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GOODWILL AND INTANGIBLE ASSETS
12 Months Ended
Dec. 31, 2012
GOODWILL AND INTANGIBLE ASSETS [Abstract]  
Goodwill and Intangible Assets Disclosure [Text Block]
GOODWILL AND INTANGIBLE ASSETS

As a result of the Company entering into the Asset Purchase Agreement with respect to the Pharmacy Services Asset Sale, the Company reevaluated its operating and reportable segments. Based on its review, the Company changed its operating and reportable segments from “Infusion/Home Health Services” and “Pharmacy Services” to its new operating and reportable segments: “Infusion Services", "Home Health Services” and “PBM Services”. The Company has assigned goodwill to the new segments based on relative fair market value of the segment assets as measured by discounted future cash flows.

Goodwill consisted of the following as of December 31, 2012 and December 31, 2011 (in thousands):

 
December 31, 2012
 
December 31, 2011
Infusion
$
304,282

 
$
265,859

Home Health Services
33,784

 
33,784

PBM Services
12,744

 
12,744

Total
$
350,810

 
$
312,387



There were no impairment losses related to goodwill or intangible assets recognized during the years ended December 31, 2012, 2011 and 2010.

The changes in the carrying amount of goodwill by operating and reportable segment for the years ended December 31, 2012 and 2011 are as follows (in thousands):

 
Infusion Services
 
Home Health Services
 
PBM
Services
 
Total
Balance as of December 31, 2010
$
265,859

 
$
33,784

 
$
12,744

 
$
312,387

Balance as of December 31, 2011
$
265,859

 
$
33,784

 
$
12,744

 
$
312,387

Goodwill related to InfuScience Acquisition
38,423

 

 
$

 
38,423

Balance as of December 31, 2012
$
304,282

 
$
33,784

 
$
12,744

 
$
350,810





Intangible assets consisted of the following as of December 31, 2012 and December 31, 2011 (in thousands):

 
 
 
December 31, 2012
 
Estimated
Useful Life
 
Gross Carrying Amount
 
Accumulated Amortization
 
Net Carrying Amount
Indefinite Lived Assets
 
 
 
 
 
 
 
Certificates of need
indefinite
 
$
9,600

 
$

 
$
9,600

Nursing trademarks
indefinite
 
5,800

 

 
5,800

 
 
 
15,400

 

 
15,400

Definite Lived Assets
 
 
 
 
 
 
 
Infusion customer relationships
5 months - 3 years
 
9,300

 
(7,447
)
 
1,853

Infusion trademarks
3 years
 
2,600

 
(2,407
)
 
193

 
 
 
11,900

 
(9,854
)
 
2,046

 
 
 
$
27,300

 
$
(9,854
)
 
$
17,446

 
 
 
 
 
 
 
 
 
 
 
December 31, 2011
 
Estimated
Useful Life
 
Gross Carrying Amount
 
Accumulated Amortization
 
Net
Carrying
Amount
Indefinite Lived Assets
 
 
 
 
 
 
 
Certificates of need
indefinite
 
$
9,600

 
$

 
$
9,600

Nursing trademarks
indefinite
 
5,800

 

 
5,800

 
 
 
15,400

 

 
15,400

Definite Lived Assets
 
 
 
 
 
 
 
Infusion customer relationships
6 months - 3 years
 
7,519

 
(4,359
)
 
3,160

Infusion trademarks
3 years
 
2,600

 
(1,538
)
 
1,062

 
 
 
10,119

 
(5,897
)
 
4,222

 
 
 
$
25,519

 
$
(5,897
)
 
$
19,622



Total amortization of intangible assets was $4.0 million, $3.4 million, and $2.5 million for the years ended December 31, 2012, 2011 and 2010, respectively. Amortization expense is expected to be the following (in thousands):

2013
$
2,046

2014 and beyond

Total
$
2,046