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Significant Payors | 6 Months Ended
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Jun. 30, 2024
Significant Payors [Abstract] |
Significant Payors | 13. Significant Payors The Company’s revenue by payor type was as follows:
Personal Care Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| 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 | $ | 113,002 |  | 53.1 | % | $ | 100,399 |  | 50.6 | % | $ | 220,756 |  | 52.5 | % | $ | 195,721 |  | 50.4 | %
Managed care organizations |  | 94,135 |  | 44.2 |  |  | 91,276 |  | 46.0 |  |  | 188,411 |  | 44.8 |  |  | 179,176 |  | 46.1 |
Private pay |  | 3,689 |  | 1.7 |  |  | 4,137 |  | 2.2 |  |  | 7,595 |  | 1.8 |  |  | 8,363 |  | 2.2 |
Commercial insurance |  | 1,467 |  | 0.7 |  |  | 1,637 |  | 0.8 |  |  | 2,953 |  | 0.7 |  |  | 3,306 |  | 0.9 |
Other |  | 524 |  | 0.3 |  |  | 865 |  | 0.4 |  |  | 1,105 |  | 0.2 |  |  | 1,780 |  | 0.4 |
Total personal care segment net service revenues | $ | 212,817 |  | 100.0 | % | $ | 198,314 |  | 100.0 | % | $ | 420,820 |  | 100.0 | % | $ | 388,346 |  | 100.0 | %
Hospice Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| 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 | $ | 51,122 |  | 91.2 | % | $ | 45,566 |  | 90.7 | % | $ | 101,774 |  | 91.0 | % | $ | 90,122 |  | 90.8 | %
Commercial insurance |  | 2,844 |  | 5.1 |  |  | 2,726 |  | 5.4 |  |  | 5,978 |  | 5.3 |  |  | 5,273 |  | 5.3 |
Managed care organizations |  | 1,880 |  | 3.4 |  |  | 1,567 |  | 3.1 |  |  | 3,697 |  | 3.3 |  |  | 3,214 |  | 3.2 |
Other |  | 184 |  | 0.3 |  |  | 351 |  | 0.8 |  |  | 444 |  | 0.4 |  |  | 684 |  | 0.7 |
Total hospice segment net service revenues | $ | 56,030 |  | 100.0 | % | $ | 50,210 |  | 100.0 | % | $ | 111,893 |  | 100.0 | % | $ | 99,293 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| 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 | $ | 12,517 |  | 69.3 | % | $ | 8,716 |  | 76.1 | % | $ | 24,180 |  | 69.2 | % | $ | 17,988 |  | 75.1 | %
Managed care organizations |  | 4,676 |  | 25.9 |  |  | 2,251 |  | 19.6 |  |  | 9,076 |  | 26.0 |  |  | 4,789 |  | 20.0 |
Other |  | 882 |  | 4.8 |  |  | 489 |  | 4.3 |  |  | 1,699 |  | 4.8 |  |  | 1,164 |  | 4.9 |
Total home health segment net service revenues | $ | 18,075 |  | 100.0 | % | $ | 11,456 |  | 100.0 | % | $ | 34,955 |  | 100.0 | % | $ | 23,941 |  | 100.0 | %
During the three and six months ended June 30, 2024 and 2023, the Company derived a significant amount of its revenue from its operations in Illinois, New Mexico, New York, Ohio and Tennessee. The percentages of segment revenue for each of these significant states were as follows:
Personal Care Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
|  | 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| 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 | $ | 110,774 |  | 52.1 | % | $ | 103,864 |  | 52.4 | % | $ | 218,349 |  | 51.9 | % | $ | 202,279 |  | 52.1 | %
New Mexico |  | 28,644 |  | 13.5 |  |  | 27,907 |  | 14.1 |  |  | 57,611 |  | 13.7 |  |  | 56,381 |  | 14.5 |
New York (1) |  | 23,299 |  | 10.9 |  |  | 23,841 |  | 12.0 |  |  | 46,833 |  | 11.1 |  |  | 45,727 |  | 11.8 |
All other states |  | 50,100 |  | 23.5 |  |  | 42,702 |  | 21.5 |  |  | 98,027 |  | 23.3 |  |  | 83,959 |  | 21.6 |
Total personal care segment net service revenues | $ | 212,817 |  | 100.0 | % | $ | 198,314 |  | 100.0 | % | $ | 420,820 |  | 100.0 | % | $ | 388,346 |  | 100.0 | %
(1) The selection process for CDPAP fiscal intermediaries has changed significantly in recent years and the program continues to be an area of focus for New York governmental authorities. The Company was not one of the entities selected through an RFO process to competitively procure fiscal intermediaries that was initiated in 2019 and, in November 2022, decided to suspend materially all of its new fee-for-service patient admissions through County Social Service Departments. The Company received a contract award in June 2023 and resumed new fee-for-service patient admissions. However, the New York fiscal year 2025 budget will replace the CDPAP fiscal intermediaries with a single statewide fiscal intermediary with a stated deadline of April 1, 2025. All service providers seeking to offer services under CDPAP will be required to contract with the statewide fiscal intermediary or its contractors in order to offer services. The Company does not believe it is likely to be selected as the single statewide fiscal intermediary, and it is difficult to predict the details of the implementation of these modifications and their final timeline and, thus, their impact on the Company’s business and operations. As a result of the changes and uncertainty in the state, the Company determined that its New York personal care operations no longer fit its growth strategy and reached an agreement to divest these operations. See Note 4 to the Notes to Unaudited Condensed Consolidated Financial Statements, Acquisition and Divestiture, for additional details regarding our divestiture.
Hospice Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| 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 | $ | 20,633 |  | 36.8 | % | $ | 19,332 |  | 38.5 | % | $ | 40,869 |  | 36.5 | % | $ | 37,783 |  | 38.1 | %
Illinois |  | 13,003 |  | 23.2 |  |  | 11,606 |  | 23.1 |  |  | 25,255 |  | 22.6 |  |  | 23,087 |  | 23.3 |
New Mexico |  | 6,895 |  | 12.3 |  |  | 6,540 |  | 13.0 |  |  | 14,410 |  | 12.9 |  |  | 13,026 |  | 13.1 |
All other states |  | 15,499 |  | 27.7 |  |  | 12,732 |  | 25.4 |  |  | 31,359 |  | 28.0 |  |  | 25,397 |  | 25.5 |
Total hospice segment net service revenues | $ | 56,030 |  | 100.0 | % | $ | 50,210 |  | 100.0 | % | $ | 111,893 |  | 100.0 | % | $ | 99,293 |  | 100.0 | %
Home Health Segment |  | For the Three Months Ended June 30, |  |  | For the Six Months Ended June 30, |
| 2024 |  |  | 2023 |  |  | 2024 |  |  | 2023 |
| 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 | $ | 8,300 |  | 45.9 | % | $ | 8,093 |  | 70.6 | % | $ | 16,077 |  | 46.0 | % | $ | 17,209 |  | 71.9 | %
Illinois |  | 3,042 |  | 16.8 |  |  | 3,363 |  | 29.4 |  |  | 5,984 |  | 17.1 |  |  | 6,732 |  | 28.1 |
Tennessee |  | 6,733 |  | 37.3 |  |  | — |  | — |  |  | 12,894 |  | 36.9 |  |  | — |  | — |
Total home health segment net service revenues | $ | 18,075 |  | 100.0 | % | $ | 11,456 |  | 100.0 | % | $ | 34,955 |  | 100.0 | % | $ | 23,941 |  | 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. The personal care segment derives a significant amount of its net service revenues in Illinois, which represented 38.6%, and 40.0% of our net service revenues for the three months ended June 30, 2024, and 2023, respectively, and accounted for 38.5% and 39.5% of our net service revenues for the six months ended June 30, 2024 and 2023, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 21.1% and 21.5% of the Company’s net service revenues for the three months ended June 30, 2024 and 2023, respectively, and accounted for 20.9% and 21.5% of the Company’s net service revenues for the six months ended June 30, 2024 and 2023, respectively. The related receivables due from the Illinois Department on Aging represented 21.7% and 20.7% of the Company’s net accounts receivable at June 30, 2024 and December 31, 2023, respectively.

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