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ACQUISITIONS ACQUISITIONS (Tables)
12 Months Ended
Dec. 31, 2013
Business Acquisition [Line Items]  
Business Acquisition, Integration, Restructuring and Other Related Costs [Text Block]
Acquisition and Integration Costs

Acquisition and integration expenses in the accompanying Consolidated Statements of Operations for the years ended December 31, 2013 and 2012 include the following costs related to the CarePoint Business, HomeChoice Partners, and InfuScience acquisitions (in thousands):
 
Year Ended December 31,
 
2013
 
2012
Legal and professional fees
$
5,113

 
$
2,941

Financial advisory fees
4,713

 

Employee costs including redundant salaries and benefits and severance
3,554

 
806

Facilities consolidation and discontinuation
1,621

 
110

Other
1,129

 
189

Total
$
16,130

 
$
4,046


There were no acquisition and integration expenses in the year ended December 31, 2011.
CarePoint Partners Holding LLC
 
Business Acquisition [Line Items]  
Schedule of Business Acquisitions, by Acquisition
The table below summarizes the Company's preliminary assessment of the estimated fair values of the assets acquired and liabilities assumed as of the date of Closing of the acquisition of the CarePoint Business. The Company will finalize these amounts as it obtains the information necessary to complete the measurement process. Any changes resulting from facts and circumstances that existed as of the date of the Closing may result in retrospective adjustments to the provisional amounts recognized. These changes could be significant. The Company will finalize these amounts no later than one year from the acquisition date.

 
Estimated Fair Value
(in thousands)
Cash
$
14

Accounts receivable
16,644

Inventories
3,263

Other current assets
272

Property and equipment
3,266

Identifiable intangible assets(1)
16,700

Current liabilities
(8,128
)
Non-current liabilities
(621
)
Total identifiable net assets
31,410

Goodwill
187,228

Total cash and fair value of contingent consideration
$
218,638



(1)
The following table summarizes the provisional amounts and useful lives assigned to identifiable intangible assets:
 
Weighted-
 Average
 Useful Lives
 
 
Amounts
Recognized as of the Closing Date
(in thousands)
Customer relationships
2 - 4 years
 
$
13,600

Trademarks
2 years
 
2,600

Non-compete agreements
5 years
 
500

Total identifiable intangible assets acquired
 
 
$
16,700

HomeChoice Partners, Inc.
 
Business Acquisition [Line Items]  
Schedule of Business Acquisitions, by Acquisition
 
Fair Value
(in thousands)
Accounts receivable
$
9,693

Inventories
1,984

Other current assets
154

Property and equipment
2,432

Identifiable intangible assets(1)
4,000

Other non-current assets
30

Current liabilities
(4,073
)
Total identifiable net assets
14,220

Goodwill
66,701

Total cash and fair value of contingent consideration
$
80,921


(1)
The following table summarizes the provisional amounts and useful lives assigned to identifiable intangible assets:
 
Weighted-
 Average
 Useful Lives
 
 
Amounts
Recognized as of
Acquisition Date
(in thousands)
Customer relationships
5 mo. - 3 years
 
$
2,000

Trademarks
23 months
 
1,000

Non-compete agreements
1 year
 
1,000

Total identifiable intangible assets acquired
 
 
$
4,000

InfuScience, Inc.
 
Business Acquisition [Line Items]  
Schedule of Business Acquisitions, by Acquisition
InfuScience, Inc.

On July 31, 2012, the Company acquired 100% of InfuScience, Inc. (“InfuScience”) for a cash payment of $38.3 million. The purchase price could increase up to an additional $3.0 million based on the results of operations during the 24 month period through July 31, 2014. InfuScience historically acquired, developed and operated businesses providing alternate site infusion pharmacy services through 5 infusion centers located in Eagan, Minnesota; Omaha, Nebraska; Chantilly, Virginia; Charleston, South Carolina; and Savannah, Georgia.

At the date of acquisition, the fair value of the potential contingent payments of $3.0 million was estimated at $2.9 million. The fair value of the contingent liability was determined using Level 3 inputs based on the present value of various payout scenarios, weighted on the basis of probability. As of December 31, 2013, the Company has made contingent payments of $1.7 million based on the achievement of expected operating results. At December 31, 2013, the fair value of the remaining contingent liability was reevaluated using actual operating results during 2013, forecasted operating results for 2014 and payments made through December 31, 2013 to adjust the present value and probability of the various payout scenarios. As a result of this reevaluation, the fair value of the contingent payment was increased to $1.3 million and is included in accrued expenses and other current liabilities in the accompanying Consolidated Balance Sheets. The $0.1 million of expense resulting from the increase in the fair value of the contingent liability is included in change in fair value of contingent consideration in the accompanying Consolidated Statements of Operations for the year ended December 31, 2013.

The table below summarizes the Company's assessment of the fair values of the assets acquired and liabilities assumed as of the acquisition date of InfuScience.
 
Fair Value
(in thousands)
Cash
$
23

Accounts receivable
4,938

Inventories
586

Other current assets
371

Property and equipment
751

Identifiable intangible assets(1)
400

Other non-current assets
349

Current liabilities
(4,428
)
Total identifiable net assets
2,990

Goodwill
38,429

Total cash and fair value of contingent consideration
$
41,419


(1)
The following table summarizes the provisional amounts and useful lives assigned to identifiable intangible assets:
 
Weighted-
 Average
 Useful Lives
 (Months)
 
Amounts
Recognized as of
Acquisition Date
(in thousands)
Customer relationships
5 months
 
$
400

Total identifiable intangible assets acquired
 
 
$
400



All Current Acquirees
 
Business Acquisition [Line Items]  
Business Acquisition, Pro Forma Information
Pro Forma Impact of Acquisitions

The following table shows summarized unaudited pro forma combined operating results of the Company as if the InfuScience acquisition had occurred on the same terms as of January 1, 2011 and the HomeChoice and CarePoint Business acquisitions had occurred on the same terms as of January 1, 2012. Pro forma adjustments have been made related to amortization of intangibles, interest expense, and income tax expense. The pro forma financial information does not reflect revenue opportunities and cost savings which the Company expected to realize as a result of the acquisitions or estimates of charges related to the integration activity. Amounts are in thousands, except for earnings per share:

 
 
Year Ended December 31,
 
 
2013
 
2012
 
2011
Revenues
 
$
949,679

 
$
893,814

 
$
589,333

Net loss from continuing operations
 
$
(55,444
)
 
$
(23,352
)
 
$
(2,582
)
Basic loss per common share from continuing operations
 
$
(0.86
)
 
$
(0.42
)
 
$
(0.05
)
Diluted loss per common share from continuing operations
 
$
(0.86
)
 
$
(0.42
)
 
$
(0.05
)


The unaudited pro forma combined results of operations were prepared using the acquisition method of accounting and are based on the historical financial operating results of the Company, CarePoint Business, HomeChoice and InfuScience. Except to the extent realized in the years ended December 31, 2013 and 2012, the unaudited pro forma information does not reflect any cost savings, operating synergies and other benefits that the Company may achieve as a result of these acquisitions, or the expenses to be incurred to achieve these savings, operating synergies and other benefits. In addition, except to the extent recognized in the years ended December 31, 2013 and 2012, the unaudited pro forma information does not reflect the costs to integrate the operations of the Company with CarePoint Business, HomeChoice and InfuScience.

The unaudited pro forma information is not necessarily indicative of what the Company's consolidated results of operations actually would have been had the CarePoint Business and HomeChoice acquisitions been completed on January 1, 2012 and the InfuScience acquisition been completed on January 1, 2011. In addition, the unaudited pro forma information does not purport to project the future results of operations of the Company. The unaudited pro forma information primarily reflects the following net adjustments to the historical results of the acquired entities prior to acquisition (in thousands):    
 
Year Ended December 31,
 
2013
 
2012
 
2011
Interest expense
$
3,734

 
$
8,613

 
$
1,169

Amortization expense
$
576

 
$
4,094

 
$
400

Income tax expense (benefit)
$
2,785

 
$
4,357

 
$
(1,159
)