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Revenue Recognition (Tables)
9 Months Ended
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