Significant Payors

3 Months Ended

Mar. 31, 2019

Significant Payors [Abstract]

Significant Payors

12. Significant Payors

For the three months ended March 31, 2019 and 2018, the Company’s revenue by payor type was as follows:

	Personal Care
	For the Three Months Ended March 31,
	2019					2018
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
State, local and other governmental programs	$	72,059		56.0	%	$	67,328		61.5	%
Managed care organizations		48,005		37.3			37,830		34.6
Private pay		5,019		3.9			3,755		3.4
Commercial insurance		1,867		1.5			563		0.5
Other		1,691		1.3			—		—
Total personal care segment net service revenues	$	128,641		100.0	%	$	109,476		100.0	%

	Hospice
	For the Three Months Ended March 31,
	2019
	Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	7,390		93.3	%
Managed care organizations		361		4.6
Other		166		2.1
Total hospice segment net service revenues	$	7,917		100.0	%

	Home Health
	For the Three Months Ended March 31,
	2019
	Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	2,199		81.6	%
Managed care organizations		414		15.4
Other		83		3.0
Total home health segment net service revenues	$	2,696		100.0	%

The percentages of segment revenue for each of the Company’s significant states for the three months ended March 31, 2019 and 2018 were as follows:

	Personal Care
	For the Three Months Ended March 31,
	2019					2018
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Illinois	$	57,596		44.8	%	$	57,386		52.4	%
New York		17,813		13.8			15,363		14.0
New Mexico		17,208		13.4			11,770		10.8
All other states		36,024		28.0			24,957		22.8
Total personal care segment net service revenues	$	128,641		100.0	%	$	109,476		100.0	%

	Hospice
	For the Three Months Ended March 31,
	2019
	Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	7,917		100.0	%
Total hospice segment net service revenues	$	7,917		100.0	%

	Home Health
	For the Three Months Ended March 31,
	2019
	Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	2,696		100.0	%
Total home health segment net service revenues	$	2,696		100.0	%

A substantial portion of the Company’s net service revenues and accounts receivable are derived from services performed for state and local governmental agencies. The Illinois Department on Aging, the largest payor program for our Illinois personal care operations, accounted for 28.9% and 36.6% of the Company’s net service revenues for the three months ended March 31, 2019 and 2018, respectively.

The related receivables due from the Illinois Department on Aging represented 24.5% and 22.5% of the Company’s net accounts receivable at March 31, 2019 and December 31, 2018, respectively.