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Segment Data
9 Months Ended
Sep. 29, 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 80% 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 93% 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

 

Nine months ended

Consolidated

    

September 29, 2017

    

September 30, 2016

    

September 29, 2017

    

September 30, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

Net service revenues:

 

 

 

 

 

 

 

 

 

 

 

 

Home Health

 

$

141,434

 

 

108,138

 

 

440,962

 

 

327,899

Other Home-Based Services

 

 

46,378

 

 

41,975

 

 

138,495

 

 

121,871

Healthcare Innovations

 

 

6,490

 

 

10,308

 

 

16,890

 

 

20,344

 

 

 

194,302

 

 

160,421

 

 

596,347

 

 

470,114

Operating income before corporate expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Home Health

 

 

16,992

 

 

12,657

 

 

57,087

 

 

42,964

Other Home-Based Services

 

 

3,579

 

 

2,501

 

 

11,444

 

 

9,223

Healthcare Innovations

 

 

812

 

 

5,051

 

 

796

 

 

5,098

 

 

 

21,383

 

 

20,209

 

 

69,327

 

 

57,285

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate expenses

 

 

9,329

 

 

6,843

 

 

27,072

 

 

21,277

Deal, transition and other costs

 

 

4,467

 

 

2,257

 

 

17,122

 

 

7,455

Operating income

 

 

7,587

 

 

11,109

 

 

25,133

 

 

28,553

Interest expense, net (1)

 

 

1,668

 

 

1,537

 

 

5,794

 

 

4,684

Net income - noncontrolling interests

 

 

561

 

 

1,012

 

 

2,046

 

 

689

Net income before income taxes

 

$

5,358

 

$

8,560

 

$

17,293

 

$

23,180

 

 

 

 

 

 

 

 

 

 

 

(1)  Allocation of interest for the quarter ended September 29, 2017 was $643,  $204 and $154 to the HH, OHBS and HCI segments, respectively, and $384,  $384, and $248 to the HH, OHBS and HCI segments, respectively, for the quarter ended  September 30, 2016.    Allocation of interest for the nine months ended September 29, 2017 was $2,274,  $705 and $508 to the HH, OHBS and HCI segments, respectively, and $1,183,  $1,183, and $960 to the HH, OHBS and HCI segments, respectively, for the nine months ended September 30, 2016.