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OPERATING AND REPORTABLE SEGMENTS OPERATING AND REPORTABLE SEGMENTS (Tables)
12 Months Ended
Dec. 31, 2012
OPERATING AND REPORTABLE SEGMENTS [Abstract]  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Segment Reporting Information
(in thousands)
 
Years Ended December 31,
 
2012
 
2011
 
2010
Results of Operations:
 
 
 
 
 
Revenue:
 
 
 
 
 
Infusion Services - product revenue
$
471,506

 
$
365,526

 
$
306,688

Infusion Services - service revenue
10,080

 
8,756

1,000

9,019

Total Infusion Services revenue
481,586

 
374,282

 
315,707

 
 
 
 
 
 
Home Health Services - service revenue
69,190

 
69,635

 
56,264

PBM Services - service revenue
111,861

 
110,589

 
58,736

 
 
 
 
 
 
Total revenue
$
662,637

 
$
554,506

 
$
430,707

 
 
 
 
 
 
Adjusted EBITDA by Segment before corporate overhead:
 
 
 

 
 

Infusion Services
$
36,764

 
$
35,128

 
$
37,853

Home Health Services
5,401

 
5,954

 
4,839

PBM Services
25,659

 
30,122

 
18,549

Total Segment Adjusted EBITDA
67,824

 
71,204

 
61,241

 
 
 
 
 
 
Corporate overhead
(26,755
)
 
(23,308
)
 
(29,830
)
 
 
 
 
 
 
Interest expense, net
(26,067
)
 
(25,542
)
 
(23,560
)
Loss on extinguishment of debt
—

 
—

 
(2,954
)
Income tax benefit (expense)
4,439

 
(435
)
 
(48,700
)
Depreciation
(8,513
)
 
(6,591
)
 
(5,379
)
Amortization of intangibles
(3,957
)
 
(3,376
)
 
(2,522
)
Stock-based compensation expense
(6,122
)
 
(4,467
)
 
(3,320
)
Acquisition and integration expenses
(4,046
)
 
—

 
(5,924
)
Restructuring and other expenses
(5,143
)
 
(7,909
)
 
(3,985
)
Bad debt expense related to contract termination
—

 
—

 
(2,742
)
Net loss from continuing operations, net of income taxes
$
(8,340
)
 
$
(424
)
 
$
(67,675
)
 
 
 
 
 
 
Supplemental Operating Data
 

 
 

 
 

 
 
 
 
 
 
Capital Expenditures:
 

 
 

 
 

Infusion Services
$
6,685

 
$
4,826

 
$
2,967

Home Health Services
171

 
170

 
276

PBM Services
—

 
—

 
—

Corporate unallocated
4,130

 
2,857

 
3,487

Total
$
10,986

 
$
7,853

 
$
6,730

 
 
 
 
 
 
Depreciation Expense:
 

 
 

 
 

Infusion Services
$
4,347

 
$
5,242

 
$
3,156

  Home Health Services
111

 
48

 
64

PBM Services
—

 
—

 
—

Corporate unallocated
4,055

 
1,301

 
2,159

Total
$
8,513

 
$
6,591

 
$
5,379

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Assets
 

 
 

 
 

Infusion Services
$
438,623

 
$
353,999

 
$
322,577

  Home Health Services
62,403

 
64,672

 
92,821

PBM Services
36,354

 
40,418

 
26,118

Corporate unallocated
95,813

 
24,348

 
19,581

    Assets from discontinued operations
—

 
59,005

 
73,022

    Assets associated with discontinued operations, not sold
9,183

 
134,660

 
129,869

Total
$
642,376

 
$
677,102

 
$
663,988

 
 
 
 
 
 
Goodwill
 

 
 

 
 

Infusion Services
$
304,282

 
$
265,859

 
$
265,859

Home Health Services
33,784

 
33,784

 
33,784

PBM Services
12,744

 
12,744

 
12,744

Total
$
350,810

 
$
312,387

 
$
312,387