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Segment Reporting
9 Months Ended
Sep. 30, 2014
Segment Reporting [Abstract]  
Segment Reporting
Segment Reporting

The Company uses the “management approach” for reporting information about segments in annual and interim financial statements.  The management approach is based on the way the chief operating decision-maker organizes segments within a company for making operating decisions and assessing performance.  Reportable segments are based on products and services, geography, legal structure, management structure and any other manner in which management disaggregates a company.  Based on the “management approach” model, the Company has determined that its business is comprised of two operating segments: urgent and primary care and ancillary network.

We evaluate performance based on several factors, of which the primary financial measure for each segment is operating income. We define segment operating income for our business segments as income before interest expense, income taxes, depreciation expense, non-cash amortization of intangible assets, non-cash stock-based compensation expense, shared services, severance charges and any non-recurring costs such as transactional costs related to the Company's acquisition program. Shared services primarily consists of compensation costs for the executive management team, facilities costs for the Company's corporate headquarters, shared services such as finance and accounting, human resources, legal, marketing and information technology and general administration. Shared services also includes transactional costs.

Segment assets include accounts receivable, prepaid expenses and other current assets, property and equipment and intangibles. Shared services assets consist of cash and cash equivalents, prepaid insurance, deferred income taxes and property equipment primarily related to information technology assets.

Consolidated assets, by segment and shared services, as of the periods presented are as follows (in thousands):
 
Urgent and Primary Care
 
Ancillary Network
 
Shared Services
 
Consolidated
 
 
 
 
 
 
 
 
September 30, 2014
$
8,128

 
$
4,559

 
$
4,638

 
$
17,325

December 31, 2013

 
4,404

 
6,625

 
11,029



Consolidated statements of operations by segment for the respective quarter and nine months ended are as follows (in thousands):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2014

2013
 
2014

2013
Net revenue:
 
 
 
 
 
 
 
     Urgent and primary care
$
1,107

 
$

 
$
1,581

 
$

     Ancillary network
5,656

 
6,493

 
16,161

 
20,541

Total revenue
$
6,763

 
$
6,493

 
$
17,742

 
$
20,541

 
 
 
 
 
 
 
 
Operating income:
 
 
 
 
 
 
 
     Urgent and primary care
$
8

 
$

 
$
79

 
$

     Ancillary network
421

 
208

 
598

 
179

Total segment operating income
$
429

 
$
208

 
$
677


$
179



The reconciliation of reportable segment operating income (loss) to the Company's consolidated totals is as follows (in thousands):

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2014
 
2013
 
2014
 
2013
Total segment operating income
$
429

 
$
208

 
$
677

 
$
179

Less (add):
 
 
 
 
 
 
 
  Shared services
1,542

 
756

 
3,462

 
2,600

  Severance charges

 

 
108

 
216

  Non-recurring transactions costs
73

 
50

 
471

 
50

  Interest expense (income)
52

 
(6
)
 
61

 
(21
)
  Depreciation and amortization expense
235

 
192

 
628

 
615

  Non-cash stock-based compensation expense
169

 
68

 
366

 
220

Other
38

 

 
38

 

Loss before income taxes
$
(1,680
)
 
$
(852
)

$
(4,457
)

$
(3,501
)