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Revenue Recognition (Tables) | 12 Months Ended
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Dec. 31, 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 year ended December 31, 2019 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 1,003,308 |  | $ | 48,420 |  | $ | 24,297 |  | $ | 1,076,025
Continuous care |  | 121,019 |  |  | 6,712 |  |  | 5,742 |  |  | 133,473
Inpatient care |  | 84,752 |  |  | 9,102 |  |  | 6,066 |  |  | 99,920
| $ | 1,209,079 |  | $ | 64,234 |  | $ | 36,105 |  | $ | 1,309,418
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 10,433
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,319,851
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (12,415)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (14,893)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (11,359)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,281,184
The composition of patient care service revenue by payor and level of care for the year ended December 31, 2018 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 939,951 |  | $ | 47,609 |  | $ | 22,958 |  | $ | 1,010,518
Continuous care |  | 110,596 |  |  | 6,126 |  |  | 5,776 |  |  | 122,498
Inpatient care |  | 69,354 |  |  | 8,156 |  |  | 5,167 |  |  | 82,677
| $ | 1,119,901 |  | $ | 61,891 |  | $ | 33,901 |  | $ | 1,215,693
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 7,831
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,223,524
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (4,123)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (11,785)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (10,054)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,197,562
Schedule Of Disaggregated Revenue |
|  | 2019 |  |  | 2018
Short-term core service jobs | $ | 482,625 |  | $ | 425,845
Water restoration |  | 115,949 |  |  | 109,484
Contractor revenue |  | 58,086 |  |  | 50,169
Franchise fees |  | 6,152 |  |  | 6,382
All other |  | 12,279 |  |  | 11,958
Subtotal | $ | 675,091 |  | $ | 603,838
Implicit price concessions and credit memos |  | (17,720) |  |  | (18,752)
Net revenue | $ | 657,371 |  | $ | 585,086
Change to Prior Revenue Guidance Related to Classification in The Statements of Income |
| Impact for the year ended December 31, 2018
| ASC 605 |  | Adjustment |  | ASC 606
Service revenue and sales | $ | 1,811,408 |  | $ | (28,760) |  | $ | 1,782,648
Cost of services provided and goods sold |  | 1,238,698 |  |  | (10,054) |  |  | 1,228,644
Selling, general and administrative expenses |  | 288,915 |  |  | (18,706) |  |  | 270,209

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