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Revenue Recognition (Tables)
9 Months Ended
Sep. 30, 2025
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, 2025 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

341,571 

$

11,604 

$

9,230 

$

362,405 

Inpatient care

28,374 

2,318 

2,407 

33,099 

Continuous care

18,379 

603 

964 

19,946 

$

388,324 

$

14,525 

$

12,601 

$

415,450 

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

5,807 

Subtotal

$

421,257 

Medicare cap adjustment

(6,086)

Implicit price concessions

(3,571)

Room and board, net

(3,859)

Net revenue

$

407,741 

The composition of patient care service revenue by payor and level of care for the quarter ended September 30, 2024 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

319,151 

$

12,013 

$

7,180 

$

338,344 

Inpatient care

25,647 

2,111 

2,165 

29,923 

Continuous care

23,657 

942 

1,200 

25,799 

$

368,455 

$

15,066 

$

10,545 

$

394,066 

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

5,082 

Subtotal

$

399,148 

Medicare cap adjustment

(2,239)

Implicit price concessions

(2,167)

Room and board, net

(3,336)

Net revenue

$

391,406 

The composition of patient care service revenue by payor and level of care for the nine months ended September 30, 2025 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

1,012,360 

$

33,915 

$

25,739 

$

1,072,014 

Inpatient care

86,716 

6,482 

6,947 

100,145 

Continuous care

63,158 

1,982 

3,082 

68,222 

$

1,162,234 

$

42,379 

$

35,768 

$

1,240,381 

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

16,898 

Subtotal

$

1,257,279 

Medicare cap adjustment

(24,786)

Implicit price concessions

(9,875)

Room and board, net

(11,277)

Net revenue

$

1,211,341 


The composition of patient care service revenue by payor and level of care for the nine months ended September 30, 2024 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

911,197 

$

36,691 

$

20,093 

$

967,981 

Inpatient care

76,905 

6,740 

5,652 

89,297 

Continuous care

68,649 

2,588 

3,058 

74,295 

$

1,056,751 

$

46,019 

$

28,803 

$

1,131,573 

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

13,900 

Subtotal

$

1,145,473 

Medicare cap adjustment

(5,989)

Implicit price concessions

(10,077)

Room and board, net

(9,437)

Net revenue

$

1,119,970 

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

September 30,

2025

2024

Drain cleaning

$

55,454 

$

56,049 

Plumbing

45,753 

43,471 

Excavation

57,102 

53,935 

Other

220 

218 

Subtotal - short term core

158,529 

153,673 

Water restoration

45,196 

42,412 

Independent contractors

16,871 

17,698 

Franchisee fees

1,433 

1,454 

Other

4,449 

5,408 

Gross revenue

226,478 

220,645 

Implicit price concessions and credit memos

(9,319)

(5,870)

Net revenue

$

217,159 

$

214,775 


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

September 30,

2025

2024

Drain cleaning

$

170,553 

$

175,535 

Plumbing

137,097 

137,614 

Excavation

177,833 

168,266 

Other

595 

665 

Subtotal - short term core

486,078 

482,080 

Water restoration

149,183 

131,867 

Independent contractors

52,682 

55,569 

Franchisee fees

4,262 

4,344 

Other

14,127 

17,287 

Gross revenue

706,332 

691,147 

Implicit price concessions and credit memos

(27,032)

(19,823)

Net revenue

$

679,300 

$

671,324