Net Revenues and Accounts Receivable (Tables)

9 Months Ended

Sep. 30, 2012

Net Revenues and Accounts Receivable [Abstract]

Net revenues by major payer classification

Net revenues in the Home Health and Hospice segments were derived from all major payer classes and were as follows (in millions):

	Third Quarter						First Nine Months
	2012		2011		Percentage Variance		2012		2011		Percentage Variance
Medicare:
Home Health	$	185.0	$	200.3	(7.6	)%	$	561.7	$	601.6	(6.6	)%
Hospice	177.4		182.0		(2.5	)%	539.0		543.0		(0.7	)%
Total Medicare	362.4		382.3		(5.2	)%	1,100.7		1,144.6		(3.8	)%
Medicaid and Local Government	19.1		21.2		(9.7	)%	56.9		63.2		(10.0	)%
Commercial Insurance and Other:
Paid at episodic rates	21.4		19.3		10.9	%	62.8		58.1		8.0	%
Other	21.5		26.9		(20.4	)%	67.4		83.7		(19.4	)%
Total Commercial Insurance and Other	42.9		46.2		(7.3	)%	130.2		141.8		(8.2	)%
Total net revenues	$	424.4	$	449.7	(5.6	)%	$	1,287.8	$	1,349.6	(4.6	)%

Accounts receivable attributable to major payer sources of reimbursement

Accounts receivable attributable to major payer sources of reimbursement were as follows (in thousands):

	September 30, 2012			December 31, 2011
Medicare	$	190,997		$	217,028
Medicaid and Local Government	36,608			46,553
Commercial Insurance and Other	37,009			38,570
Gross Accounts Receivable	264,614			302,151
Less: Allowance for doubtful accounts	(10,520		)	(11,562		)
Net Accounts Receivable	$	254,094		$	290,589