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Revenue Recognition (Tables) | 9 Months Ended
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Sep. 30, 2025
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, 2025 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 341,571 |  | $ | 11,604 |  | $ | 9,230 |  | $ | 362,405
Inpatient care |  | 28,374 |  |  | 2,318 |  |  | 2,407 |  |  | 33,099
Continuous care |  | 18,379 |  |  | 603 |  |  | 964 |  |  | 19,946
| $ | 388,324 |  | $ | 14,525 |  | $ | 12,601 |  | $ | 415,450
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 5,807
Subtotal |  |  |  |  |  |  |  |  |  | $ | 421,257
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (6,086)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (3,571)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (3,859)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 407,741
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 nine months ended September 30, 2025 is as follows (in thousands):
| Medicare |  | Medicaid |  | Commercial |  | Total
Routine home care | $ | 1,012,360 |  | $ | 33,915 |  | $ | 25,739 |  | $ | 1,072,014
Inpatient care |  | 86,716 |  |  | 6,482 |  |  | 6,947 |  |  | 100,145
Continuous care |  | 63,158 |  |  | 1,982 |  |  | 3,082 |  |  | 68,222
| $ | 1,162,234 |  | $ | 42,379 |  | $ | 35,768 |  | $ | 1,240,381
All other revenue - self-pay, respite care, etc. |  |  |  |  |  |  |  |  |  |  | 16,898
Subtotal |  |  |  |  |  |  |  |  |  | $ | 1,257,279
Medicare cap adjustment |  |  |  |  |  |  |  |  |  |  | (24,786)
Implicit price concessions |  |  |  |  |  |  |  |  |  |  | (9,875)
Room and board, net |  |  |  |  |  |  |  |  |  |  | (11,277)
Net revenue |  |  |  |  |  |  |  |  |  | $ | 1,211,341
‎ 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
Schedule Of Disaggregated Revenue | The composition of disaggregated revenue for the third quarter is as follows (in thousands):
| September 30,
| 2025 |  | 2024
Drain cleaning | $ | 55,454 |  | $ | 56,049
Plumbing |  | 45,753 |  |  | 43,471
Excavation |  | 57,102 |  |  | 53,935
Other |  | 220 |  |  | 218
Subtotal - short term core |  | 158,529 |  |  | 153,673
Water restoration |  | 45,196 |  |  | 42,412
Independent contractors |  | 16,871 |  |  | 17,698
Franchisee fees |  | 1,433 |  |  | 1,454
Other |  | 4,449 |  |  | 5,408
Gross revenue |  | 226,478 |  |  | 220,645
Implicit price concessions and credit memos |  | (9,319) |  |  | (5,870)
Net revenue | $ | 217,159 |  | $ | 214,775
‎ The composition of disaggregated revenue for the first nine months is as follows (in thousands):
| September 30,
| 2025 |  | 2024
Drain cleaning | $ | 170,553 |  | $ | 175,535
Plumbing |  | 137,097 |  |  | 137,614
Excavation |  | 177,833 |  |  | 168,266
Other |  | 595 |  |  | 665
Subtotal - short term core |  | 486,078 |  |  | 482,080
Water restoration |  | 149,183 |  |  | 131,867
Independent contractors |  | 52,682 |  |  | 55,569
Franchisee fees |  | 4,262 |  |  | 4,344
Other |  | 14,127 |  |  | 17,287
Gross revenue |  | 706,332 |  |  | 691,147
Implicit price concessions and credit memos |  | (27,032) |  |  | (19,823)
Net revenue | $ | 679,300 |  | $ | 671,324

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