Net Revenues and Accounts Receivable (Tables)

3 Months Ended

Mar. 31, 2014

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, while Community Care segment net revenues were derived primarily from Medicaid and Insurance payer classes. Net revenue by major payer classes were as follows (in millions):

	First Quarter
	2014		2013		Percentage Variance
Medicare:
Home Health	$	208.8	$	193.1	8.1	%
Hospice	163.2		167.3		(2.4	)%
Total Medicare	372.0		360.4		3.2	%
Medicaid and Local Government	71.1		18.2		289.3	%
Commercial Insurance and Other:
Paid at episodic rates	15.6		14.3		9.4	%
Other	28.8		22.7		27.0	%
Total Commercial Insurance and Other	44.4		37.0		20.2	%
Total net revenues	$	487.5	$	415.6	17.3	%

Accounts receivable attributable to major payer sources of reimbursement

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

	March 31, 2014			December 31, 2013
Medicare	$	215,797		$	214,366
Medicaid and Local Government	49,731			48,183
Commercial Insurance and Other	37,709			38,036
Gross Accounts Receivable	303,237			300,585
Less: Allowance for doubtful accounts	(11,899		)	(10,680		)
Net Accounts Receivable	$	291,338		$	289,905