XML 52 R40.htm IDEA: XBRL DOCUMENT v3.23.3
Revenue Recognition (Schedule Of Patient Care Service Revenue) (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue $ 340,801 $ 302,619 $ 989,658 $ 914,412
Net revenue 333,728 296,536 965,066 893,506
Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 287,389 256,253 832,554 771,520
Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 22,032 18,600 63,054 57,717
Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 27,818 24,526 84,312 75,714
Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 337,239 299,379 979,920 904,951
All Other Revenue- Self-pay, Respite Care, Etc. [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 3,562 3,240 9,738 9,461
Medicare Cap Adjustment [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Medicare cap adjustment (125) (618) (5,625) (5,118)
Implicit Price Concessions [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Implicit price concessions (4,302) (2,952) (10,650) (8,992)
Room And Board, Net [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Room and board, net (2,646) (2,513) (8,317) (6,796)
Medicare [Member] | Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 269,954 239,670 781,639 722,035
Medicare [Member] | Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 20,160 17,083 58,071 53,103
Medicare [Member] | Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 23,983 21,391 73,402 66,412
Medicare [Member] | Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 314,097 278,144 913,112 841,550
Medicaid [Member] | Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 11,187 10,822 33,143 32,848
Medicaid [Member] | Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 870 787 2,384 2,337
Medicaid [Member] | Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 2,197 1,838 6,477 5,608
Medicaid [Member] | Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 14,254 13,447 42,004 40,793
Commercial [Member] | Routine Home Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 6,248 5,761 17,772 16,637
Commercial [Member] | Continuous Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 1,002 730 2,599 2,277
Commercial [Member] | Inpatient Care [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue 1,638 1,297 4,433 3,694
Commercial [Member] | Care Services Total [Member]        
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]        
Care service revenue $ 8,888 $ 7,788 $ 24,804 $ 22,608