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Revenue Recognition (Tables) | 12 Months Ended
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Dec. 31, 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 year ended December 31, 2023 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 1,067,629 |  |  | 44,833 |  |  | 23,975 |  | $ | 1,136,437
Continuous care |  | 78,994 |  |  | 3,123 |  |  | 3,557 |  |  | 85,674
Inpatient care |  | 97,873 |  |  | 8,698 |  |  | 5,848 |  |  | 112,419
| $ | 1,244,496 |  | $ | 56,654 |  | $ | 33,380 |  | $ | 1,334,530
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 13,582
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,348,112
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (8,000)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (14,196)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (10,851)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,315,065
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
Schedule Of Disaggregated Revenue |
|  | 2023 |  |  | 2022 |  |  | 2021
Drain cleaning | $ | 249,069 |  | $ | 261,606 |  | $ | 254,773
Plumbing |  | 196,695 |  |  | 194,274 |  |  | 176,051
Excavation |  | 233,196 |  |  | 222,945 |  |  | 215,190
Other |  | 936 |  |  | 708 |  |  | 1,138
Subtotal - short term core |  | 679,896 |  |  | 679,533 |  |  | 647,152
Water restoration |  | 185,550 |  |  | 169,434 |  |  | 153,115
Independent contractors |  | 85,749 |  |  | 84,442 |  |  | 76,858
Franchisee fees |  | 5,658 |  |  | 5,591 |  |  | 5,068
Other |  | 19,083 |  |  | 16,859 |  |  | 15,576
Gross revenue | $ | 975,936 |  | $ | 955,859 |  | $ | 897,769
Implicit price concessions and credit memos |  | (26,584) |  |  | (22,460) |  |  | (19,754)
Net revenue | $ | 949,352 |  | $ | 933,399 |  | $ | 878,015

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