XML 35 R17.htm IDEA: XBRL DOCUMENT v3.3.1.900
Segment Data
12 Months Ended
Jan. 01, 2016
Segment Data  
Segment Data

NOTE 10 - SEGMENT DATA

 

At January 1, 2016, the Company has two divisions, Home Health care and Healthcare Innovations.  The Home Health care division is comprised of two reportable segments, Visiting Nurses Services (VN or Visiting Nurse) and Personal Care Services (PC or Personal Care).  Healthcare Innovations is also a reportable segment. 

 

Consistent with information given to the chief operating decision maker, the Company does not allocate certain corporate expenses to the reportable segments.  These expenses are included in Unallocated below.  The Company evaluates the performance of its business segments based on operating income.  Intercompany and intersegment transactions have been eliminated.  Segment information within the consolidated financial statements have been recast for all periods presented to conform with the new segment reporting structure.

 

The Company’s VN segment provides skilled medical services in patients’ homes largely to enable recipients to reduce or avoid periods of hospitalization and/or nursing home care.  VN Medicare revenues are generated on a per episode basis rather than a fee per visit or day of care.  Approximately 94% of the VN segment revenues are generated from the Medicare program, while the balance is generated from Medicaid and private insurance programs.

 

The Company’s PC segment services are also provided in patients’ homes.  These services (generally provided by paraprofessional staff such as home health aides) are generally of a custodial rather than skilled nature.  PC revenues are generated on an hourly basis.  Approximately 83% of the PC segment revenues are generated from Medicaid and other government programs, while the balance is generated from insurance programs and private pay patients.

 

The Company’s Healthcare Innovations business segment was created to house and separately report on our developmental activities outside the traditional home health business platform.  These activities are intended ultimately, whether directly or indirectly, to benefit the Company’s patients and payers through the enhanced provision of home health services.  The activities all share a common goal of improving patient experiences and quality outcomes while lowering costs.  They include, but are not limited to, items such as: technology, information, population health management, risk-sharing, care coordination and transitions, clinical advancements, enhanced patient engagement and informed clinical decision.

 

 

 

 

 

 

 

 

 

 

 

 

 

Fiscal Year ended

 

 

    

January 1, 2016

    

December 31, 2014

    

December 31, 2013

 

Net service revenues

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

Visiting Nurse

 

$

401,051

 

$

380,788

 

$

263,789

 

Personal Care

 

 

127,712

 

 

112,497

 

 

92,927

 

Healthcare Innovations

 

 

3,451

 

 

2,544

 

 

196

 

 

 

$

532,214

 

$

495,829

 

$

356,912

 

 

 

 

 

 

 

 

 

 

 

 

Operating income (loss)

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

Visiting Nurse

 

$

49,872

 

$

42,899

 

$

29,533

 

Personal Care

 

 

14,170

 

 

12,453

 

 

11,599

 

Healthcare Innovations

 

 

(1,217)

 

 

(13)

 

 

(482)

 

Unallocated

 

 

(30,722)

 

 

(30,862)

 

 

(25,857)

 

 

 

$

32,103

 

$

24,477

 

$

14,793

 

 

 

 

 

 

 

 

 

 

 

 

Identifiable assets

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

Visiting Nurse

 

$

310,317

 

$

259,521

 

 

 

 

Personal Care

 

 

111,524

 

 

67,238

 

 

 

 

Healthcare Innovations

 

 

22,024

 

 

9,254

 

 

 

 

Unallocated

 

 

20,904

 

 

9,245

 

 

 

 

 

 

$

464,769

 

$

345,258

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identifiable liabilities

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

Visiting Nurse

 

$

31,570

 

$

28,180

 

 

 

 

Personal Care

 

 

24,425

 

 

19,498

 

 

 

 

Healthcare Innovations

 

 

1,525

 

 

191

 

 

 

 

Unallocated

 

 

133,349

 

 

64,197

 

 

 

 

 

 

$

190,869

 

$

112,066

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Noncontrolling Interest - Redeemable

 

 

 

 

 

 

 

 

 

 

Healthcare Innovations

 

$

3,639

 

$

3,639

 

 

3,639

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

Visiting Nurse

 

$

1,388

 

$

465

 

$

764

 

Personal Care

 

 

203

 

 

149

 

 

267

 

Healthcare Innovations

 

 

108

 

 

 —

 

 

 —

 

Unallocated

 

 

1,418

 

 

617

 

 

1,471

 

 

 

$

3,117

 

$

1,231

 

$

2,502

 

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

 

 

 

 

 

 

 

 

Visiting Nurse

 

$

1,210

 

$

1,250

 

$

1,004

 

Personal Care

 

 

264

 

 

271

 

 

224

 

Healthcare Innovations

 

 

97

 

 

 —

 

 

 —

 

Unallocated

 

 

2,637

 

 

2,582

 

 

1,634

 

 

 

$

4,208

 

$

4,103

 

$

2,862