Net Revenues and Accounts Receivable (Tables)

9 Months Ended

Sep. 30, 2013

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):

	Third Quarter						First Nine Months
	2013		2012		Percentage Variance		2013		2012		Percentage Variance
Medicare:
Home Health	$	191.8	$	185.0	3.7	%	$	577.7	$	561.7	2.8	%
Hospice	163.8		177.4		(7.7	)%	498.8		539.0		(7.5	)%
Total Medicare	355.6		362.4		(1.9	)%	1,076.5		1,100.7		(2.2	)%
Medicaid and Local Government	17.4		19.1		(9.0	)%	54.4		56.9		(4.4	)%
Commercial Insurance and Other:
Paid at episodic rates	15.1		21.4		(29.6	)%	43.3		62.8		(30.9	)%
Other	22.4		21.5		4.5	%	66.3		67.4		(1.6	)%
Total Commercial Insurance and Other	37.5		42.9		(12.5	)%	109.7		130.2		(15.8	)%
Total net revenues	$	410.5	$	424.4	(3.3	)%	$	1,240.5	$	1,287.8	(3.7	)%

Accounts receivable attributable to major payer sources of reimbursement

Accounts receivable attributable to major payer sources of reimbursement were as follows (in thousands):

	September 30, 2013			December 31, 2012
Medicare	$	188,556		$	192,541
Medicaid and Local Government	29,946			31,259
Commercial Insurance and Other	32,962			36,057
Gross accounts receivable	251,464			259,857
Less: Allowance for doubtful accounts	(9,006		)	(8,777		)
Net accounts receivable	$	242,458		$	251,080