Significant Payors

3 Months Ended

Mar. 31, 2025

12. Significant Payors

The Company’s revenue by payor type was as follows:



Personal Care Segment	For the Three Months Ended March 31,
	2025			2024
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
State, local and other governmental programs	$132,904	51.5	%	$107,754	51.8	%
Managed care organizations	117,007	45.3		94,276	45.3
Private pay	6,976	2.7		3,906	1.9
Commercial insurance	1,160	0.4		1,486	0.7
Other	239	0.1		581	0.3
Total personal care segment net service revenues	$258,286	100.0	%	$208,003	100.0	%



Hospice Segment	For the Three Months Ended March 31,
	2025			2024
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Medicare	$56,788	92.4	%	$50,652	90.7	%
Commercial insurance	2,383	3.9		3,134	5.6
Managed care organizations	2,028	3.3		1,817	3.3
Other	238	0.4		260	0.4
Total hospice segment net service revenues	$61,437	100.0	%	$55,863	100.0	%



Home Health Segment	For the Three Months Ended March 31,
	2025			2024
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Medicare	$12,576	69.9	%	$11,663	69.1	%
Managed care organizations	3,810	21.2		4,400	26.1
State, local and other governmental programs (excluding Medicare)	1,087	6.0		26	0.2
Other	512	2.9		791	4.6
Total home health segment net service revenues	$17,985	100.0	%	$16,880	100.0	%

The Company derives a significant amount of its revenue from its operations in Illinois, New Mexico, Ohio, and Texas. The percentages of segment revenue for each of these significant states and New York for the three months ended March 31, 2025 and 2024 were as follows:



Personal Care Segment	For the Three Months Ended March 31,
	2025			2024
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Illinois	$111,414	43.1	%	$107,575	51.8	%
New Mexico	28,305	11.0		28,967	13.9
New York(1)	273	0.1		23,534	11.3
Texas	49,861	19.3		—	—
All other states	68,433	26.5		47,927	23.0	%
Total personal care segment net service revenues	$258,286	100.0	%	$208,003	100.0

(1)

The selection process of the New York Consumer Directed Personal Assistance Program (“CDPAP”) fiscal intermediaries has changed significantly in recent years and the program continues to be an area of focus for New York governmental authorities. 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 is divesting these operations. See Note 3 to the Notes to Unaudited Condensed Consolidated Financial Statements, Divestiture, for additional details regarding our divestiture.



Hospice Segment	For the Three Months Ended March 31,
	2025			2024
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
Ohio	$23,187	37.7	%	$20,236	36.2	%
Illinois	14,564	23.7		12,252	21.9
New Mexico	7,913	12.9		7,515	13.5
All other states	15,773	25.7		15,860	28.4
Total hospice segment net service revenues	$61,437	100.0	%	$55,863	100.0	%



Home Health Segment	For the Three Months Ended March 31,
	2025			2024
	Amount (in Thousands)	% of Segment Net Service Revenues		Amount (in Thousands)	% of Segment Net Service Revenues
New Mexico	$8,555	47.6	%	$7,777	46.1	%
Illinois	1,932	10.7		2,942	17.4
Tennessee	7,498	41.7		6,161	36.5
Total home health segment net service revenues	$17,985	100.0	%	$16,880	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 33.0% and 38.3% of our net service revenues for the three months ended March 31, 2025 and 2024, respectively. The Illinois Department on Aging, the largest payor program for the Company’s Illinois personal care operations, accounted for 18.5% and 20.8% of the Company’s net service revenues for the three months ended March 31, 2025 and 2024, respectively.

The related receivables due from the Illinois Department on Aging represented 23.8% and 18.0% of the Company’s net accounts receivable at March 31, 2025 and December 31, 2024, respectively.