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Revenue Recognition (Tables)
6 Months Ended
Jun. 30, 2019
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 June 30, 2019 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

248,545

$

11,907

6,009

$

266,461

Continuous care

27,975

1,408

1,403

30,786

Inpatient care

19,282

2,117

1,495

22,894

$

295,802

$

15,432

$

8,907

$

320,141

All other revenue - self-pay, respite care, etc.

2,237

Subtotal

$

322,378

Medicare cap adjustment

(3,198)

Implicit price concessions

(3,720)

Room and board, net

(2,710)

Net revenue

$

312,750

The composition of patient care service revenue by payor and level of care for the quarter ended June 30, 2018 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

232,637 

$

12,019 

$

5,725 

$

250,381 

Continuous care

27,581 

1,428 

1,504 

30,513 

Inpatient care

17,029 

1,853 

1,195 

20,077 

$

277,247 

$

15,300 

$

8,424 

$

300,971 

All other revenue - self-pay, respite care, etc.

1,998 

Subtotal

$

302,969 

Medicare cap adjustment

(536)

Implicit price concessions

(2,959)

Room and board, net

(2,675)

Net revenue

$

296,799 

The composition of patient care service revenue by payor and level of care for the six months ended June 30, 2019 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

489,978 

$

23,581 

$

11,753 

$

525,312 

Continuous care

56,949 

3,195 

2,886 

63,030 

Inpatient care

38,271 

4,265 

2,928 

45,464 

$

585,198 

$

31,041 

$

17,567 

$

633,806 

All other revenue - self-pay, respite care, etc.

4,242 

Subtotal

$

638,048 

Medicare cap adjustment

(6,598)

Implicit price concessions

(6,667)

Room and board, net

(5,252)

Net revenue

$

619,531 

The composition of patient care service revenue by payor and level of care for the six months ended June 30, 2018 is as follows (in thousands):

Medicare

Medicaid

Commercial

Total

Routine home care

$

456,658 

$

23,299 

$

11,455 

$

491,412 

Continuous care

55,213 

3,031 

3,035 

61,279 

Inpatient care

35,887 

3,901 

2,398 

42,186 

$

547,758 

$

30,231 

$

16,888 

$

594,877 

All other revenue - self-pay, respite care, etc.

3,740 

Subtotal

$

598,617 

Medicare cap adjustment

1,282 

Implicit price concessions

(5,792)

Room and board, net

(5,294)

Net revenue

$

588,813 

Schedule Of Disaggregated Revenue The composition of disaggregated revenue for the second quarter is as follows (in thousands):

June 30,

2019

2018

Short-term core service jobs

$

115,143 

$

105,086 

Water restoration

28,239 

24,765 

Contractor revenue

14,580 

12,366 

Franchise fees

1,623 

1,574 

All other

2,974 

2,835 

Subtotal

$

162,559 

$

146,626 

Implicit price concessions and credit memos

(1,725)

(1,612)

Net revenue

$

160,834 

$

145,014 


The composition of disaggregated revenue for the first six months is as follows (in thousands):

June 30,

2019

2018

Short-term core service jobs

$

226,202 

$

209,172 

Water restoration

55,891 

52,502 

Contractor revenue

28,589 

24,731 

Franchise fees

3,245 

3,165 

All other

5,981 

6,155 

Subtotal

$

319,908 

$

295,725 

Implicit price concessions and credit memos

(3,821)

(3,549)

Net revenue

$

316,087 

$

292,176