XML 95 R80.htm IDEA: XBRL DOCUMENT v3.8.0.1
SEGMENT INFORMATION - Operating Income of Reportable Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Sep. 30, 2015
Mar. 31, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Segment Reporting Information [Line Items]                          
Net service revenue $ 404,200 $ 380,200 $ 378,800 $ 370,500 $ 366,300 $ 361,600 $ 360,700 $ 348,800     $ 1,533,680 $ 1,437,454 $ 1,280,541
Cost of service, excluding depreciation and amortization                     900,726 833,055 725,915
General and administrative expenses                     482,300 503,400 452,400
Provision for doubtful accounts                     25,059 19,519 14,053
Depreciation and amortization                     17,123 19,678 20,036
Securities Class Action Lawsuit settlement, net                     28,712 0 0
Asset impairment charge         $ 4,400       $ 2,100 $ 75,200 1,323 4,432 77,268
Operating expenses                     1,455,156 1,380,114 1,289,707
Operating income (loss)                     78,524 57,340 (9,166)
Home Health [Member] | Reportable Business Segments [Member]                          
Segment Reporting Information [Line Items]                          
Net service revenue                     1,101,800 1,085,500 1,005,100
Cost of service, excluding depreciation and amortization                     670,900 643,700 584,200
General and administrative expenses                     278,400 283,400 263,200
Provision for doubtful accounts                     17,900 13,800 12,200
Depreciation and amortization                     3,500 6,000 5,200
Securities Class Action Lawsuit settlement, net                     0    
Asset impairment charge                     1,300 0 0
Operating expenses                     972,000 946,900 864,800
Operating income (loss)                     129,800 138,600 140,300
Hospice [Member] | Reportable Business Segments [Member]                          
Segment Reporting Information [Line Items]                          
Net service revenue                     371,000 316,000 275,400
Cost of service, excluding depreciation and amortization                     184,800 163,100 141,700
General and administrative expenses                     76,600 70,200 62,700
Provision for doubtful accounts                     5,900 5,500 1,900
Depreciation and amortization                     900 1,300 1,400
Securities Class Action Lawsuit settlement, net                     0    
Asset impairment charge                     0 0 0
Operating expenses                     268,200 240,100 207,700
Operating income (loss)                     102,800 75,900 67,700
Personal Care [Member] | Reportable Business Segments [Member]                          
Segment Reporting Information [Line Items]                          
Net service revenue                     60,900 35,900 0
Cost of service, excluding depreciation and amortization                     45,000 26,300 0
General and administrative expenses                     13,600 7,900 0
Provision for doubtful accounts                     1,300 200 0
Depreciation and amortization                     200 0 0
Securities Class Action Lawsuit settlement, net                     0    
Asset impairment charge                     0 0 0
Operating expenses                     60,100 34,400 0
Operating income (loss)                     800 1,500 0
Other [Member] | Other Segment [Member]                          
Segment Reporting Information [Line Items]                          
Net service revenue                     0 0 0
Cost of service, excluding depreciation and amortization                     0 0 0
General and administrative expenses                     113,700 141,900 126,500
Provision for doubtful accounts                     0 0 0
Depreciation and amortization                     12,500 12,400 13,400
Securities Class Action Lawsuit settlement, net                     28,700    
Asset impairment charge                     0 4,400 77,300
Operating expenses                     154,900 158,700 217,200
Operating income (loss)                     $ (154,900) $ (158,700) $ (217,200)