XML 72 R50.htm IDEA: XBRL DOCUMENT v3.3.1.900
Basis of Presentation - Additional Information (Details)
1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2016
USD ($)
Derivative
Mar. 31, 2014
USD ($)
Derivative
Jan. 31, 2016
USD ($)
Derivative
Jan. 31, 2015
Facility
Dec. 31, 2015
USD ($)
Sep. 30, 2015
Facility
Dec. 31, 2013
USD ($)
Dec. 31, 2015
USD ($)
Facility
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Jan. 11, 2016
USD ($)
Apr. 08, 2014
USD ($)
Derivative
Dec. 31, 2011
USD ($)
Derivative
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Reduction in provision for doubtful accounts               $ 12,900,000          
Provision for doubtful accounts               52,460,000 $ 41,803,000 $ 44,640,000      
Due to third party payors         $ 36,251,000     36,251,000 43,957,000        
Depreciation expense               127,400,000 133,900,000 130,800,000      
Capitalized interest cost               500,000   100,000      
Impairment charges             $ 76,100,000 $ 24,757,000   77,193,000      
Impairment charges, net of tax             $ 58,300,000            
Reduction in episode payment rate               2.80%          
Amortization expense               $ 29,900,000 21,700,000 22,100,000      
Number of hospitals directed by the manager | Facility               12          
Variable Interest Entity, Primary Beneficiary                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Number of hospitals operated | Facility       11                  
Additional number of hospital operated | Facility           2              
Interest Rate Swap                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Applicable margin   1.00%                      
Number of interest rate swaps | Derivative   1                   2 2
Term loan facility, amount outstanding   $ 400,000,000                   $ 125,000,000 $ 225,000,000
Term loan facility, expiry date   Apr. 09, 2018                      
Term loan facility, fixed interest rate   1.867%                     1.8925%
Interest Rate Swap | Subsequent event                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Applicable margin     1.00%                    
Number of interest rate swaps | Derivative 3   3                    
Term loan facility, amount outstanding $ 325,000,000   $ 325,000,000                    
Term loan facility, expiry date     Jan. 09, 2021                    
Term Loan Facility                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Term loan facility, effective date               Jan. 11, 2016          
Term Loan Facility | Interest Rate Swap                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Term loan facility, expiry date               Jan. 11, 2016          
Term Loan Facility | Interest Rate Swap | January 11, 2016 agreement                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Term loan facility, expiry date               Jan. 09, 2021          
Term Loan Facility | Interest Rate Swap | Subsequent event                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Number of interest rate swaps | Derivative 2   2                    
Term loan facility, amount outstanding $ 325,000,000   $ 325,000,000               $ 225,000,000    
Term Loan Facility | Interest rate swap one | Subsequent event                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Term loan facility, amount outstanding $ 175,000,000   $ 175,000,000                    
Term loan facility, fixed interest rate 1.862%   1.862%                    
Term Loan Facility | Interest rate swap two | Subsequent event                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Term loan facility, amount outstanding $ 150,000,000   $ 150,000,000                    
Term loan facility, fixed interest rate 1.855%   1.855%                    
Certificates Of Need                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Impairment charges               $ 0 0 0      
Home health and hospice acquisitions                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Impairment charges               6,700,000          
Step one impairment test                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Impairment of goodwill               $ 0 0        
Nursing And Rehabilitation Centers                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Impairment charges                   1,100,000      
Impairment charges, net of tax                 700,000 700,000      
RehabCare                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Impairment charges         18,000,000                
Minimum | Term Loan Facility | Interest Rate Swap                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Applicable margin               1.00%          
Minimum | Term Loan Facility | Interest Rate Swap | Subsequent event                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Applicable margin 1.00%                        
Minimum | Hospital Rehabilitation Services                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Estimated useful life of intangible assets               1 year          
Maximum | Term Loan Facility | Interest Rate Swap                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Applicable margin               1.50%          
Maximum | Hospital Rehabilitation Services                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Estimated useful life of intangible assets               20 years          
Technology And Medical Equipment                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Increase to income (loss) from continuing operations before income taxes               $ 14,000,000          
Increase to income (loss) from continuing operations net of income taxes               $ 8,000,000          
Technology And Medical Equipment | Minimum                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Property and equipment, useful life               2 years          
Technology And Medical Equipment | Maximum                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Property and equipment, useful life               3 years          
Building | Minimum                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Property and equipment, useful life               20 years          
Building | Maximum                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Property and equipment, useful life               45 years          
Equipment | Minimum                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Property and equipment, useful life               5 years          
Equipment | Maximum                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Property and equipment, useful life               15 years          
Gentiva CIA                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Due to third party payors         7,800,000     $ 7,800,000          
Continuing Operations                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Provision for doubtful accounts               55,000,000 31,100,000 $ 25,900,000      
Amount Reclassified To Account Payable                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Outstanding checks in excess of funds on deposit         46,700,000     46,700,000 43,500,000        
Amount Reclassified To Salaries Wages And Compensation                          
Principal Accounting Policies And Basis Of Preparation [Line Items]                          
Outstanding checks in excess of funds on deposit         $ 3,600,000     $ 3,600,000 $ 3,300,000