Revenue Recognition (Tables)

12 Months Ended

Dec. 31, 2023

Revenue Recognition [Abstract]

Schedule Of Patient Care Service Revenue

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The composition of patient care service revenue by payor and level of care for the year ended December 31, 2023 is as follows (in thousands):

	Medicare		Medicaid		Commercial		Total
Routine home care	$	1,067,629		44,833		23,975	$	1,136,437
Continuous care		78,994		3,123		3,557		85,674
Inpatient care		97,873		8,698		5,848		112,419
	$	1,244,496	$	56,654	$	33,380	$	1,334,530
All other revenue - self-pay, respite care, etc.								13,582
Subtotal							$	1,348,112
Medicare cap adjustment								(8,000)
Implicit price concessions								(14,196)
Room and board, net								(10,851)
Net revenue							$	1,315,065

The composition of patient care service revenue by payor and level of care for the year ended December 31, 2022 is as follows (in thousands):

	Medicare		Medicaid		Commercial		Total
Routine home care	$	973,206	$	43,340	$	22,665	$	1,039,211
Continuous care		70,712		3,159		3,129		77,000
Inpatient care		89,866		7,533		4,962		102,361
	$	1,133,784	$	54,032	$	30,756	$	1,218,572
All other revenue - self-pay, respite care, etc.								12,438
Subtotal							$	1,231,010
Medicare cap adjustment								(7,868)
Implicit price concessions								(12,004)
Room and board, net								(9,574)
Net revenue							$	1,201,564

The composition of patient care service revenue by payor and level of care for the year ended December 31, 2021 is as follows (in thousands):

	Medicare		Medicaid		Commercial		Total
Routine home care	$	997,846	$	46,785	$	25,135	$	1,069,766
Continuous care		85,626		4,689		4,023		94,338
Inpatient care		98,243		9,486		5,458		113,187
	$	1,181,715	$	60,960	$	34,616	$	1,277,291
All other revenue - self-pay, respite care, etc.								12,142
Subtotal							$	1,289,433
Medicare cap adjustment								(6,597)
Implicit price concessions								(11,530)
Room and board, net								(10,060)
Net revenue							$	1,261,246

Schedule Of Disaggregated Revenue

		2023		2022		2021
Drain cleaning	$	249,069	$	261,606	$	254,773
Plumbing		196,695		194,274		176,051
Excavation		233,196		222,945		215,190
Other		936		708		1,138
Subtotal - short term core		679,896		679,533		647,152
Water restoration		185,550		169,434		153,115
Independent contractors		85,749		84,442		76,858
Franchisee fees		5,658		5,591		5,068
Other		19,083		16,859		15,576
Gross revenue	$	975,936	$	955,859	$	897,769
Implicit price concessions and credit memos		(26,584)		(22,460)		(19,754)
Net revenue	$	949,352	$	933,399	$	878,015