Significant Payors

9 Months Ended

Sep. 30, 2021

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.