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Revenue Recognition (Tables) | 12 Months Ended
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Dec. 31, 2022
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, 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
The composition of patient care service revenue by payor and level of care for the year ended December 31, 2020 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 1,033,487 |  | $ | 48,813 |  | $ | 24,058 |  | $ | 1,106,358
Continuous care |  | 123,696 |  |  | 6,344 |  |  | 5,971 |  |  | 136,011
Inpatient care |  | 100,259 |  |  | 9,646 |  |  | 5,051 |  |  | 114,956
| $ | 1,257,442 |  | $ | 64,803 |  | $ | 35,080 |  | $ | 1,357,325
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 11,164
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,368,489
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (6,678)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (14,970)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (12,174)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,334,667
Schedule Of Disaggregated Revenue |
|  | 2022 |  |  | 2021 |  |  | 2020
Drain cleaning | $ | 261,606 |  | $ | 254,773 |  | $ | 218,500
Plumbing |  | 194,274 |  |  | 176,051 |  |  | 147,326
Excavation |  | 222,945 |  |  | 215,190 |  |  | 184,960
Other |  | 708 |  |  | 1,138 |  |  | 1,714
Subtotal - short term core |  | 679,533 |  |  | 647,152 |  |  | 552,500
Water restoration |  | 169,434 |  |  | 153,115 |  |  | 126,378
Independent Contractors |  | 84,442 |  |  | 76,858 |  |  | 64,727
Franchisee fees |  | 5,591 |  |  | 5,068 |  |  | 4,893
Other |  | 16,859 |  |  | 15,576 |  |  | 13,537
Gross revenue | $ | 955,859 |  | $ | 897,769 |  | $ | 762,035
Implicit price concessions and credit memos |  | (22,460) |  |  | (19,754) |  |  | (17,119)
Net revenue | $ | 933,399 |  | $ | 878,015 |  | $ | 744,916

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