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Revenue Recognition (Tables) | 9 Months Ended
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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

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