XML 50 R38.htm IDEA: XBRL DOCUMENT v3.22.2.2
Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue $ 302,619 $ 322,757 $ 914,412 $ 965,611
Net revenue 296,536 317,411 893,506 945,135
Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 256,253 268,137 771,520 796,817
Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 18,600 22,027 57,717 73,658
Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 24,526 29,368 75,714 85,895
Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 299,379 319,532 904,951 956,370
All Other Revenue- Self-pay, Respite Care, Etc. [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 3,240 3,225 9,461 9,241
Medicare Cap Adjustment [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Medicare cap adjustment (618) (97) (5,118) (3,597)
Implicit Price Concessions [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Implicit price concessions (2,952) (3,119) (8,992) (9,428)
Room And Board, Net [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Room and board, net (2,513) (2,130) (6,796) (7,451)
Medicare [Member] | Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 239,670 249,633 722,035 742,759
Medicare [Member] | Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 17,083 20,000 53,103 66,916
Medicare [Member] | Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 21,391 25,249 66,412 74,594
Medicare [Member] | Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 278,144 294,882 841,550 884,269
Medicaid [Member] | Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 10,822 12,102 32,848 35,190
Medicaid [Member] | Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 787 1,105 2,337 3,601
Medicaid [Member] | Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 1,838 2,628 5,608 7,168
Medicaid [Member] | Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 13,447 15,835 40,793 45,959
Commercial [Member] | Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 5,761 6,402 16,637 18,868
Commercial [Member] | Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 730 922 2,277 3,141
Commercial [Member] | Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 1,297 1,491 3,694 4,133
Commercial [Member] | Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue $ 7,788 $ 8,815 $ 22,608 $ 26,142