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Revenue Recognition (Tables)
9 Months Ended
Sep. 30, 2020
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, 2020 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

260,658

$

12,107

6,091

$

278,856

Continuous care

27,739

1,364

1,596

30,699

Inpatient care

24,199

2,415

1,019

27,633

$

312,596

$

15,886

$

8,706

$

337,188

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

2,910

Subtotal

$

340,098

Medicare cap adjustment

4,072

Implicit price concessions

(3,784)

Room and board, net

(3,289)

Net revenue

$

337,097

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 nine months ended September 30, 2020 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

772,162 

$

36,914 

$

17,878 

$

826,954 

Continuous care

96,354 

4,856 

4,626 

105,836 

Inpatient care

74,796 

7,285 

3,902 

85,983 

$

943,312 

$

49,055 

$

26,406 

$

1,018,773 

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

8,175 

Subtotal

$

1,026,948 

Medicare cap adjustment

(4,178)

Implicit price concessions

(10,976)

Room and board, net

(9,317)

Net revenue

$

1,002,477 


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 

Schedule Of Disaggregated Revenue

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

September 30,

2020

2019

Short-term core service jobs

$

143,089 

$

116,277 

Water restoration

32,137 

27,642 

Contractor revenue

16,274 

14,359 

Franchise fees

1,235 

1,819 

All other

3,332 

2,791 

Subtotal

$

196,067 

$

162,888 

Implicit price concessions and credit memos

(4,867)

(4,023)

Net revenue

$

191,200 

$

158,865 

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

September 30,

2020

2019

Short-term core service jobs

$

404,054 

$

344,673 

Water restoration

92,810 

86,804 

Contractor revenue

47,695 

42,986 

Franchise fees

3,635 

5,063 

All other

9,836 

8,773 

Subtotal

$

558,030 

$

488,299 

Implicit price concessions and credit memos

(14,213)

(13,347)

Net revenue

$

543,817 

$

474,952