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Revenue Recognition (Tables)

12 Months Ended

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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- Definition

Composition Of Patient Care Service Revenue By Payor And Level Of Care [Table Text Block]

+ References

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- Definition

Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-5

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