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Revenue Recognition (Tables) | 9 Months Ended
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Sep. 30, 2024
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, 2024 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 319,151 |  | $ | 12,013 |  | $ | 7,180 |  | $ | 338,344
Inpatient care |  | 25,647 |  |  | 2,111 |  |  | 2,165 |  |  | 29,923
Continuous care |  | 23,657 |  |  | 942 |  |  | 1,200 |  |  | 25,799
| $ | 368,455 |  | $ | 15,066 |  | $ | 10,545 |  | $ | 394,066
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 5,082
Subtotal |  |  |  |  |  |  |  |  |  | $ | 399,148
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (2,239)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (2,167)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (3,336)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 391,406
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
Inpatient care |  | 23,983 |  |  | 2,197 |  |  | 1,638 |  |  | 27,818
Continuous care |  | 20,160 |  |  | 870 |  |  | 1,002 |  |  | 22,032
| $ | 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 nine months ended September 30, 2024 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 911,197 |  | $ | 36,691 |  | $ | 20,093 |  | $ | 967,981
Inpatient care |  | 76,905 |  |  | 6,740 |  |  | 5,652 |  |  | 89,297
Continuous care |  | 68,649 |  |  | 2,588 |  |  | 3,058 |  |  | 74,295
| $ | 1,056,751 |  | $ | 46,019 |  | $ | 28,803 |  | $ | 1,131,573
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 13,900
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,145,473
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (5,989)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (10,077)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (9,437)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,119,970
The composition of patient care service revenue by payor and level of care for the 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
Inpatient care |  | 73,402 |  |  | 6,477 |  |  | 4,433 |  |  | 84,312
Continuous care |  | 58,071 |  |  | 2,384 |  |  | 2,599 |  |  | 63,054
| $ | 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
Schedule Of Disaggregated Revenue | The composition of disaggregated revenue for the third quarter is as follows (in thousands):
| September 30,
| 2024 |  | 2023
Drain cleaning | $ | 56,049 |  | $ | 59,164
Plumbing |  | 43,471 |  |  | 49,113
Excavation |  | 53,935 |  |  | 56,904
Other |  | 218 |  |  | 334
Subtotal - short term core |  | 153,673 |  |  | 165,515
Water restoration |  | 42,412 |  |  | 45,435
Independent contractors |  | 17,698 |  |  | 20,509
Franchisee fees |  | 1,454 |  |  | 1,457
Other |  | 5,408 |  |  | 4,246
Gross revenue |  | 220,645 |  |  | 237,162
Implicit price concessions and credit memos |  | (5,870) |  |  | (6,358)
Net revenue | $ | 214,775 |  | $ | 230,804
The composition of disaggregated revenue for the first nine months is as follows (in thousands):
| September 30,
| 2024 |  | 2023
Drain cleaning | $ | 175,535 |  | $ | 186,016
Plumbing |  | 137,614 |  |  | 148,285
Excavation |  | 168,266 |  |  | 174,032
Other |  | 665 |  |  | 711
Subtotal - short term core |  | 482,080 |  |  | 509,044
Water restoration |  | 131,867 |  |  | 141,176
Independent contractors |  | 55,569 |  |  | 65,684
Franchisee fees |  | 4,344 |  |  | 4,195
Other |  | 17,287 |  |  | 13,292
Gross revenue |  | 691,147 |  |  | 733,391
Implicit price concessions and credit memos |  | (19,823) |  |  | (19,952)
Net revenue | $ | 671,324 |  | $ | 713,439

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