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Revenue Recognition (Tables) | 9 Months Ended
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Sep. 30, 2020
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, 2020 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 260,658 |  | $ | 12,107 |  |  | 6,091 |  | $ | 278,856
Continuous care |  | 27,739 |  |  | 1,364 |  |  | 1,596 |  |  | 30,699
Inpatient care |  | 24,199 |  |  | 2,415 |  |  | 1,019 |  |  | 27,633
| $ | 312,596 |  | $ | 15,886 |  | $ | 8,706 |  | $ | 337,188
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 2,910
Subtotal |  |  |  |  |  |  |  |  |  | $ | 340,098
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | 4,072
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (3,784)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (3,289)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 337,097
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 nine months ended September 30, 2020 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 772,162 |  | $ | 36,914 |  | $ | 17,878 |  | $ | 826,954
Continuous care |  | 96,354 |  |  | 4,856 |  |  | 4,626 |  |  | 105,836
Inpatient care |  | 74,796 |  |  | 7,285 |  |  | 3,902 |  |  | 85,983
| $ | 943,312 |  | $ | 49,055 |  | $ | 26,406 |  | $ | 1,018,773
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 8,175
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,026,948
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (4,178)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (10,976)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (9,317)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,002,477
‎ 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
Schedule Of Disaggregated Revenue | The composition of disaggregated revenue for the third quarter is as follows (in thousands):
| September 30,
| 2020 |  | 2019
Short-term core service jobs | $ | 143,089 |  | $ | 116,277
Water restoration |  | 32,137 |  |  | 27,642
Contractor revenue |  | 16,274 |  |  | 14,359
Franchise fees |  | 1,235 |  |  | 1,819
All other |  | 3,332 |  |  | 2,791
Subtotal | $ | 196,067 |  | $ | 162,888
Implicit price concessions and credit memos |  | (4,867) |  |  | (4,023)
Net revenue | $ | 191,200 |  | $ | 158,865
The composition of disaggregated revenue for the first nine months is as follows (in thousands):
| September 30,
| 2020 |  | 2019
Short-term core service jobs | $ | 404,054 |  | $ | 344,673
Water restoration |  | 92,810 |  |  | 86,804
Contractor revenue |  | 47,695 |  |  | 42,986
Franchise fees |  | 3,635 |  |  | 5,063
All other |  | 9,836 |  |  | 8,773
Subtotal | $ | 558,030 |  | $ | 488,299
Implicit price concessions and credit memos |  | (14,213) |  |  | (13,347)
Net revenue | $ | 543,817 |  | $ | 474,952

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