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Business Segment Information (Details Textual) (USD $)
3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended
Mar. 31, 2013
Dec. 31, 2011
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2012
Interest Rate Swap [Member]
Dec. 31, 2013
Home Health [Member]
State
Dec. 31, 2012
Home Health [Member]
Dec. 31, 2011
Home Health [Member]
Dec. 31, 2013
Hospice [Member]
State
Mar. 31, 2013
Hospice [Member]
Dec. 31, 2013
Hospice [Member]
State
Dec. 31, 2012
Hospice [Member]
Dec. 31, 2011
Hospice [Member]
Dec. 31, 2013
Community Care [Member]
State
Mar. 31, 2013
Corporate expenses [Member]
Dec. 31, 2013
Corporate expenses [Member]
Dec. 31, 2012
Corporate expenses [Member]
Dec. 31, 2011
Corporate expenses [Member]
Mar. 31, 2013
Land and Building [Member]
Mar. 31, 2013
Software Development [Member]
Dec. 31, 2013
Software Development [Member]
Dec. 31, 2011
Software Development [Member]
Dec. 31, 2013
Goodwill [Member]
Hospice [Member]
Dec. 31, 2013
Intangible Assets [Member]
Hospice [Member]
Dec. 31, 2013
Revolving Credit Facility [Member]
Dec. 31, 2012
Revolving Credit Facility [Member]
Segment Reporting Information [Line Items]                                                      
Number of states in certified providers serving             38     30   30     5                        
Restructuring, settlement and impairment provisions     $ 27,500,000 $ 5,700,000 $ 49,100,000   $ 3,300,000 $ 5,600,000 $ 7,700,000     $ 8,200,000 $ 400,000 $ 3,700,000     $ 16,000,000 $ (300,000) $ 37,700,000                
Interest expense and other, net     (110,384,000) [1] (89,947,000) [1] (88,610,000) [1] 3,800,000                                          
Write off of debt issuance cost     16,085,000 461,000 3,559,000                                         19,100,000 500,000
Goodwill, Impairment Loss 220,800,000   600,636,000       0       220,800,000 600,636,000                       379,800,000      
Impairment of intangible assets, finite-lived 224,300,000     19,100,000     6,000,000         13,100,000                         6,300,000    
Goodwill, intangibles and other long-lived asset impairment     610,436,000 19,132,000 643,305,000                     3,500,000       1,900,000 1,600,000 1,600,000 40,300,000        
Goodwill and Intangible Asset Impairment   643,300,000 610,436,000 [2] 19,132,000 [2] 643,305,000 [2]     408,400,000   386,100,000     193,700,000         41,200,000                  
Dividend income     $ 0 $ 0 $ 8,590,000 [3]                                            
[1] For the year ended December 31, 2013, interest expense and other, net included charges of $19.1 million relating to the write-off of deferred debt issuance costs and fees associated with the Company entering a new credit agreement, dated October 18, 2013. For the year ended December 31, 2012, interest expense and other, net included charges of $0.5 million relating to the write-off of deferred debt issuance costs associated with the revolving credit facility. In addition, interest expense and other, net for the year ended December 31, 2011 included charges of $3.8 million associated with terminating the Company’s interest rate swaps in connection with the refinancing of the Company’s Term Loan A and Term Loan B under the Company’s former credit agreement. See Note 12 for additional information.
[2] The Company performed its annual impairment test as of December 31, 2013 for its Home Health, Hospice and Community Care segments. Based on this assessment, the Company recorded non-cash impairment charges relating to the goodwill and intangibles of its Hospice segment of approximately $379.8 million and $6.3 million, respectively, for the year 2013.At March 31, 2013, the Company performed an interim impairment test of its Hospice reporting unit. Based on the results of the interim impairment test, the Company recorded a non-cash impairment charge relating to goodwill of approximately $220.8 million. As part of that analysis, the Company reviewed the valuation of its owned real estate utilized in the Hospice business. The analysis indicated that two of the Company's hospice inpatient units had estimated fair values lower than their carrying values and, as such, the Company recorded a non-cash impairment charge of approximately $1.9 million. In addition, the Company conducted an evaluation of the various systems used to support its field operations. In connection with that review, the Company made a strategic decision to replace its business intelligence software platform and, as such, recorded a non-cash impairment charge, related to developed software, of approximately $1.6 million. Hospice and corporate assets were reduced by $220.8 million and $3.5 million, respectively, as a result of these impairments.For the year ended December 31, 2012, the Company recorded non-cash impairment charges associated with a write-off of its trade name intangibles of $19.1 million in connection with the Company's initiative to re-brand its operations under the Gentiva name. Home Health and Hospice assets were reduced by $6.0 million and $13.1 million, respectively, as of December 31, 2012 as a result of the impairment.For the year ended December 31, 2011, the Company recorded non-cash impairment charges associated with goodwill, intangibles and other long-lived assets of $643.3 million. This charge was the result of (i) changes in the Company's business climate, (ii) uncertainties around Medicare reimbursement as the federal government worked to reduce the federal deficit, (iii) a significant decline in the price of the Company's common stock during the fiscal year, (iv) a write-down of software and (v) a change in the estimated fair value of real estate. Home Health, Hospice and corporate assets were reduced by $408.4 million, $193.7 million and $41.2 million, respectively, as of December 31, 2011, as a result of the impairment.
[3] For the year ended December 31, 2011, the Company recognized dividend income of $8.6 million as a result of the sale of a portion of the Company’s combined common and preferred ownership of CareCentrix.