Net Revenues and Accounts Receivable (Tables)

9 Months Ended

Sep. 30, 2014

Net Revenues and Accounts Receivable [Abstract]

Net revenues by major payer classification

Net revenue by major payer classes were as follows (in millions):

	Third Quarter						First Nine Months
	2014		2013		Percentage Variance		2014		2013		Percentage Variance
Medicare:
Home Health	$	214.9	$	191.8	12.0	%	$	642.0	$	577.7	11.1	%
Hospice	161.6		163.8		(1.3	)%	486.3		498.8		(2.5	)%
Total Medicare	376.5		355.6		5.9	%	1,128.3		1,076.5		4.8	%
Medicaid and Local Government	70.9		17.4		307.0	%	212.8		54.4		291.4	%
Commercial Insurance and Other:
Paid at episodic rates	21.5		15.1		42.8	%	55.0		43.3		27.0	%
Other	29.1		22.4		29.7	%	87.5		66.3		31.8	%
Total Commercial Insurance and Other	50.6		37.5		35.0	%	142.5		109.7		29.9	%
Total net revenues	$	498.0	$	410.5	21.3	%	$	1,483.6	$	1,240.5	19.6	%

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, 2014			December 31, 2013
Medicare	$	200,902		$	214,366
Medicaid and Local Government	51,113			48,183
Commercial Insurance and Other	44,006			38,036
Gross accounts receivable	296,021			300,585
Less: Allowance for doubtful accounts	(10,303		)	(10,680		)
Net accounts receivable	$	285,718		$	289,905