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Segment Data
6 Months Ended
Jun. 30, 2017
Segment Data  
Segment Data

2.Segment Data

 

In the first quarter of 2017, the Company redefined its reporting segments to include a) Home Health (“HH”), formerly Visiting Nurse, b) Other Home-Based Services (“OHBS”), which includes all other home care services outside of Home Health services and c) the Healthcare Innovations (“HCI”) segment.  The OHBS segment consists of the historical personal care operations plus hospice services.  Prior year segment information was reclassified to conform to the new segment definitions.  In management’s opinion, this approach provides investors clarity for the largest segment, Home Health, and best aligns with the Company’s internal decision-making processes as viewed by the chief operating decision maker.

 

Reportable segments have been identified based upon how management has organized the business by services provided to customers and how the chief operating decision maker manages the business and allocates resources, consistent with the criteria in ASC 280, Segment Reporting

 

Consistent with information given to the chief operating decision maker, the Company does not allocate certain expenses to the reportable segments.  The Company evaluates the performance of its business segments based on operating income.  Intercompany and intersegment transactions have been eliminated.

 

The HH segment provides skilled medical services in patients’ homes largely to enable recipients to reduce or avoid periods of hospitalization and/or nursing home care.  Approximately 95% of the HH segment revenues were generated from the Medicare program, while the balance is generated from Medicaid and private insurance programs. 

 

The OHBS segment includes traditional personal care services (generally provided by paraprofessional staff such as home health aides) which are generally of a custodial rather than skilled nature.  Personal care revenues are generated on an hourly basis and are primarily from Medicaid (approximately 79% of personal care revenues).  Hospice services are largely provided in patients’ homes and generally require specialized hospice nursing skills.  Hospice revenues are generated on a per diem basis and are primarily from Medicare (approximately 92% of hospice revenues).

 

The Company’s HCI business segment is used to report on the Company’s developmental activities outside its HH and OHBS businesses.  These activities are intended ultimately, whether directly or indirectly, to benefit the Company’s patients and payors through the enhanced provision of HH and OHBS.  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 and technology enabled in-home clinical assessments.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter ended

 

Six months ended

Consolidated

    

June 30, 2017

    

July 1, 2016

    

June 30, 2017

    

July 1, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

Net service revenues:

 

 

 

 

 

 

 

 

 

 

 

 

Home Health

 

$

148,373

 

 

110,340

 

 

299,528

 

 

219,762

Other Home-Based Services

 

 

46,519

 

 

40,012

 

 

92,117

 

 

79,896

Healthcare Innovations

 

 

5,841

 

 

5,644

 

 

10,400

 

 

10,036

 

 

 

200,733

 

 

155,996

 

 

402,045

 

 

309,694

Operating income (loss) before corporate expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

20,213

 

 

15,267

 

 

40,095

 

 

30,308

Other Home-Based Services

 

 

4,051

 

 

3,051

 

 

7,865

 

 

6,722

Healthcare Innovations

 

 

327

 

 

720

 

 

(16)

 

 

47

 

 

 

24,591

 

 

19,038

 

 

47,944

 

 

37,077

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate expenses

 

 

9,336

 

 

6,951

 

 

18,394

 

 

14,645

Deal, transition and other costs

 

 

5,424

 

 

2,589

 

 

12,655

 

 

5,198

Operating income

 

 

9,831

 

 

9,498

 

 

16,895

 

 

17,234

Interest expense, net (1)

 

 

1,579

 

 

1,604

 

 

3,475

 

 

2,936

Net income (loss) - noncontrolling interests

 

 

725

 

 

(133)

 

 

1,485

 

 

(323)

Net income before income taxes

 

$

7,527

 

$

8,027

 

$

11,935

 

$

14,621

 

 

 

 

 

 

 

 

 

 

 

(1)  Allocation of interest for the quarter ended June 30, 2017 was $686,  $212 and $160 to the HH, OHBS and HCI segments, respectively, and $440,  $440, and $333 to the HH, OHBS and HCI segments, respectively, for the quarter ended  July 1, 2016.    Allocation of interest for the six months ended June 30, 2017 was $1,631,  $501 and $354 to the HH, OHBS and HCI segments, respectively, and $798,  $798, and $711 to the HH, OHBS and HCI segments, respectively, for the six months ended July 1, 2016.