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Revenue Recognition (Tables)
12 Months Ended
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