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Business Segment Information (Tables)
9 Months Ended
Sep. 30, 2013
Segment Reporting [Abstract]  
Segment net revenues by major payer source
Segment net revenues by major payer source were as follows (in millions): 
 
Third Quarter
 
2013
 
2012
 
Home
Health
 
Hospice
 
Total
 
Home
Health
 
Hospice
 
Total
Medicare
$
191.8

 
$
163.8

 
$
355.6

 
$
185.0

 
$
177.4

 
$
362.4

Medicaid and Local Government
10.8

 
6.6

 
17.4

 
12.2

 
6.9

 
19.1

Commercial Insurance and Other:
 
 
 
 
 
 
 
 
 
 
 
Paid at episodic rates
15.1

 
—

 
15.1

 
21.4

 
—

 
21.4

Other
17.2

 
5.2

 
22.4

 
16.1

 
5.4

 
21.5

Total net revenues
$
234.9

 
$
175.6

 
$
410.5

 
$
234.7

 
$
189.7

 
$
424.4

 
 
First Nine Months
 
2013
 
2012
 
Home
Health
 
Hospice
 
Total
 
Home
Health
 
Hospice
 
Total
Medicare
$
577.7

 
$
498.8

 
$
1,076.5

 
$
561.7

 
$
539.0

 
$
1,100.7

Medicaid and Local Government
33.1

 
21.3

 
54.4

 
35.7

 
21.2

 
56.9

Commercial Insurance and Other:
 
 
 
 
 
 
 
 
 
 
 
Paid at episodic rates
43.3

 
—

 
43.3

 
62.8

 
—

 
62.8

Other
52.0

 
14.3

 
66.3

 
50.1

 
17.3

 
67.4

Total net revenues
$
706.1

 
$
534.4

 
$
1,240.5

 
$
710.3

 
$
577.5

 
$
1,287.8

Segment information about the Company's operations
Segment information about the Company’s operations is as follows (in thousands):
 
Home Health
 
 
Hospice
 
 
Total
 
For the three months ended September 30, 2013
 
 
 
 
 
 
 
 
Net revenue
$
234,864

  
 
$
175,628

  
 
$
410,492

  
Operating contribution
$
31,922

(1)
 
$
22,365


 
$
54,287

  
Corporate expenses
 
 
 
 
 
 
(20,672
)
(1)
Depreciation and amortization
 
 
 
 
 
 
(4,421
)
 
Interest expense and other, net
 
 
 
 
 
 
(22,342
)
 
Income before income taxes and equity in earnings of affiliate
 
 
 
 
 
 
$
6,852

  
 
 
 
 
 
 
 
 
 
For the three months ended September 30, 2012
 
 
 
 
 
 
 
 
Net revenue
$
234,670

  
 
$
189,774

  
 
$
424,444

  
Operating contribution
$
32,268


 
$
34,798


 
$
67,066

  
Corporate expenses
 
 
 
 
 
 
(21,065
)
(1)
Goodwill, intangibles and other long-lived asset impairment
 
 
 
 
 
 
(19,132
)
(2)
Depreciation and amortization
 
 
 
 
 
 
(6,653
)
 
Interest expense and other, net
 
 
 
 
 
 
(22,894
)
 
Loss before income taxes and equity in earnings of affiliate
 
 
 
 
 
 
$
(2,678
)
  
 
 
 
 
 
 
 
 
 
For the nine months ended September 30, 2013
 
 
 
 
 
 
 
 
Net revenue
$
706,141

  
 
$
534,366

  
 
$
1,240,507

  
Operating contribution
$
92,027

(1)
 
$
76,223

(1)
 
$
168,250

  
Corporate expenses
 
 
 
 
 
 
(57,443
)
(1)
Goodwill, intangibles and other long-lived asset impairment
 
 
 
 
 
 
(224,320
)
(2)
Depreciation and amortization
 
 
 
 
 
 
(13,932
)
 
Interest expense and other, net
 
 
 
 
 
 
(66,783
)

Loss before income taxes and equity in earnings of affiliate
 
 
 
 
 
 
$
(194,228
)
  
Segment assets
$
249,313


 
$
624,819

(2)
 
$
874,132

  
Corporate assets
 
 
 
 
 
 
377,936

(2)
Total assets
 
 
 
 
 
 
$
1,252,068

  
 
 
 
 
 
 
 
 
 
For the nine months ended September 30, 2012
 
 
 
 
 
 
 
 
Net revenue
$
710,321

  
 
$
577,466

  
 
$
1,287,787

  
Operating contribution
$
94,527

(1)
 
$
102,426

(1)
 
$
196,953

  
Corporate expenses
 
 
 
 
 
 
(66,120
)
(1)
Goodwill, intangibles and other long-lived asset impairment
 
 
 
 
 
 
(19,132
)
(2)
Depreciation and amortization
 
 
 
 
 
 
(21,375
)
 
Gain on sale of businesses
 
 
 
 
 
 
5,447


Interest expense and other, net
 
 
 
 
 
 
(67,051
)
(3)
Income before income taxes and equity in earnings of affiliate
 
 
 
 
 
 
$
28,722

  
Segment assets
$
242,217

(2)
 
$
864,139

(2)
 
$
1,106,356

  
Corporate assets
 
 
 
 
 
 
377,858

  
Total assets
 
 
 
 
 
 
$
1,484,214

  
 
(1)
For the third quarter and first nine months of 2013, the Company recorded charges relating to cost savings initiatives and other restructuring costs, acquisition and integration costs and legal settlements of $1.7 million and $2.6 million, respectively. For the third quarter and first nine months of 2012, the Company recorded charges relating to cost savings initiatives and other restructuring costs, acquisition and integration costs and legal settlements of $0.1 million and $5.5 million, respectively.
The charges were reflected as follows for segment reporting purposes (in millions): 
 
Third Quarter
 
First Nine Months
 
2013
 
2012
 
2013
 
2012
Home Health
$
0.1

 
$
—

 
$
0.1

 
$
5.7

Hospice
—

 
—

 
0.7

 
0.1

Corporate expenses
1.6

 
0.1

 
1.8

 
(0.3
)
Total
$
1.7

 
$
0.1

 
$
2.6

 
$
5.5


 
(2)
At March 31, 2013, the Company performed an interim impairment test of its Hospice reporting unit. Based on the results of the interim impairment test, the Company recorded a non-cash impairment charge relating to goodwill of approximately $220.8 million. As part of that analysis, the Company reviewed the valuation of its owned real estate utilized in the Hospice business. The analysis indicated that two of the Company's hospice inpatient units had estimated fair values lower than their carrying values and, as such, the Company recorded a non-cash impairment charge of approximately $1.9 million. See Note 9.
In addition, the Company conducted an evaluation of the various systems used to support its field operations. In connection with that review, the Company made a strategic decision to replace its business intelligence software platform and, as such, recorded a non-cash impairment charge, related to developed software, of approximately $1.6 million.
Hospice and corporate assets were reduced by $220.8 million and $3.5 million, respectively, as a result of the impairment.
For both the third quarter and first nine months of 2012, the Company recorded non-cash impairment charges associated with a write-off of its trade name intangibles of $19.1 million in connection with the Company's initiative to re-brand its operations under the Gentiva name. Home Health and Hospice assets were reduced by $6.0 million and $13.1 million, respectively, as of September 30, 2012 as a result of the impairment.
(3)
For the first nine months of 2012, interest expense and other, net included charges of $0.5 million relating to the write-off of deferred debt issuance costs associated with the revolving credit facility. See Note 2 for additional information.
Schedule of Segment Reporting Cost Allocation to Segment [Table Text Block]
The charges were reflected as follows for segment reporting purposes (in millions): 
 
Third Quarter
 
First Nine Months
 
2013
 
2012
 
2013
 
2012
Home Health
$
0.1

 
$
—

 
$
0.1

 
$
5.7

Hospice
—

 
—

 
0.7

 
0.1

Corporate expenses
1.6

 
0.1

 
1.8

 
(0.3
)
Total
$
1.7

 
$
0.1

 
$
2.6

 
$
5.5