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Revenue Recognition (Tables) | 12 Months Ended
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Dec. 31, 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 year ended December 31, 2024 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 1,249,009 |  |  | 49,807 |  |  | 27,672 |  | $ | 1,326,488
Inpatient care |  | 103,868 |  |  | 8,900 |  |  | 7,836 |  |  | 120,604
Continuous care |  | 92,417 |  |  | 3,375 |  |  | 3,954 |  |  | 99,746
| $ | 1,445,294 |  | $ | 62,082 |  | $ | 39,462 |  | $ | 1,546,838
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 19,455
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,566,293
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (8,414)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (13,597)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (13,304)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,530,978
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
Inpatient care |  | 97,873 |  |  | 8,698 |  |  | 5,848 |  |  | 112,419
Continuous care |  | 78,994 |  |  | 3,123 |  |  | 3,557 |  |  | 85,674
| $ | 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
Inpatient care |  | 89,866 |  |  | 7,533 |  |  | 4,962 |  |  | 102,361
Continuous care |  | 70,712 |  |  | 3,159 |  |  | 3,129 |  |  | 77,000
| $ | 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
Schedule Of Disaggregated Revenue |
|  | 2024 |  |  | 2023 |  |  | 2022
Drain cleaning | $ | 237,534 |  | $ | 249,069 |  | $ | 261,606
Plumbing |  | 181,370 |  |  | 196,695 |  |  | 194,274
Excavation |  | 227,413 |  |  | 233,196 |  |  | 222,945
Other |  | 883 |  |  | 936 |  |  | 708
Subtotal - short term core |  | 647,200 |  |  | 679,896 |  |  | 679,533
Water restoration |  | 178,016 |  |  | 185,550 |  |  | 169,434
Independent contractors |  | 72,777 |  |  | 85,749 |  |  | 84,442
Franchisee fees |  | 5,814 |  |  | 5,658 |  |  | 5,591
Other |  | 23,329 |  |  | 19,083 |  |  | 16,859
Gross revenue | $ | 927,136 |  | $ | 975,936 |  | $ | 955,859
Implicit price concessions and credit memos |  | (26,827) |  |  | (26,584) |  |  | (22,460)
Net revenue | $ | 900,309 |  | $ | 949,352 |  | $ | 933,399

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