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OPERATING AND REPORTABLE SEGMENTS OPERATING AND REPORTABLE SEGMENTS (Tables)
12 Months Ended
Dec. 31, 2012
OPERATING AND REPORTABLE SEGMENTS [Abstract]  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Segment Reporting Information
(in thousands)
 
Years Ended December 31,
 
2012
 
2011
 
2010
Results of Operations:
 
 
 
 
 
Revenue:
 
 
 
 
 
Infusion Services - product revenue
$
471,506

 
$
365,526

 
$
306,688

Infusion Services - service revenue
10,080

 
8,756

1,000

9,019

Total Infusion Services revenue
481,586

 
374,282

 
315,707

 
 
 
 
 
 
Home Health Services - service revenue
69,190

 
69,635

 
56,264

PBM Services - service revenue
111,861

 
110,589

 
58,736

 
 
 
 
 
 
Total revenue
$
662,637

 
$
554,506

 
$
430,707

 
 
 
 
 
 
Adjusted EBITDA by Segment before corporate overhead:
 
 
 

 
 

Infusion Services
$
36,764

 
$
35,128

 
$
37,853

Home Health Services
5,401

 
5,954

 
4,839

PBM Services
25,659

 
30,122

 
18,549

Total Segment Adjusted EBITDA
67,824

 
71,204

 
61,241

 
 
 
 
 
 
Corporate overhead
(26,755
)
 
(23,308
)
 
(29,830
)
 
 
 
 
 
 
Interest expense, net
(26,067
)
 
(25,542
)
 
(23,560
)
Loss on extinguishment of debt

 

 
(2,954
)
Income tax benefit (expense)
4,439

 
(435
)
 
(48,700
)
Depreciation
(8,513
)
 
(6,591
)
 
(5,379
)
Amortization of intangibles
(3,957
)
 
(3,376
)
 
(2,522
)
Stock-based compensation expense
(6,122
)
 
(4,467
)
 
(3,320
)
Acquisition and integration expenses
(4,046
)
 

 
(5,924
)
Restructuring and other expenses
(5,143
)
 
(7,909
)
 
(3,985
)
Bad debt expense related to contract termination

 

 
(2,742
)
Net loss from continuing operations, net of income taxes
$
(8,340
)
 
$
(424
)
 
$
(67,675
)
 
 
 
 
 
 
Supplemental Operating Data
 

 
 

 
 

 
 
 
 
 
 
Capital Expenditures:
 

 
 

 
 

Infusion Services
$
6,685

 
$
4,826

 
$
2,967

Home Health Services
171

 
170

 
276

PBM Services

 

 

Corporate unallocated
4,130

 
2,857

 
3,487

Total
$
10,986

 
$
7,853

 
$
6,730

 
 
 
 
 
 
Depreciation Expense:
 

 
 

 
 

Infusion Services
$
4,347

 
$
5,242

 
$
3,156

  Home Health Services
111

 
48

 
64

PBM Services

 

 

Corporate unallocated
4,055

 
1,301

 
2,159

Total
$
8,513

 
$
6,591

 
$
5,379

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Assets
 

 
 

 
 

Infusion Services
$
438,623

 
$
353,999

 
$
322,577

  Home Health Services
62,403

 
64,672

 
92,821

PBM Services
36,354

 
40,418

 
26,118

Corporate unallocated
95,813

 
24,348

 
19,581

    Assets from discontinued operations

 
59,005

 
73,022

    Assets associated with discontinued operations, not sold
9,183

 
134,660

 
129,869

Total
$
642,376

 
$
677,102

 
$
663,988

 
 
 
 
 
 
Goodwill
 

 
 

 
 

Infusion Services
$
304,282

 
$
265,859

 
$
265,859

Home Health Services
33,784

 
33,784

 
33,784

PBM Services
12,744

 
12,744

 
12,744

Total
$
350,810

 
$
312,387

 
$
312,387