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Significant Payors (Tables) | 12 Months Ended
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Dec. 31, 2023
Significant Payors [Abstract] |
Schedule of Revenue by Payor Type | For 2023, 2022 and 2021, the Company’s revenue by payor type was as follows:
|  | Personal Care |  |
|  | For the Years Ended December 31, |  |
|  | 2023 |  |  |  | 2022 |  |  |  | 2021 |  |
|  | 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 |  | $ | 400,753 |  |  |  | 50.4 |  | % |  | $ | 348,234 |  |  |  | 49.3 |  | % |  | $ | 338,325 |  |  |  | 49.3 |  | %
Managed care organizations |  |  | 367,557 |  |  |  | 46.2 |  |  |  |  | 326,778 |  |  |  | 46.3 |  |  |  |  | 311,801 |  |  |  | 45.5 |  |
Private pay |  |  | 16,268 |  |  |  | 2.0 |  |  |  |  | 18,301 |  |  |  | 2.6 |  |  |  |  | 19,991 |  |  |  | 2.9 |  |
Commercial insurance |  |  | 6,321 |  |  |  | 0.8 |  |  |  |  | 7,689 |  |  |  | 1.1 |  |  |  |  | 9,820 |  |  |  | 1.4 |  |
Other |  |  | 3,819 |  |  |  | 0.6 |  |  |  |  | 5,505 |  |  |  | 0.7 |  |  |  |  | 5,917 |  |  |  | 0.9 |  |
Total personal care segment net service revenues |  | $ | 794,718 |  |  |  | 100.0 |  | % |  | $ | 706,507 |  |  |  | 100.0 |  | % |  | $ | 685,854 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Years Ended December 31, |  |
|  | 2023 |  |  |  | 2022 |  |  |  | 2021 |  |
|  | 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 |  | $ | 186,317 |  |  |  | 89.9 |  | % |  | $ | 183,407 |  |  |  | 90.9 |  | % |  | $ | 142,086 |  |  |  | 93.3 |  | %
Managed care organizations |  |  | 7,037 |  |  |  | 3.4 |  |  |  |  | 7,353 |  |  |  | 3.6 |  |  |  |  | 5,664 |  |  |  | 3.7 |  |
Other |  |  | 13,801 |  |  |  | 6.7 |  |  |  |  | 11,012 |  |  |  | 5.5 |  |  |  |  | 4,503 |  |  |  | 3.0 |  |
Total hospice segment net service revenues |  | $ | 207,155 |  |  |  | 100.0 |  | % |  | $ | 201,772 |  |  |  | 100.0 |  | % |  | $ | 152,253 |  |  |  | 100.0 |  | %
|  | Home Health |  |
|  | For the Years Ended December 31, |  |
|  | 2023 |  |  |  | 2022 |  |  |  | 2021 |  |
|  | 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 |  | $ | 41,078 |  |  |  | 72.3 |  | % |  | $ | 31,505 |  |  |  | 73.5 |  | % |  | $ | 20,700 |  |  |  | 78.4 |  | %
Managed care organizations |  |  | 12,613 |  |  |  | 22.2 |  |  |  |  | 8,698 |  |  |  | 20.3 |  |  |  |  | 4,457 |  |  |  | 16.9 |  |
Other |  |  | 3,087 |  |  |  | 5.5 |  |  |  |  | 2,638 |  |  |  | 6.2 |  |  |  |  | 1,235 |  |  |  | 4.7 |  |
Total home health segment net service revenues |  | $ | 56,778 |  |  |  | 100.0 |  | % |  | $ | 42,841 |  |  |  | 100.0 |  | % |  | $ | 26,392 |  |  |  | 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 2023, 2022 and 2021 were as follows:
|  | Personal Care |  |
|  | For the Years Ended December 31, |  |
|  | 2023 |  |  |  | 2022 |  |  |  | 2021 |  |
|  | 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 |  | $ | 411,081 |  |  |  | 51.7 |  | % |  | $ | 360,778 |  |  |  | 51.1 |  | % |  | $ | 328,619 |  |  |  | 47.9 |  | %
New York |  |  | 92,469 |  |  |  | 11.6 |  |  |  |  | 86,592 |  |  |  | 12.3 |  |  |  |  | 99,732 |  |  |  | 14.5 |  |
New Mexico |  |  | 115,986 |  |  |  | 14.6 |  |  |  |  | 105,315 |  |  |  | 14.9 |  |  |  |  | 97,784 |  |  |  | 14.3 |  |
All other states |  |  | 175,182 |  |  |  | 22.1 |  |  |  |  | 153,822 |  |  |  | 21.7 |  |  |  |  | 159,719 |  |  |  | 23.3 |  |
Total personal care segment net service revenues |  | $ | 794,718 |  |  |  | 100.0 |  | % |  | $ | 706,507 |  |  |  | 100.0 |  | % |  | $ | 685,854 |  |  |  | 100.0 |  | %
|  | Hospice |  |
|  | For the Years Ended December 31, |  |
|  | 2023 |  |  |  | 2022 |  |  |  | 2021 |  |
|  | 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 |  | $ | 74,871 |  |  |  | 36.1 |  | % |  | $ | 70,503 |  |  |  | 35.0 |  | % |  | $ | 61,415 |  |  |  | 40.3 |  | %
New Mexico |  |  | 30,782 |  |  |  | 14.9 |  |  |  |  | 30,722 |  |  |  | 15.2 |  |  |  |  | 36,063 |  |  |  | 23.7 |  |
Illinois |  |  | 47,247 |  |  |  | 22.8 |  |  |  |  | 47,181 |  |  |  | 23.4 |  |  |  |  | — |  |  |  | — |  |
All other states |  |  | 54,255 |  |  |  | 26.2 |  |  |  |  | 53,366 |  |  |  | 26.4 |  |  |  |  | 54,775 |  |  |  | 36.0 |  |
Total hospice segment net service revenues |  | $ | 207,155 |  |  |  | 100.0 |  | % |  | $ | 201,772 |  |  |  | 100.0 |  | % |  | $ | 152,253 |  |  |  | 100.0 |  | %
With the acquisition of JourneyCare in 2022, the Company expanded its hospice services to patients in the state of Illinois.
|  | Home Health |  |
|  | For the Years Ended December 31, |  |
|  | 2023 |  |  |  | 2022 |  |  |  | 2021 |  |
|  | 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 |  | $ | 32,949 |  |  |  | 58.0 |  | % |  | $ | 34,111 |  |  |  | 79.6 |  | % |  | $ | 24,735 |  |  |  | 93.7 |  | %
Illinois |  |  | 12,851 |  |  |  | 22.6 |  |  |  |  | 8,730 |  |  |  | 20.4 |  |  |  |  | 1,657 |  |  |  | 6.3 |  |
Tennessee |  |  | 10,978 |  |  |  | 19.4 |  |  |  |  | — |  |  |  | — |  |  |  |  | — |  |  |  | — |  |
Total home health segment net service revenues |  | $ | 56,778 |  |  |  | 100.0 |  | % |  | $ | 42,841 |  |  |  | 100.0 |  | % |  | $ | 26,392 |  |  |  | 100.0 |  | %

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