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Revenue Recognition (Tables)
9 Months Ended
Sep. 30, 2019
Revenue Recognition [Abstract]  
Schedule Of Patient Care Service Revenue The composition of patient care service revenue by payor and level of care for the quarter ended September 30, 2019 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

255,856 

$

12,332 

6,558 

$

274,746 

Continuous care

26,423 

1,549 

1,474 

29,446 

Inpatient care

20,038 

1,976 

1,585 

23,599 

$

302,317 

$

15,857 

$

9,617 

$

327,791 

All other revenue - self-pay, respite care, etc.

2,356 

Subtotal

$

330,147 

Medicare cap adjustment

(1,317)

Implicit price concessions

(4,236)

Room and board, net

(2,846)

Net revenue

$

321,748 

The composition of patient care service revenue by payor and level of care for the quarter ended September 30, 2018 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

239,590 

$

11,984 

$

5,560 

$

257,134 

Continuous care

27,391 

1,539 

1,455 

30,385 

Inpatient care

16,287 

1,998 

1,332 

19,617 

$

283,268 

$

15,521 

$

8,347 

$

307,136 

All other revenue - self-pay, respite care, etc.

2,104 

Subtotal

$

309,240 

Medicare cap adjustment

(1,950)

Implicit price concessions

(2,957)

Room and board, net

(2,569)

Net revenue

$

301,764 

The composition of patient care service revenue by payor and level of care for the nine months ended September 30, 2019 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

745,835 

$

35,913 

$

18,311 

$

800,059 

Continuous care

83,372 

4,744 

4,360 

92,476 

Inpatient care

58,309 

6,241 

4,513 

69,063 

$

887,516 

$

46,898 

$

27,184 

$

961,598 

All other revenue - self-pay, respite care, etc.

6,598 

Subtotal

$

968,196 

Medicare cap adjustment

(7,915)

Implicit price concessions

(10,904)

Room and board, net

(8,098)

Net revenue

$

941,279 

The composition of patient care service revenue by payor and level of care for the nine months ended September 30, 2018 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

696,248 

$

35,283 

$

17,015 

$

748,546 

Continuous care

82,604 

4,570 

4,490 

91,664 

Inpatient care

52,174 

5,899 

3,730 

61,803 

$

831,026 

$

45,752 

$

25,235 

$

902,013 

All other revenue - self-pay, respite care, etc.

5,844 

Subtotal

$

907,857 

Medicare cap adjustment

(668)

Implicit price concessions

(8,749)

Room and board, net

(7,863)

Net revenue

$

890,577 

Schedule Of Disaggregated Revenue

The composition of disaggregated revenue for the third quarter is as follows (in thousands):

September 30,

2019

2018

Short-term core service jobs

$

115,135 

$

102,346 

Water restoration

25,738 

25,001 

Contractor revenue

14,342 

12,219 

Franchise fees

1,819 

1,593 

All other

2,791 

2,876 

Subtotal

$

159,825 

$

144,035 

Implicit price concessions and credit memos

(960)

(1,648)

Net revenue

$

158,865 

$

142,387 

The composition of disaggregated revenue for the first nine months is as follows (in thousands):

September 30,

2019

2018

Short-term core service jobs

$

341,337 

$

311,518 

Water restoration

81,629 

77,502 

Contractor revenue

42,931 

36,950 

Franchise fees

5,063 

4,758 

All other

8,773 

9,032 

Subtotal

$

479,733 

$

439,760 

Implicit price concessions and credit memos

(4,781)

(5,197)

Net revenue

$

474,952 

$

434,563