17,015 |  |  |  | 100.0 |  | % | $ | 12,207 |  |  |  | 100.0 |  | %
Total home health segment net service revenues |  | $ | 7,958 |  |  |  | 100.0 |  | % | $ | 4,085 |  |  |  | 100.0 |  | % | $ | 17,015 |  |  |  | 100.0 |  | % | $ | 12,207 |  |  |  | 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 37.8%, and 38.5% of our net service revenues for the three months ended September 30, 2021, and 2020, respectively, and accounted for 37.5% and 37.8% of our net service revenues for the nine months ended September 30, 2021 and 2020, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 21.3% and 22.9% of the Company’s net service revenues for the three months ended September 30, 2021 and 2020, respectively, and accounted for 21.4% and 23.1% of the Company’s net service revenues for the nine months ended September 30, 2021 and 2020, respectively. The related receivables due from the Illinois Department on Aging represented 14.4% and 15.9% of the Company’s net accounts receivable at September 30, 2021 and December 31, 2020, respectively.

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- 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
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