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Net Revenues and Accounts Receivable (Tables)
12 Months Ended
Dec. 31, 2012
Net Revenues and Accounts Receivable [Abstract]  
Net revenues by major payer classification
Net revenues in the Home Health and Hospice segments were derived from all major payer classes and were as follows (in millions):
 
 
For the Year Ended
 
2012
 
2011
 
2010
Medicare:
 
 
 
 
 
Home Health
$
749.0

 
$
799.2

 
$
822.7

Hospice
715.5

 
729.1

 
326.2

Total Medicare
1,464.6

 
1,528.3

 
1,148.9

Medicaid and Local Government
74.4

 
83.1

 
74.0

Commercial Insurance and Other:
 
 
 
 
 
Paid at episodic rates
85.2

 
77.7

 
86.4

Other
88.6

 
109.7

 
105.2

Total Commercial Insurance and Other
173.8

 
187.4

 
191.6

Total net revenues
$
1,712.8

 
$
1,798.8

 
$
1,414.5

Accounts receivable attributable to major payer sources of reimbursement
Accounts receivable attributable to major payer sources of reimbursement are as follows:
 
December 31, 2012
 
December 31, 2011
Medicare
$
192,541

 
$
217,028

Medicaid and Local Government
31,259

 
46,553

Commercial Insurance and Other
36,057

 
38,570

Gross Accounts Receivable
259,857

 
302,151

Less: Allowance for doubtful accounts
(8,777
)
 
(11,562
)
Net Accounts Receivable
$
251,080

 
$
290,589