Revenue Recognition (Tables)

12 Months Ended

Dec. 31, 2020

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, 2020 is as follows (in thousands):

	Medicare		Medicaid		Commercial		Total
Routine home care	$	1,033,487	$	48,813	$	24,058	$	1,106,358
Continuous care		123,696		6,344		5,971		136,011
Inpatient care		100,259		9,646		5,051		114,956
	$	1,257,442	$	64,803	$	35,080	$	1,357,325
All other revenue - self-pay, respite care, etc.								11,164
Subtotal							$	1,368,489
Medicare cap adjustment								(6,678)
Implicit price concessions								(14,970)
Room and board, net								(12,174)
Net revenue							$	1,334,667

The composition of patient care service revenue by payor and level of care for the year ended December 31, 2019 is as follows (in thousands):

	Medicare		Medicaid		Commercial		Total
Routine home care	$	1,003,308	$	48,420	$	24,297	$	1,076,025
Continuous care		121,019		6,712		5,742		133,473
Inpatient care		84,752		9,102		6,066		99,920
	$	1,209,079	$	64,234	$	36,105	$	1,309,418
All other revenue - self-pay, respite care, etc.								10,433
Subtotal							$	1,319,851
Medicare cap adjustment								(12,415)
Implicit price concessions								(14,893)
Room and board, net								(11,359)
Net revenue							$	1,281,184

The composition of patient care service revenue by payor and level of care for the year ended December 31, 2018 is as follows (in thousands):

	Medicare		Medicaid		Commercial		Total
Routine home care	$	939,951	$	47,609	$	22,958	$	1,010,518
Continuous care		110,596		6,126		5,776		122,498
Inpatient care		69,354		8,156		5,167		82,677
	$	1,119,901	$	61,891	$	33,901	$	1,215,693
All other revenue - self-pay, respite care, etc.								7,831
Subtotal							$	1,223,524
Medicare cap adjustment								(4,123)
Implicit price concessions								(11,785)
Room and board, net								(10,054)
Net revenue							$	1,197,562

Schedule Of Disaggregated Revenue

		2020		2019		2018
Short-term core service jobs	$	552,500	$	482,625	$	425,845
Water restoration		126,378		115,949		109,484
Contractor revenue		64,727		58,086		50,169
Franchise fees		4,893		6,152		6,382
All other		13,537		12,279		11,958
Subtotal	$	762,035	$	675,091	$	603,838
Implicit price concessions and credit memos		(17,119)		(17,720)		(18,752)
Net revenue	$	744,916	$	657,371	$	585,086