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PROPERTY AND EQUIPMENT
12 Months Ended
Dec. 31, 2013
Property, Plant and Equipment [Abstract]  
Property and Equipment
PROPERTY AND EQUIPMENT

Property and equipment consists of the following (in thousands):
 
December 31,
 
2013
 
2012
Computer and office equipment, including equipment acquired under capital leases
$
20,440

 
$
14,443

Software capitalized for internal use
13,842

 
9,939

Vehicles, including equipment acquired under capital leases
2,056

 
1,540

Medical equipment
22,391

 
16,466

Work in progress
8,820

 
4,315

Furniture and fixtures
4,461

 
3,219

Leasehold improvements
12,232

 
7,164

Property and equipment, gross
84,242

 
57,086

Less: Accumulated depreciation
(42,630
)
 
(33,365
)
Property and equipment, net
$
41,612

 
$
23,721



Work in progress at December 31, 2013 and 2012 includes $0.7 million and $1.3 million, respectively, of internally developed software costs to be capitalized.

Depreciation expense, including expense related to assets under capital lease, for the years ended December 31, 2013, 2012 and 2011 was $13.6 million, $8.5 million, and $6.6 million, respectively.  Depreciation expense for the years ended December 31, 2013, 2012 and 2011 includes $1.7 million, $1.3 million, and $0.8 million, respectively, related to costs related to software capitalized for internal use.  

Impairment

The Company assesses the impairment of its assets whenever events or changes in circumstances indicate that the carrying value may not be recoverable. As a result of the Pharmacy Services Asset Sale (see Note 5 - Discontinued Operations), the Company evaluated certain facilities that were retained by the Company following the divestiture. As a result of the evaluation, the Company determined that a triggering event occurred, giving rise to the need to assess the recoverability of certain of our assets previously used in the specialty pharmacy mail operations and community retail pharmacy operations, which consisted primarily of software capitalized for internal use, leasehold improvements and work in progress. Based on our analysis, we recorded a $5.8 million impairment charge in income (loss) from discontinued operations, net of income taxes during the year ended December 31, 2012. No impairment charges were incurred during the years ended years ended December 31, 2013 and December 31, 2011.