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Significant Payors (Tables) | 12 Months Ended
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Dec. 31, 2022
Significant Payors [Abstract] |
Schedule of Revenue by Payor Type | For 2022, 2021 and 2020, the Company’s revenue by payor type was as follows:
|  | Personal Care |  |
|  | For the Years Ended December 31, |  |
|  | 2022 |  |  |  | 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 |  |
State, local and other governmental programs |  | $ | 348,234 |  |  |  | 49.3 |  | % |  | $ | 338,325 |  |  |  | 49.3 |  | % |  | $ | 324,670 |  |  |  | 50.2 |  | %
Managed care organizations |  |  | 326,778 |  |  |  | 46.3 |  |  |  |  | 311,801 |  |  |  | 45.5 |  |  |  |  | 287,032 |  |  |  | 44.3 |  |
Private pay |  |  | 18,301 |  |  |  | 2.6 |  |  |  |  | 19,991 |  |  |  | 2.9 |  |  |  |  | 20,398 |  |  |  | 3.2 |  |
Commercial insurance |  |  | 7,689 |  |  |  | 1.1 |  |  |  |  | 9,820 |  |  |  | 1.4 |  |  |  |  | 9,991 |  |  |  | 1.5 |  |
Other |  |  | 5,505 |  |  |  | 0.7 |  |  |  |  | 5,917 |  |  |  | 0.9 |  |  |  |  | 5,142 |  |  |  | 0.8 |  |
Total personal care segment net service revenues |  | $ | 706,507 |  |  |  | 100.0 |  | % |  | $ | 685,854 |  |  |  | 100.0 |  | % |  | $ | 647,233 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Years Ended December 31, |  |
|  | 2022 |  |  |  | 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 |  |
Medicare |  | $ | 183,407 |  |  |  | 90.9 |  | % |  | $ | 142,086 |  |  |  | 93.3 |  | % |  | $ | 94,068 |  |  |  | 92.9 |  | %
Managed care organizations |  |  | 7,353 |  |  |  | 3.6 |  |  |  |  | 5,664 |  |  |  | 3.7 |  |  |  |  | 4,931 |  |  |  | 4.9 |  |
Other |  |  | 11,012 |  |  |  | 5.5 |  |  |  |  | 4,503 |  |  |  | 3.0 |  |  |  |  | 2,298 |  |  |  | 2.2 |  |
Total hospice segment net service revenues |  | $ | 201,772 |  |  |  | 100.0 |  | % |  | $ | 152,253 |  |  |  | 100.0 |  | % |  | $ | 101,297 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | For the Years Ended December 31, |  |
|  | 2022 |  |  |  | 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 |  |
Medicare |  | $ | 31,505 |  |  |  | 73.5 |  | % |  | $ | 20,700 |  |  |  | 78.4 |  | % |  | $ | 12,765 |  |  |  | 78.6 |  | %
Managed care organizations |  |  | 8,698 |  |  |  | 20.3 |  |  |  |  | 4,457 |  |  |  | 16.9 |  |  |  |  | 3,188 |  |  |  | 19.6 |  |
Other |  |  | 2,638 |  |  |  | 6.2 |  |  |  |  | 1,235 |  |  |  | 4.7 |  |  |  |  | 292 |  |  |  | 1.8 |  |
Total home health segment net service revenues |  | $ | 42,841 |  |  |  | 100.0 |  | % |  | $ | 26,392 |  |  |  | 100.0 |  | % |  | $ | 16,245 |  |  |  | 100.0 |  | %
Schedule of Revenue by Geographic Location | The Company derives a significant amount of its revenue from its operations in Illinois, New Mexico and New York. The percentages of segment revenue for each of these significant states for 2022, 2021 and 2020 were as follows:
|  | Personal Care |  |
|  | For the Years Ended December 31, |  |
|  | 2022 |  |  |  | 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 |  |
Illinois |  | $ | 360,778 |  |  |  | 51.1 |  | % |  | $ | 328,619 |  |  |  | 47.9 |  | % |  | $ | 288,326 |  |  |  | 44.6 |  | %
New York |  |  | 86,592 |  |  |  | 12.3 |  |  |  |  | 99,732 |  |  |  | 14.5 |  |  |  |  | 115,510 |  |  |  | 17.8 |  |
New Mexico |  |  | 105,315 |  |  |  | 14.9 |  |  |  |  | 97,784 |  |  |  | 14.3 |  |  |  |  | 86,618 |  |  |  | 13.4 |  |
All other states |  |  | 153,822 |  |  |  | 21.7 |  |  |  |  | 159,719 |  |  |  | 23.3 |  |  |  |  | 156,779 |  |  |  | 24.2 |  |
Total personal care segment net service revenues |  | $ | 706,507 |  |  |  | 100.0 |  | % |  | $ | 685,854 |  |  |  | 100.0 |  | % |  | $ | 647,233 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Years Ended December 31, |  |
|  | 2022 |  |  |  | 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 |  |
Ohio |  | $ | 70,503 |  |  |  | 35.0 |  | % |  | $ | 61,415 |  |  |  | 40.3 |  | % |  | $ | — |  |  |  | — |  | %
New Mexico |  |  | 30,722 |  |  |  | 15.2 |  |  |  |  | 36,063 |  |  |  | 23.7 |  |  |  |  | 42,648 |  |  |  | 42.1 |  |
Illinois |  |  | 47,181 |  |  |  | 23.4 |  |  |  |  | — |  |  |  | — |  |  |  |  | — |  |  |  | — |  |
All other states |  |  | 53,366 |  |  |  | 26.4 |  |  |  |  | 54,775 |  |  |  | 36.0 |  |  |  |  | 58,649 |  |  |  | 57.9 |  |
Total hospice segment net service revenues |  | $ | 201,772 |  |  |  | 100.0 |  | % |  | $ | 152,253 |  |  |  | 100.0 |  | % |  | $ | 101,297 |  |  |  | 100.0 |  | %
With the acquisition of Queen City Hospice in late 2020, the Company expanded its hospice services in the state of Ohio, and with the JourneyCare acquisition in 2022, the Company also expanded its hospice services in the state of Illinois.
|  | Home Health |  |
|  | For the Years Ended December 31, |  |
|  | 2022 |  |  |  | 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 |  |
New Mexico |  | $ | 34,111 |  |  |  | 79.6 |  | % |  | $ | 24,735 |  |  |  | 93.7 |  | % |  | $ | 16,245 |  |  |  | 100.0 |  | %
Illinois |  |  | 8,730 |  |  |  | 20.4 |  |  |  |  | 1,657 |  |  |  | 6.3 |  |  |  |  | — |  |  |  | — |  |
Total home health segment net service revenues |  | $ | 42,841 |  |  |  | 100.0 |  | % |  | $ | 26,392 |  |  |  | 100.0 |  | % |  | $ | 16,245 |  |  |  | 100.0 |  | %

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