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Revenue Recognition (Tables) | 9 Months Ended
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Sep. 30, 2023
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, 2023 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 269,954 |  | $ | 11,187 |  | $ | 6,248 |  | $ | 287,389
Continuous care |  | 20,160 |  |  | 870 |  |  | 1,002 |  |  | 22,032
Inpatient care |  | 23,983 |  |  | 2,197 |  |  | 1,638 |  |  | 27,818
| $ | 314,097 |  | $ | 14,254 |  | $ | 8,888 |  | $ | 337,239
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 3,562
Subtotal |  |  |  |  |  |  |  |  |  | $ | 340,801
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (125)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (4,302)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (2,646)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 333,728
The composition of patient care service revenue by payor and level of care for the quarter ended September 30, 2022 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 239,670 |  | $ | 10,822 |  | $ | 5,761 |  | $ | 256,253
Continuous care |  | 17,083 |  |  | 787 |  |  | 730 |  |  | 18,600
Inpatient care |  | 21,391 |  |  | 1,838 |  |  | 1,297 |  |  | 24,526
| $ | 278,144 |  | $ | 13,447 |  | $ | 7,788 |  | $ | 299,379
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 3,240
Subtotal |  |  |  |  |  |  |  |  |  | $ | 302,619
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (618)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (2,952)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (2,513)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 296,536
‎ The composition of patient care service revenue by payor and level of care for nine months ended September 30, 2023 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 781,639 |  | $ | 33,143 |  | $ | 17,772 |  | $ | 832,554
Continuous care |  | 58,071 |  |  | 2,384 |  |  | 2,599 |  |  | 63,054
Inpatient care |  | 73,402 |  |  | 6,477 |  |  | 4,433 |  |  | 84,312
| $ | 913,112 |  | $ | 42,004 |  | $ | 24,804 |  | $ | 979,920
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 9,738
Subtotal |  |  |  |  |  |  |  |  |  | $ | 989,658
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (5,625)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (10,650)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (8,317)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 965,066
The composition of patient care service revenue by payor and level of care for the nine months ended September 30, 2022 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 722,035 |  | $ | 32,848 |  | $ | 16,637 |  | $ | 771,520
Continuous care |  | 53,103 |  |  | 2,337 |  |  | 2,277 |  |  | 57,717
Inpatient care |  | 66,412 |  |  | 5,608 |  |  | 3,694 |  |  | 75,714
| $ | 841,550 |  | $ | 40,793 |  | $ | 22,608 |  | $ | 904,951
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 9,461
Subtotal |  |  |  |  |  |  |  |  |  | $ | 914,412
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (5,118)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (8,992)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (6,796)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 893,506
Schedule Of Disaggregated Revenue | The composition of disaggregated revenue for the third quarter is as follows (in thousands):
| September 30,
| 2023 |  | 2022
Drain cleaning | $ | 59,164 |  | $ | 62,764
Plumbing |  | 49,113 |  |  | 48,737
Excavation |  | 56,904 |  |  | 54,164
Other |  | 334 |  |  | 193
Subtotal - short term core |  | 165,515 |  |  | 165,858
Water restoration |  | 45,435 |  |  | 43,645
Independent contractors |  | 20,509 |  |  | 20,474
Franchisee fees |  | 1,457 |  |  | 1,559
Other |  | 4,246 |  |  | 4,030
Gross revenue |  | 237,162 |  |  | 235,566
Implicit price concessions and credit memos |  | (6,358) |  |  | (5,630)
Net revenue | $ | 230,804 |  | $ | 229,936
The composition of disaggregated revenue for the first nine months is as follows (in thousands):
| September 30,
| 2023 |  | 2022
Drain cleaning | $ | 186,016 |  | $ | 193,983
Plumbing |  | 148,285 |  |  | 145,294
Excavation |  | 174,032 |  |  | 164,898
Other |  | 711 |  |  | 513
Subtotal - short term core |  | 509,044 |  |  | 504,688
Water restoration |  | 141,176 |  |  | 127,678
Independent contractors |  | 65,684 |  |  | 62,897
Franchisee fees |  | 4,195 |  |  | 4,246
Other |  | 13,292 |  |  | 12,462
Gross revenue |  | 733,391 |  |  | 711,971
Implicit price concessions and credit memos |  | (19,952) |  |  | (17,168)
Net revenue | $ | 713,439 |  | $ | 694,803

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