0001193125-12-384916.txt : 20120907 0001193125-12-384916.hdr.sgml : 20120907 20120907160341 ACCESSION NUMBER: 0001193125-12-384916 CONFORMED SUBMISSION TYPE: 10-Q/A PUBLIC DOCUMENT COUNT: 7 CONFORMED PERIOD OF REPORT: 20120630 FILED AS OF DATE: 20120907 DATE AS OF CHANGE: 20120907 FILER: COMPANY DATA: COMPANY CONFORMED NAME: GENTIVA HEALTH SERVICES INC CENTRAL INDEX KEY: 0001096142 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 364335801 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-15669 FILM NUMBER: 121080128 BUSINESS ADDRESS: STREET 1: 3350 RIVERWOOD PARKWAY STREET 2: SUITE 1400 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7709516450 MAIL ADDRESS: STREET 1: 3350 RIVERWOOD PARKWAY STREET 2: SUITE 1400 CITY: ATLANTA STATE: GA ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: OLSTEN HEALTH SERVICES HOLDING CORP DATE OF NAME CHANGE: 19991001 10-Q/A 1 d330988d10qa.htm AMENDMENT NO.1 TO FORM 10-Q Amendment No.1 to Form 10-Q
Table of Contents

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 10-Q/A

(Amendment No. 1)

 

 

 

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 30, 2012

OR

 

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from          to         

Commission File No. 1-15669

 

 

Gentiva Health Services, Inc.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware   36-4335801

(State or other jurisdiction of

incorporation or organization)

  

(I.R.S. Employer

Identification No.)

3350 Riverwood Parkway, Suite 1400, Atlanta, GA 30339-3314

(Address of principal executive offices) (Zip Code)

Registrant’s telephone number, including area code: (770) 951-6450

 

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (Sec. 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company (as defined in Rule 12b-2 of the Exchange Act).

 

Large accelerated filer    ¨    Accelerated filer    x
Non-accelerated filer    ¨    Smaller reporting company    ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x

The number of shares outstanding of the registrant’s Common Stock, as of July 27, 2012, was 30,566,762.

 

 

 

Table of Contents

INDEX

 

     Page No.  

EXPLANATORY NOTE

     3   

PART II - OTHER INFORMATION

   

Item 6.       Exhibits

     4   

SIGNATURES

     5   

EXHIBIT INDEX

     6   

 

2

Table of Contents

EXPLANATORY NOTE

The sole purpose of this Amendment No. 1 to the Quarterly Report on Form 10-Q (the “Form 10-Q”) of Gentiva Health Services, Inc. for the quarter ended June 30, 2012 is to furnish Exhibit 101 to the Form 10-Q in accordance with Rule 405 of Regulation S-T. Exhibit 101 to the Form 10-Q provides the consolidated financial statements and related notes from the Form 10-Q formatted in extensible business reporting language (“XBRL”).

No other changes have been made to the Form 10-Q. This Amendment No. 1 to the Form 10-Q speaks as of the original filing date of the Form 10-Q, does not reflect events that may have occurred subsequent to the original filing date, and does not modify or update in any way disclosures made in the original Form 10-Q.

Pursuant to Rule 406T of Regulation S-T, the interactive data files on Exhibit 101 hereto are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, are deemed not filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and otherwise are not subject to liability under those sections.

 

3

Table of Contents

PART II - OTHER INFORMATION

 

Item 6. Exhibits

 

Exhibit

Number

   

Description

101.INS    XBRL Instance Document.*
101.SCH    XBRL Taxonomy Extension Schema Document.*
101.CAL    XBRL Taxonomy Extension Calculation Linkbase Document.*
101.DEF    XBRL Taxonomy Definition Linkbase Document.*
101.LAB    XBRL Taxonomy Extension Labels Linkbase Document.*
101.PRE    XBRL Taxonomy Extension Presentation Linkbase Document.*

 

* Furnished herewith

 

4

Table of Contents

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

GENTIVA HEALTH SERVICES, INC.

(Registrant)

Date: September 7, 2012  

/s/ Eric R. Slusser

  Eric R. Slusser
  Executive Vice President,
  Chief Financial Officer and Treasurer

 

5

Table of Contents

EXHIBIT INDEX

 

Exhibit

Number

   

Description

101.INS    XBRL Instance Document.*
101.SCH    XBRL Taxonomy Extension Schema Document.*
101.CAL    XBRL Taxonomy Extension Calculation Linkbase Document.*
101.DEF    XBRL Taxonomy Definition Linkbase Document.*
101.LAB    XBRL Taxonomy Extension Labels Linkbase Document.*
101.PRE    XBRL Taxonomy Extension Presentation Linkbase Document.*

 

* Furnished herewith

 

6

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Following a motion for partial summary judgment by the Company regarding the New York state law claims, plaintiffs agreed voluntarily to dismiss those claims in a filing on December&#160;12, 2011. Plaintiffs continue to seek class certification of allegedly similar employees and seek attorneys&#8217; fees, back wages and liquidated damages going back three years under the FLSA and two years under the North Carolina statute. Plaintiffs filed a motion for certification of a North Carolina state law class for NCWHA claims on January&#160;20, 2012. The Company filed a motion for partial summary judgment on plaintiffs&#8217; claims under the NCWHA on March&#160;22, 2012. These motions have been briefed in full by both parties and are currently awaiting the Court&#8217;s decision. Plaintiffs also filed a motion for partial summary judgment with regard to the Company&#8217;s liability for plaintiffs&#8217; FLSA claims on April&#160;3, 2012. The Company moved for a continuance for its response to plaintiffs&#8217; motion to provide time to obtain full discovery. On April&#160;19, 2012, the Court denied plaintiffs&#8217; motion with leave to re-file and granted the Company&#8217;s motion for continuance. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">Based on the information the Company has at this time in the <u>Rindfleisch</u> lawsuit, the Company is unable to assess the probable outcome or potential liability, if any, arising from this proceeding on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for this lawsuit at this time. The Company intends to defend itself vigorously in this lawsuit. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2"> On June&#160;11, 2010, a collective and class action complaint entitled <u>Catherine Wilkie, individually and on behalf of all others similarly situated</u> v. <u>Gentiva Health Services, Inc.</u> was filed in the United States District Court for the Eastern District of California against the Company in which a former employee alleges wage and hour violations under the FLSA and California law. The complaint alleges that the Company paid some of its employees on both a per visit and hourly basis, thereby voiding their exempt status and entitling them to overtime pay. The complaint further alleges that California employees were subject to violations of state laws requiring meal and rest breaks, accurate wage statements and timely payment of wages. The plaintiff seeks class certification, attorneys&#8217; fees, back wages, penalties and damages going back three years on the FLSA claim and four years on the state wage and hour claims. The parties held mediation discussions on August&#160;3, 2011 and March&#160;7, 2012. The parties have finalized the terms of a monetary settlement, and the Company has paid $5 million in escrow to settle all claims in the lawsuit, including the plaintiff&#8217;s attorney&#8217;s fees and costs. The settlement is subject to court approval. </font></p> <p style="font-size:1px;margin-top:12px;margin-bottom:0px">&#160;</p> <p style="margin-top:0px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On December&#160;29, 2011, Odyssey HealthCare, Inc. was served with a complaint captioned <u>United States of America and the State of Illinois ex rel. Laurie Geschrey and Laurie Janus</u> v. <u>Generations Healthcare, LLC, Odyssey HealthCare, Inc. Narayan Ponakala and Catherine Ponakala</u>, which was filed on April&#160;19, 2010 as a qui tam action in the United States District Court for the Northern District of Illinois, Eastern Division, Case No.&#160;10 C 2413, under the provisions of the Federal False Claims Act, the Illinois Whistleblower Reward and Protection Act and the Illinois Whistleblower Act. The plaintiffs, two former employees of Generations Healthcare, LLC, a hospice company whose assets were acquired by Odyssey on December&#160;31, 2009, are the relators and allege that defendants committed fraud against the United States and the State of Illinois by, among other things, recruiting and certifying patients as being eligible for hospice care when they were known not to be eligible and falsifying patients&#8217; medical records in support of the claims for reimbursement. Relators further allege that Odyssey was aware of Generations Healthcare&#8217;s alleged fraudulent business practices. Both the United States and the State of Illinois declined to intervene in the action, and the complaint was unsealed on December&#160;1, 2011. Relators seek statutory damages, which are three times the amount of any actual damages suffered by the United States and the State of Illinois, the maximum statutory civil penalty due under the statutes plus all costs and attorneys fees. Additionally, relators seek back pay plus interest and other damages because of defendants&#8217; alleged retaliation against relators. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">Odyssey filed a motion to dismiss the complaint against it on March&#160;23, 2012. That motion is fully briefed and is pending before the court. Odyssey is also pursuing indemnification from Generations Healthcare and its owners, who are defendants in this action. Given the preliminary stage of this action, the Company is unable to assess the probable outcome or potential liability, if any, arising from this action on the business, financial condition, results of operations, liquidity or capital resources of the Company or Odyssey. Odyssey intends to defend itself vigorously in the action. </font></p> <p style="margin-top:18px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"><b>Odyssey Merger Litigation </b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2"> Three putative class action lawsuits were filed in connection with the Company&#8217;s acquisition (&#8220;Merger&#8221;) of Odyssey HealthCare, Inc. (&#8220;Odyssey&#8221;). The first, entitled <u>Pompano Beach Police&#160;&#038; Firefighters&#8217; Retirement System</u> v. <u>Odyssey HealthCare, Inc. et al.</u>, was filed on May&#160;27, 2010 in the County Court, Dallas County, Texas. The second, entitled <u>Eric Hemminger et al</u>. v. <u>Richard Burnham et al</u>., was filed on June&#160;9, 2010 in the District Court, Dallas, Texas. The third, entitled <u>John O. Hansen</u> v. <u>Odyssey HealthCare, Inc. et al</u>., was filed on July&#160;2, 2010 in the United States District Court for the Northern District of Texas. All three lawsuits named the Company, GTO Acquisition Corp., Odyssey and the members of Odyssey&#8217;s board of directors as defendants. All three lawsuits were brought by purported stockholders of Odyssey, both individually and on behalf of a putative class of stockholders, alleging that Odyssey&#8217;s board of directors breached its fiduciary duties in connection with the Merger by failing to maximize shareholder value and that the Company and Odyssey aided and abetted the alleged breaches. On October&#160;8, 2010, the District Court consolidated the <u>Hemminger</u> and <u>Pompano Beach</u> actions and transferred the <u>Hemminger</u> action to County Court No.&#160;5 in Dallas County, Texas. On October&#160;12, 2010, Gentiva entered a general denial with respect to the material allegations in both the <u>Pompano Beach</u> and <u>Hemminger</u> complaints. On December&#160;16, 2010, defendants in the actions executed a Memorandum of Understanding with plaintiffs reflecting an agreement in principle to settle each of the actions for additional disclosures which were included in Odyssey&#8217;s Definitive Proxy Statement on Schedule 14A, filed on July&#160;9, 2010. Defendants also agreed not to contest an application for attorneys&#8217; fees not exceed $675,000 to be made by plaintiffs. On February&#160;17, 2012, the court preliminarily approved a settlement of the <u>Pompano Beach</u>, <u>Hemminger</u> and <u>Hansen</u> actions. The settlement became final following court approval at a final settlement hearing on May&#160;18, 2012. </font></p> <p style="margin-top:18px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"><b>Federal Securities Class Action Litigation </b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">Between November&#160;2, 2010 and October&#160;25, 2011, five shareholder class actions were filed against Gentiva and certain of its current and former officers and directors in the United States District Court for the Eastern District of New York. Each of these actions asserted claims under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 in connection with the Company&#8217;s participation in the Medicare Home Health Prospective Payment System (&#8220;HH PPS&#8221;). Following consolidation of the actions, and the appointment of Los Angeles City Employees&#8217; Retirement System as lead plaintiff and Kaplan Fox&#160;&#038; Kilsheimer LLP as lead counsel, on April&#160;16, 2012, a consolidated shareholder class action complaint, captioned <u>In re Gentiva Securities Litigation</u>, Civil Action No.&#160;10-CV-5064, was filed in the United States District Court for the Eastern District of New York. The complaint, which names Gentiva and certain current and former officers and directors as defendants, asserts claims under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as well as Sections 11 and 15 of the Securities Act of 1933, in connection with the Company&#8217;s participation in the HH PPS. The complaint alleges, among other things, that the Company&#8217;s public disclosures misrepresented and failed to disclose that the Company improperly increased the number of in-home therapy visits to patients for the purposes of triggering higher reimbursement rates under the HH PPS, which caused an artificial inflation in the price of Gentiva&#8217;s common stock during the period between July&#160;31, 2008 and October&#160;4, 2011. On June&#160;15, 2012, defendants filed a motion to dismiss the complaint. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">Given the preliminary stage of the action, the Company is unable to assess the probable outcome or potential liability, if any, arising from the action on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for the action at this time. The defendants intend to defend themselves vigorously in the action. </font></p> <p style="font-size:1px;margin-top:18px;margin-bottom:0px">&#160;</p> <p style="margin-top:0px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"><b>Shareholder Derivative Litigation </b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On January&#160;4, 2011 and October&#160;31, 2011, two actions were filed against certain of Gentiva&#8217;s current and former directors in Superior Court of DeKalb County in the State of Georgia, alleging, among other things, that Gentiva&#8217;s board of directors breached its fiduciary duties to the Company. The actions were consolidated and, on February&#160;9, 2012, plaintiffs filed a consolidated complaint (the &#8220;Georgia State Court Action&#8221;). The Georgia State Court Action, which names certain of Gentiva&#8217;s current and former directors as defendants, alleges, among other things, that Gentiva&#8217;s board of directors had actual or constructive knowledge that the Company&#8217;s public disclosures misrepresented and failed to disclose that the Company improperly increased the number of in-home therapy visits to patients for the purpose of triggering higher reimbursement rates under HH PPS, which caused an artificial inflation in the price of Gentiva&#8217;s common stock. On March&#160;26, 2012, defendants filed a motion to dismiss the Georgia State Court Action and further requested a transfer to the Superior Court of Cobb County. That motion is fully briefed and is now pending before the Cobb County court. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2"> On October&#160;7 and October&#160;13, 2011, two actions were filed against certain of Gentiva&#8217;s current and former directors and officers in the United States District Court for the Northern District of Georgia, alleging, among other things, that Gentiva&#8217;s board of directors breached its fiduciary duties to the Company. The actions also asserted a claim under Section&#160;14(a) of the Securities Exchange Act of 1934. The actions were consolidated and, on March&#160;5, 2012, plaintiffs filed a consolidated complaint (the &#8220;Georgia Federal Court Action&#8221;). The Georgia Federal Court Action, which names certain of Gentiva&#8217;s current and former directors and officers as defendants, alleges, among other things, that Gentiva&#8217;s board of directors had actual or constructive knowledge that the Company&#8217;s public disclosures misrepresented and failed to disclose that the Company improperly increased the number of in-home therapy visits to patients for the purpose of triggering higher reimbursement rates under HH PPS, which caused an artificial inflation in the price of Gentiva&#8217;s common stock. The complaint further alleges that the Company&#8217;s Proxy Statement for its 2010 Annual Meeting of Shareholders was materially false and misleading. On April&#160;16, 2012, defendants filed a motion to dismiss the Georgia Federal Court Action. That motion is fully briefed and is pending before the court. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">Given the preliminary stage of the actions, the Company is unable to assess the probable outcome or potential liability, if any, arising from these actions on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for these actions at this time. The defendants intend to defend themselves vigorously in these actions. </font></p> <p style="margin-top:18px;margin-bottom:0px"><font style="font-family:times new roman" size="2"><b>Government Matters </b></font></p> <p style="margin-top:6px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"><b><u>PRRB Appeal </u></b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2"> In connection with the audit of the Company&#8217;s 1997 cost reports, the Medicare fiscal intermediary made certain audit adjustments related to the methodology used by the Company to allocate a portion of its residual overhead costs. The Company filed cost reports for years subsequent to 1997 using the fiscal intermediary&#8217;s methodology. The Company believed the methodology it used to allocate such overhead costs was accurate and consistent with past practice accepted by the fiscal intermediary; as such, the Company filed appeals with the Provider Reimbursement Review Board (&#8220;PRRB&#8221;) concerning this issue with respect to cost reports for the years 1997, 1998 and 1999. The Company&#8217;s consolidated financial statements for the years 1997, 1998 and 1999 had reflected use of the methodology mandated by the fiscal intermediary. In June 2003, the Company and its Medicare fiscal intermediary signed an Administrative Resolution relating to the issues covered by the appeals pending before the PRRB. Under the terms of the Administrative Resolution, the fiscal intermediary agreed to reopen and adjust the Company&#8217;s cost reports for the years 1997, 1998 and 1999 using a modified version of the methodology used by the Company prior to 1997. This modified methodology will also be applied to cost reports for the year 2000, which are currently under audit. The Administrative Resolution required that the process to (i)&#160;reopen all 1997 cost reports, (ii)&#160;determine the adjustments to allowable costs through the issuance of Notices of Program Reimbursement and (iii)&#160;make appropriate payments to the Company, be completed in early 2004. Cost reports relating to years subsequent to 1997 were to be reopened after the process for the 1997 cost reports was completed. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">The fiscal intermediary completed the reopening of all 1997, 1998 and 1999 cost reports and determined that the adjustment to allowable costs aggregated $15.9 million which the Company has received and recorded as adjustments to net revenues in the fiscal years 2004 through 2006. The Company is unable to predict when the Centers for Medicare&#160;&#038; Medicaid Services (&#8220;CMS&#8221;) will finalize all items relating to the 2000 cost reports. </font></p> <p style="margin-top:18px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"><b><u>Senate Finance Committee Report </u></b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">In a letter dated May&#160;12, 2010, the United States Senate Finance Committee requested information from the Company regarding its Medicare utilization rates for therapy visits. The letter was sent to all publicly traded home healthcare companies mentioned in a <u>Wall Street Journal</u> article that explored the relationship between the CMS&#8217; home health policies and the utilization rates of some health agencies. The Company responded to this request as well as to supplemental requests for information. On October&#160;3, 2011, the Senate Finance Committee released its report, which generally criticized certain of the home health therapy practices of publicly traded home healthcare companies, including the Company. The Company maintains its belief that it has provided and is providing the highest quality of care and has received and continues to receive payment within the standards set forth by the reimbursement system established by CMS. The Company is unable to assess the probable outcome or potential liability, if any, arising from this matter on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for this matter at this time. </font></p> <p style="margin-top:18px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"><b><u>Subpoena </u></b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2"> On July&#160;13, 2010, the SEC informed the Company that the SEC had commenced an investigation relating to the Company&#8217;s participation in the Medicare Home Health Prospective Payment System, and, on July&#160;16, 2010, the Company received a subpoena from the SEC requesting certain documents in connection with its investigation. Similar to the Senate Finance Committee request, the SEC subpoena, among other things, focused on issues related to the number of and reimbursement received for therapy visits before and after changes in the Medicare reimbursement system, relationships with physicians, compliance efforts including compliance with fraud and abuse laws, and certain documents sent to the Senate Finance Committee. The Company is unable to assess the probable outcome or potential liability, if any, arising from this matter on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for this matter at this time. </font></p> <p style="margin-top:18px;margin-bottom:0px; margin-left:4%"><font style="font-family:times new roman" size="2"> <b><u>Investigations Involving Odyssey </u></b></font></p> <p style="margin-top:6px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On February&#160;14, 2008, Odyssey received a letter from the Medicaid Fraud Control Unit of the Texas Attorney General&#8217;s office notifying Odyssey that the Texas Attorney General was conducting an investigation concerning Medicaid hospice services provided by Odyssey, including its practices with respect to patient admission and retention, and requesting medical records of approximately 50 patients served by its programs in the State of Texas. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of this investigation, the Texas Attorney General&#8217;s views of the issues being investigated or any actions that the Texas Attorney General may take. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On May&#160;5, 2008, Odyssey received a letter from the U.S. Department of Justice (&#8220;DOJ&#8221;) notifying Odyssey that the DOJ was conducting an investigation of VistaCare, Inc. (&#8220;VistaCare&#8221;) and requesting that Odyssey provide certain information and documents related to the DOJ&#8217;s investigation of claims submitted by VistaCare to Medicare, Medicaid and the U.S. government health insurance plan for active military members, their families and retirees, formerly the Civilian Health and Medical Program of the Uniformed Services (&#8220;TRICARE&#8221;), from January&#160;1, 2003 through March&#160;6, 2008, the date Odyssey completed the acquisition of VistaCare. Odyssey has been informed by the DOJ and the Medicaid Fraud Control Unit of the Texas Attorney General&#8217;s Office that they are reviewing allegations that VistaCare may have billed the federal Medicare, Medicaid and TRICARE programs for hospice services that were not reasonably or medically necessary or performed as claimed. The basis of the investigation is a qui tam lawsuit filed in the United States District Court for the Northern District of Texas by a former employee of VistaCare. The lawsuit alleges, among other things, that VistaCare submitted false claims to Medicare and Medicaid for hospice services that were not medically necessary and for hospice services that were referred in violation of the anti-kickback statute. The court unsealed the lawsuit on October&#160;5, 2009 and Odyssey was served on January&#160;28, 2010. In connection with the unsealing of the complaint, the DOJ filed a notice with the court declining to intervene in the qui tam action at such time. The Texas Attorney General also filed a notice of non-intervention with the court. These actions should not be viewed as a final assessment by the DOJ or the Texas Attorney General of the merits of this qui tam action. Odyssey continues to cooperate with the DOJ and the Texas Attorney General in their investigation. The relator has continued to pursue the qui tam lawsuit. VistaCare filed motions to dismiss the relator&#8217;s complaint on March&#160;30, 2010 and April&#160;2, 2012. The court issued orders on the motions to dismiss on March&#160;9, 2011 and July&#160;23, 2012. Consistent with the court&#8217;s orders, relator&#8217;s false claims act claims based on alleged medically unnecessary hospice services and for hospice services referred in violation of the anti-kickback statute are permitted to proceed to discovery. Based on the information that Odyssey has at this time, the Company cannot predict the outcome of the qui tam lawsuit, the governments&#8217; continuing investigation, the DOJ&#8217;s or Texas Attorney General&#8217;s views of the issues being investigated, other than the DOJ&#8217;s and Texas Attorney General&#8217;s notice declining to intervene in the qui tam action, or any actions that the DOJ or Texas Attorney General may take. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On October&#160;28, 2011, the Assistant United States Attorney for the Northern District of Texas notified Odyssey and the Company of the existence of a second qui tam lawsuit against VistaCare, doing business as VistaCare Hospice, Odyssey Healthcare, Inc., and Gentiva Healthcare Services, that had initially been filed on October&#160;29, 2010, in the Northern District of Alabama, but transferred to the Northern District of Texas due to the similarity of allegations with the first qui tam lawsuit. A non-intervention order and unsealing of the second complaint was entered by the District Court for the Northern District of Texas on October&#160;27, 2011. The Company believes this action should not be viewed as a final assessment by the DOJ of the merits of this qui tam action. On February&#160;28, 2012, the court ordered a stay in this qui tam action until the court rules on the pending motion to dismiss in the first qui tam action. The court lifted the stay on July&#160;23, 2012 following the court entry of an order ruling on the motion to dismiss in the first qui tam action. The Company anticipates that this second qui tam action will proceed in due course. VistaCare denies the allegations made in the second qui tam action and will vigorously defend against them. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of this second qui tam lawsuit, the government&#8217;s continuing investigation, the DOJ&#8217;s views of the issues being investigated, other than the DOJ&#8217;s non-intervention in the qui tam action, or any actions that the DOJ may take. </font></p> <p style="font-size:1px;margin-top:12px;margin-bottom:0px">&#160;</p> <p style="margin-top:0px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On January&#160;5, 2009, Odyssey received a letter from the Georgia State Health Care Fraud Control Unit notifying Odyssey that the Georgia State Health Care Fraud Unit was conducting an investigation concerning Medicaid hospice services provided by VistaCare from 2003 through 2007 and requesting certain documents. Odyssey is cooperating with the Georgia State Health Care Fraud Control Unit and has complied with the document request. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of the investigation, the Georgia State Health Care Fraud Control Unit&#8217;s views of the issues being investigated or any actions that the Georgia State Health Care Fraud Control Unit may take. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On February&#160;23, 2010, Odyssey received a subpoena from the Department of Health and Human Services, Office of Inspector General (&#8220;OIG&#8221;), requesting various documents and certain patient records of one of Odyssey&#8217;s hospice programs relating to services performed from January&#160;1, 2006 through December&#160;31, 2009. Odyssey is cooperating with the OIG and has completed its subpoena production. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of the investigation, the OIG&#8217;s views of the issues being investigated or any actions that the OIG may take. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made at this time with regard to the above investigations involving Odyssey. Based on the limited information that Odyssey has at this time regarding such investigations, the Company is unable to predict the impact, if any, that such investigations may have on Odyssey&#8217;s and the Company&#8217;s business, financial condition, results of operations, liquidity or capital resources. </font></p> <p style="margin-top:12px;margin-bottom:0px; text-indent:4%"><font style="font-family:times new roman" size="2">On February&#160;2, 2009, Odyssey received a subpoena from the OIG requesting certain documents related to Odyssey&#8217;s provision of continuous care services from January&#160;1, 2004 through January&#160;22, 2009. Odyssey subsequently received two additional subpoenas from the OIG requesting medical records for certain patients who had been provided continuous care services by Odyssey during the same time period. On February&#160;15, 2012, Odyssey entered into a settlement agreement with the United States, acting through the DOJ and on behalf of the OIG, regarding Odyssey&#8217;s provision of continuous care services prior to the Company&#8217;s acquisition of Odyssey in August 2010. 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Acquisitions and Dispositions (Details Textual) (USD $)
 1 Months Ended 3 Months Ended 6 Months Ended 1 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended 1 Months Ended 6 Months Ended 1 Months Ended
Apr. 30, 2011
Jun. 30, 2012
Jun. 30, 2012
Jun. 30, 2011
Apr. 29, 2011
Apr. 30, 2011
Odyssey Health Care Inc [Member]
Sep. 30, 2011
Rehab Without Walls [Member]
Jun. 30, 2011
Rehab Without Walls [Member]
Sep. 10, 2011
Rehab Without Walls [Member]
Jun. 30, 2012
Home Health [Member]
Louisiana [Member]
Branch
Jun. 30, 2012
Hospice [Member]
Louisiana [Member]
Branch
Jun. 30, 2012
Home Health and Hospice [Member]
Jun. 30, 2012
Home Health and Hospice [Member]
Oct. 31, 2011
Homemaker Services Agency and Rehab Without Walls [Member]
Jun. 30, 2012
Homemaker Services Agency and Rehab Without Walls [Member]
Jun. 30, 2011
Homemaker Services Agency and Rehab Without Walls [Member]
Oct. 14, 2011
Homemaker Services Agency and Rehab Without Walls [Member]
May 31, 2012
MP Healthcare Partners [Member]
Acquisitions and Dispositions (Textual) [Abstract]                                    
Purchased the outstanding member units representing the noncontrolling interest $ 300,000         $ 300,000                        
Outstanding member units         100.00%                          
Number of Branches Sold                   8 4              
Total consideration from sale of business             9,800,000         6,400,000   2,400,000       300,000
Proceeds from Divestiture of Businesses     6,090,000 13,581,000       9,200,000       5,900,000 5,900,000     2,000,000    
Receivables from business dispositions                         500,000          
Gain on sale of businesses   5,447,000 5,447,000                 5,400,000 5,400,000          
Escrow fund                 600,000               400,000  
Reduction in escrow fund receivable                             300,000      
increase/decrease in escrow fund                               $ 300,000    
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Long-Term Debt (Details) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Long-term debt    
Total debt $ 938,125 $ 988,125
Less: current portion of long-term debt (15,443) (14,903)
Total long-term debt 922,682 973,222
11.5% Senior Notes due 2018 [Member]
    
Long-term debt    
Senior Notes 325,000 325,000
Term Loan A, maturing August 17, 2015 [Member] | Credit Agreement [Member]
    
Long-term debt    
Credit Agreement, Term Loan A 146,693 158,653
Term Loan B, maturing August 17, 2016 [Member] | Credit Agreement [Member]
    
Long-term debt    
Credit Agreement, Term Loan B $ 466,432 $ 504,472
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Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements (Details Textual) (USD $)
 1 Months Ended 3 Months Ended 6 Months Ended 9 Months Ended 3 Months Ended
Aug. 31, 2010
Jun. 30, 2012
Mar. 31, 2012
Jun. 30, 2011
Mar. 31, 2011
Oct. 03, 2010
Jun. 30, 2012
Jun. 30, 2011
Sep. 30, 2011
Oct. 03, 2010
Dec. 31, 2011
Dec. 31, 2010
Mar. 31, 2012
Home Health [Member]
Branch
Dec. 31, 2011
Home Health [Member]
Branch
Dec. 31, 2011
Hospice [Member]
Branch
Segment Reporting Information [Line Items]                              
Number of branches divested                         4 34 9
Cost Savings Initiatives Acquisition and Integration Activities Other Restructuring and Legal Settlements (Textual) [Abstract]                              
Charge   $ 25,000 $ 5,391,000 $ 21,246,000 $ 3,765,000   $ 5,400,000 $ 25,000,000              
Severance costs facility lease       500,000       1,800,000              
Acquisition and Integration Activities   500,000   2,200,000     900,000 4,700,000              
Restructuring charges           1,300,000     1,800,000 3,500,000          
Non cash charges on restructuring activities   114,000 197,000 407,000                      
Legal Settlement 26,000,000           5,000,000                
Settlement and Legal Fees               18,500,000              
Other restructuring and legal settlements unpaid   $ 5,361,000 $ 13,333,000 $ 24,659,000 $ 19,306,000   $ 5,361,000 $ 24,659,000     $ 38,379,000 $ 19,377,000      
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Business Segment Information (Details 1) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Dec. 31, 2011
Segment information about the Company's operations          
Net revenues $ 427,691 $ 448,712 $ 863,343 $ 899,821  
Operating contribution 71,529 71,515 129,887 149,534  
Depreciation and amortization (7,292) (7,487) (14,722) (15,081)  
Gain on sale of businesses 5,447   5,447    
Dividend income   4,613   4,613  
Interest expense and other, net (22,655) (20,786) (44,157) (47,669)  
Income from continuing operations before income taxes and equity in net earnings of CareCentrix 23,818 6,750 31,400 27,487  
Segment assets 1,109,796 1,702,491 1,109,796 1,702,491  
Total assets 1,479,021 2,090,593 1,479,021 2,090,593 1,530,328
Home Health [Member]
          
Segment information about the Company's operations          
Net revenues 235,687 254,343 475,651 510,382  
Operating contribution 36,383 34,828 62,259 76,710  
Segment assets 235,918 650,004 235,918 650,004  
Hospice [Member]
          
Segment information about the Company's operations          
Net revenues 192,004 194,369 387,692 389,439  
Operating contribution 35,146 36,687 67,628 72,824  
Segment assets 873,878 1,052,487 873,878 1,052,487  
Corporate [Member]
          
Segment information about the Company's operations          
Corporate Expenses (23,211) (41,105) (45,055) (63,910)  
Corporate assets $ 369,225 $ 388,102 $ 369,225 $ 388,102  
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Long-Term Debt (Details 1)
Jun. 30, 2012
Eurodollar Rate [Member] | Term Loan A [Member] | Leverage Ratio Range One [Member]
  
Applicable Rate for Term Loan A  
Term Loan A Original Eurodollar Rate 5.00%
Term Loan A Amended Eurodollar Rate 3.25%
Eurodollar Rate [Member] | Term Loan A [Member] | Leverage Ratio Range Two [Member]
  
Applicable Rate for Term Loan A  
Term Loan A Original Eurodollar Rate 4.50%
Term Loan A Amended Eurodollar Rate 3.00%
Eurodollar Rate [Member] | Term Loan A [Member] | Leverage Ratio Range Three [Member]
  
Applicable Rate for Term Loan A  
Term Loan A Original Eurodollar Rate 4.00%
Term Loan A Amended Eurodollar Rate 2.75%
Minimum Base Rate [Member] | Term Loan A [Member] | Leverage Ratio Range One [Member]
  
Applicable Rate for Term Loan A  
Term Loan A Original Base Rate 4.00%
Term Loan A Amended Base Rate 2.25%
Minimum Base Rate [Member] | Term Loan A [Member] | Leverage Ratio Range Two [Member]
  
Applicable Rate for Term Loan A  
Term Loan A Original Base Rate 3.50%
Term Loan A Amended Base Rate 2.00%
Minimum Base Rate [Member] | Term Loan A [Member] | Leverage Ratio Range Three [Member]
  
Applicable Rate for Term Loan A  
Term Loan A Original Base Rate 3.00%
Term Loan A Amended Base Rate 1.75%
Minimum Base Rate [Member] | Term Loan B [Member] | Leverage Ratio Range One [Member]
  
Applicable Rate for Term Loan B  
Term Loan B Amended Base Rate 2.25%
Minimum Base Rate [Member] | Term Loan B [Member] | Leverage Ratio Range Two [Member]
  
Applicable Rate for Term Loan B  
Term Loan B Amended Base Rate 2.00%
Minimum Base Rate [Member] | Term Loan B [Member] | Leverage Ratio Range Three [Member]
  
Applicable Rate for Term Loan B  
Term Loan B Amended Base Rate 1.75%
XML 13 R46.htm IDEA: XBRL DOCUMENT v2.4.0.6
Note Receivable from and Investment in CareCentrix (Details Textual) (USD $)
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Note Receivable from and Investment in CareCentrix (Textual) [Abstract]        
Promissory note $ 25,000,000   $ 25,000,000  
Expected maturity date     Mar. 19, 2017  
Period from closing of transaction to expected maturity date     5 years 6 months  
Interest rate on promissory note     10.00%  
Interest income 697,000 639,000 1,358,000 1,304,000
Recognition of equity in net earnings   $ 336,000   $ 890,000
XML 14 R33.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans (Tables)
 6 Months Ended
Jun. 30, 2012
Equity-Based Compensation Plans [Abstract]  
Weighted-average fair values of the Company's stock options granted
                 
    Six Months Ended  
    June 30, 2012     June 30, 2011  

Weighted average fair value of options granted

   $ 8.33     $ 11.30  

Risk-free interest rate

     0.77% - 0.95 %      2.15 % 

Expected volatility

     64 %      44 % 

Contractual life

     7 years       7 years  

Expected life

     3.4 - 5.4 years       4.5 -6.5 years  

Expected dividend yield

     0 %      0 % 
Summary of stock option activity
                                 
         
    Number of
Options		     Weighted-
Average
Exercise
Price		     Weighted-
Average
Remaining
Contractual
Life (Years)		     Aggregate
Intrinsic
Value		  

Balance as of December 31, 2011

     4,228,907     $ 15.59                  
         

Granted

     36,000       8.46                  
         

Exercised

     —         —                    
         

Cancelled

     (306,461 )      12.86                  
   

 

 

    

 

 

                  
         

Balance as of June 30, 2012

     3,958,446     $ 15.74       5.4     $ 1,936,380  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Exercisable options

     2,156,077     $ 20.13       4.6     $ —    
   

 

 

    

 

 

    

 

 

    

 

 

  
Summary of performance share unit
                 
    Number of
Performance
Share Units		     Weighted-
Average
Exercise
Price		  

Balance as of December 31, 2011

     125,800     $ 26.33  
     

Granted

     —         —    
     

Vested

     —         —    
     

Cancelled

     (3,200 )      26.74  
   

 

 

    

 

 

  
     

Balance as of June 30, 2012

     122,600     $ 26.32  
   

 

 

    

 

 

  
Summary of restricted Stock activity
                         
    Number of
Restricted
Shares		     Weighted-
Average
Exercise
Price		     Aggregate
Intrinsic
Value		  

Balance as of December 31, 2011

     377,750     $ 25.30          
       

Granted

     —         —            
       

Exercised

     —         —            
       

Cancelled

     (7,500 )      26.55          
   

 

 

    

 

 

          
       

Balance as of June 30, 2012

     370,250     $ 25.27     $ 2,565,833  
   

 

 

    

 

 

    

 

 

  
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Supplemental Guarantor and Non-Guarantor Financial Information (Details) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Jun. 30, 2011
Dec. 31, 2010
Current assets:        
Cash and cash equivalents $ 155,278 $ 164,912 $ 98,149 $ 104,752
Receivables, net 260,031 290,589    
Deferred tax assets, net 17,214 26,451    
Prepaid expenses and other current assets 46,402 38,379    
Total current assets 478,925 520,331    
Note receivable from CareCentrix 25,000 25,000    
Fixed assets, net 44,374 46,246    
Intangible assets, net 208,210 214,874    
Goodwill 641,669 641,669   1,085,066
Investment in subsidiaries 0      
Other assets 80,843 82,208    
Total assets 1,479,021 1,530,328 2,090,593  
Current liabilities:        
Current portion of long-term debt 15,443 14,903    
Accounts payable 13,008 12,613    
Other current liabilities 240,108 267,676    
Total current liabilities 268,559 295,192    
Long-term debt 922,682 973,222    
Deferred tax liabilities, net 33,167 32,498    
Other liabilities 34,355 26,885    
Total Gentiva shareholders' equity 218,795 199,938    
Noncontrolling interests 1,463 2,593    
Total equity 220,258 202,531 666,387 638,232
Total liabilities and equity 1,479,021 1,530,328    
Gentiva Health Services, Inc. [Member]
        
Current assets:        
Cash and cash equivalents 114,028 124,101 57,720 63,816
Receivables, net 0      
Deferred tax assets, net 0      
Prepaid expenses and other current assets 0      
Total current assets 114,028 124,101    
Note receivable from CareCentrix 0      
Fixed assets, net 0      
Intangible assets, net 0      
Goodwill 0      
Investment in subsidiaries 1,042,892 1,063,962    
Other assets 0      
Total assets 1,156,920 1,188,063    
Current liabilities:        
Current portion of long-term debt 15,443 14,903    
Accounts payable 0      
Other current liabilities 0      
Total current liabilities 15,443 14,903    
Long-term debt 922,682 973,222    
Deferred tax liabilities, net 0      
Other liabilities 0      
Total Gentiva shareholders' equity 218,795 199,938    
Noncontrolling interests 0      
Total equity 218,795 199,938    
Total liabilities and equity 1,156,920 1,188,063    
Guarantor Subsidiaries [Member]
        
Current assets:        
Cash and cash equivalents 0 0    
Receivables, net 257,909 283,552    
Deferred tax assets, net 14,848 24,560    
Prepaid expenses and other current assets 33,384 32,619    
Total current assets 306,141 340,731    
Note receivable from CareCentrix 25,000 25,000    
Fixed assets, net 44,074 45,917    
Intangible assets, net 208,110 214,774    
Goodwill 635,605 635,605    
Investment in subsidiaries 28,384 25,173    
Other assets 80,835 82,200    
Total assets 1,328,149 1,369,400    
Current liabilities:        
Current portion of long-term debt 0      
Accounts payable 31,274 22,913    
Other current liabilities 186,477 223,165    
Total current liabilities 217,751 246,078    
Long-term debt 0      
Deferred tax liabilities, net 33,167 32,498    
Other liabilities 34,339 26,862    
Total Gentiva shareholders' equity 1,042,892 1,063,962    
Noncontrolling interests 0      
Total equity 1,042,892 1,063,962    
Total liabilities and equity 1,328,149 1,369,400    
Non-Guarantor Subsidiaries [Member]
        
Current assets:        
Cash and cash equivalents 41,250 40,811 40,429 40,936
Receivables, net 21,467 18,168    
Deferred tax assets, net 2,366 1,891    
Prepaid expenses and other current assets 13,375 6,904    
Total current assets 78,458 67,774    
Note receivable from CareCentrix 0      
Fixed assets, net 300 329    
Intangible assets, net 100 100    
Goodwill 6,064 6,064    
Investment in subsidiaries 0      
Other assets 8 8    
Total assets 84,930 74,275    
Current liabilities:        
Current portion of long-term debt 0      
Accounts payable 1,079 831    
Other current liabilities 53,988 45,655    
Total current liabilities 55,067 46,486    
Long-term debt 0      
Deferred tax liabilities, net 0      
Other liabilities 16 23    
Total Gentiva shareholders' equity 28,384 25,173    
Noncontrolling interests 1,463 2,593    
Total equity 29,847 27,766    
Total liabilities and equity 84,930 74,275    
Eliminations [Member]
        
Current assets:        
Cash and cash equivalents 0 0 0 0
Receivables, net (19,345) (11,131)    
Deferred tax assets, net 0      
Prepaid expenses and other current assets (357) (1,144)    
Total current assets (19,702) (12,275)    
Note receivable from CareCentrix 0      
Fixed assets, net 0      
Intangible assets, net 0      
Goodwill 0      
Investment in subsidiaries (1,071,276) (1,089,135)    
Other assets 0      
Total assets (1,090,978) (1,101,410)    
Current liabilities:        
Current portion of long-term debt 0      
Accounts payable (19,345) (11,131)    
Other current liabilities (357) (1,144)    
Total current liabilities (19,702) (12,275)    
Long-term debt 0      
Deferred tax liabilities, net 0      
Other liabilities 0      
Total Gentiva shareholders' equity (1,071,276) (1,089,135)    
Noncontrolling interests 0      
Total equity (1,071,276) (1,089,135)    
Total liabilities and equity $ (1,090,978) $ (1,101,410)    
XML 17 R57.htm IDEA: XBRL DOCUMENT v2.4.0.6
Long-Term Debt (Details 3)
 6 Months Ended
Jun. 30, 2012
Increase in Gentiva's permitted maximum consolidated leverage ratio under Amendment No.3  
March 31, 2012 to September 30, 2014 6.25%
Each fiscal quarter thereafter 5.75%
XML 18 R76.htm IDEA: XBRL DOCUMENT v2.4.0.6
Subsequent Events (Details Textual) (Advocate Hospice LLC [Member], USD $)
In Millions, unless otherwise specified
 6 Months Ended
Jun. 30, 2012
Advocate Hospice LLC [Member]
  
Subsequent Events (Textual) [Abstract]  
Effective date of acquisition Jul. 22, 2012
Total consideration for acquisition of business $ 5.5
Additional consideration payable if certain earnout conditions are met $ 2
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Business Segment Information (Details 2) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Mar. 31, 2012
Jun. 30, 2011
Mar. 31, 2011
Jun. 30, 2012
Jun. 30, 2011
Charges reflecting for segment reporting purposes            
Total $ 25 $ 5,391 $ 21,246 $ 3,765 $ 5,400 $ 25,000
Home Health [Member]
            
Charges reflecting for segment reporting purposes            
Total (100)   0   5,700 300
Hospice [Member]
            
Charges reflecting for segment reporting purposes            
Total 300   0   100 700
Corporate expenses [Member]
            
Charges reflecting for segment reporting purposes            
Total $ (200)   $ 21,200   $ (400) $ 24,000
XML 20 R25.htm IDEA: XBRL DOCUMENT v2.4.0.6
Acquisitions and Dispositions (Tables)
 6 Months Ended
Jun. 30, 2012
Acquisitions and Dispositions [Abstract]  
Summary of net revenues and operating results
                 
    Second Quarter
2011		     First Six Months
2011		  
     

Net revenues

   $ 8,231     $ 15,937  
   

 

 

    

 

 

  
     

Gain before income taxes

   $ 1,105     $ 1,846  

Income tax expense

     (439 )      (733 ) 
   

 

 

    

 

 

  

Discontinued operations, net of tax

   $ 666     $ 1,113  
   

 

 

    

 

 

  
XML 21 R50.htm IDEA: XBRL DOCUMENT v2.4.0.6
Identifiable Intangible Assets and Goodwill (Details 1) (USD $)
In Thousands, unless otherwise specified
 6 Months Ended 12 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Dec. 31, 2011
Gross carrying amount of goodwill      
Goodwill, Beginning Balance $ 641,669 $ 1,085,066 $ 1,085,066
Goodwill adjustment   13,600 13,640
Less: impairment     (457,037)
Goodwill acquired during 2012 0    
Goodwill, Ending Balance 641,669   641,669
Home Health [Member]
      
Gross carrying amount of goodwill      
Goodwill, Beginning Balance 3,688 264,679 264,679
Goodwill adjustment     2,379
Less: impairment     (263,370)
Goodwill acquired during 2012 0    
Goodwill, Ending Balance 3,688   3,688
Hospice [Member]
      
Gross carrying amount of goodwill      
Goodwill, Beginning Balance 637,981 820,387 820,387
Goodwill adjustment     11,261
Less: impairment     (193,667)
Goodwill acquired during 2012 0    
Goodwill, Ending Balance $ 637,981   $ 637,981
XML 22 R42.htm IDEA: XBRL DOCUMENT v2.4.0.6
Fair Value of Financial Instruments (Details Textual) (USD $)
 6 Months Ended 6 Months Ended
Jun. 30, 2012
Dec. 31, 2011
Mar. 09, 2011
Interest Rate Cap [Member]
Jun. 30, 2011
Interest Rate Swap [Member]
Mar. 09, 2011
Interest Rate Swap [Member]
Fair Value of Financial Instruments (Textual) [Abstract]          
Notes Receivable from CareCentrix maturity date Mar. 19, 2017        
Derivative Instruments Held $ 0 $ 0 $ 220,000,000    
Interest rate swaps         300,000,000
Costs to terminate interest rate swaps       $ 300,000  
Interest rate cap expiry date 2011-11        
XML 23 R75.htm IDEA: XBRL DOCUMENT v2.4.0.6
Supplemental Guarantor and Non-Guarantor Financial Information (Details 2) (USD $)
In Thousands, unless otherwise specified
 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
OPERATING ACTIVITIES:    
Net cash provided by operating activities $ 49,144 $ 19,877
INVESTING ACTIVITIES:    
Purchase of fixed assets (6,941) (8,717)
Proceeds from sale of businesses, net of cash transferred 6,090 13,581
Acquisition of businesses, net of cash acquired   (320)
Net cash (used in) provided by investing activities (851) 4,544
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 1,640 6,235
Windfall tax benefits associated with equity-based compensation   194
Repayment of long-term debt (50,000) (23,438)
Debt issuance costs (4,125) (13,457)
Repurchase of common stock (4,974)  
Repayment of capital lease obligations (73) (145)
Other (395) (413)
Net payments related to intercompany financing 0  
Net cash used in financing activities (57,927) (31,024)
Net change in cash and cash equivalents (9,634) (6,603)
Cash and cash equivalents at beginning of period 164,912 104,752
Cash and cash equivalents at end of period 155,278 98,149
Gentiva Health Services, Inc. [Member]
    
OPERATING ACTIVITIES:    
Net cash provided by operating activities (20,697) (15,957)
INVESTING ACTIVITIES:    
Purchase of fixed assets 0  
Proceeds from sale of businesses, net of cash transferred 0 13,581
Net cash (used in) provided by investing activities 0 13,581
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 1,640 6,235
Windfall tax benefits associated with equity-based compensation   194
Repayment of long-term debt (50,000) (23,438)
Debt issuance costs (4,125) (13,457)
Repurchase of common stock (4,974)  
Repayment of capital lease obligations (73) (145)
Other 3,198  
Net payments related to intercompany financing 64,958 26,891
Net cash used in financing activities 10,624 (3,720)
Net change in cash and cash equivalents (10,073) (6,096)
Cash and cash equivalents at beginning of period 124,101 63,816
Cash and cash equivalents at end of period 114,028 57,720
Guarantor Subsidiaries [Member]
    
OPERATING ACTIVITIES:    
Net cash provided by operating activities 65,807 35,192
INVESTING ACTIVITIES:    
Purchase of fixed assets (6,911) (8,604)
Proceeds from sale of businesses, net of cash transferred 6,090  
Acquisition of businesses, net of cash acquired   (320)
Net cash (used in) provided by investing activities (821) (8,924)
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 0  
Repayment of long-term debt 0  
Debt issuance costs 0  
Repurchase of common stock 0  
Repayment of capital lease obligations 0  
Other (28) 623
Net payments related to intercompany financing (64,958) (26,891)
Net cash used in financing activities (64,986) (26,268)
Net change in cash and cash equivalents 0  
Cash and cash equivalents at beginning of period 0  
Cash and cash equivalents at end of period 0  
Non-Guarantor Subsidiaries [Member]
    
OPERATING ACTIVITIES:    
Net cash provided by operating activities 4,034 642
INVESTING ACTIVITIES:    
Purchase of fixed assets (30) (113)
Proceeds from sale of businesses, net of cash transferred 0  
Net cash (used in) provided by investing activities (30) (113)
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 0  
Repayment of long-term debt 0  
Debt issuance costs 0  
Repurchase of common stock 0  
Repayment of capital lease obligations 0  
Other (3,565) (1,036)
Net payments related to intercompany financing 0  
Net cash used in financing activities (3,565) (1,036)
Net change in cash and cash equivalents 439 (507)
Cash and cash equivalents at beginning of period 40,811 40,936
Cash and cash equivalents at end of period 41,250 40,429
Eliminations [Member]
    
OPERATING ACTIVITIES:    
Net cash provided by operating activities 0 0
INVESTING ACTIVITIES:    
Purchase of fixed assets 0 0
Proceeds from sale of businesses, net of cash transferred 0 0
Acquisition of businesses, net of cash acquired   0
Net cash (used in) provided by investing activities 0 0
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 0 0
Windfall tax benefits associated with equity-based compensation   0
Repayment of long-term debt 0 0
Debt issuance costs 0 0
Repurchase of common stock 0  
Repayment of capital lease obligations 0 0
Other 0 0
Net payments related to intercompany financing 0 0
Net cash used in financing activities 0 0
Net change in cash and cash equivalents 0 0
Cash and cash equivalents at beginning of period 0 0
Cash and cash equivalents at end of period $ 0 $ 0
XML 24 R37.htm IDEA: XBRL DOCUMENT v2.4.0.6
Accounting Policies (Details Textual) (USD $)
 3 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Sep. 30, 2011
Dec. 31, 2011
Accounting Policies (Textual) [Abstract]            
Operating funds $ 6,400,000   $ 6,400,000     $ 5,000,000
Amount received from sale of common stock   18,200,000        
Dividend income   4,613,000   4,613,000    
Unamortized debt issuance costs 50,800,000   50,800,000     53,700,000
Capitalized and amortized Debt issuance cost     4,100,000      
Ownership interest in CareCentrix Holdings 0.00%   0.00%     0.00%
Incremental Debt Issuance Costs     5,300,000 10,900,000    
Deferred debt issuance costs, write off     500,000 3,500,000 3,500,000  
Fixed assets, net 44,374,000   44,374,000     46,246,000
Impairment losses of goodwill and indefinite lived intangible assets           0
Obligations under insurance programs 52,926,000   52,926,000     54,976,000
Workers compensation and professional and general liability expenses 2,900,000 2,100,000 7,600,000 6,300,000    
Employee health and welfare expenses 22,500,000 24,400,000 46,100,000 44,700,000    
Common Class A [Member]
            
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]            
Conversion of preferred stock class A to common stock class A       135,870    
Minimum [Member]
            
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]            
Percentage of Medicaid daily nursing home rate     95.00%      
Rabbi Trust [Member]
            
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]            
Assets held in rabbi trust $ 27,900,000   $ 27,900,000     $ 26,300,000
XML 25 R52.htm IDEA: XBRL DOCUMENT v2.4.0.6
Earnings Per Share (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Computations of the basic and diluted per share amounts        
Net income attributable to Gentiva shareholders $ 13,909 $ 5,189 $ 18,749 $ 18,641
Basic weighted average common shares outstanding 30,338 30,293 30,532 30,210
Shares issuable upon the assumed exercise of stock options and under stock plans for employees and directors using the treasury stock method 108 553 100 599
Diluted weighted average common shares outstanding 30,446 30,846 30,632 30,809
Basic earnings per common share        
Net income attributable to Gentiva shareholders $ 0.46 $ 0.17 $ 0.61 $ 0.62
Diluted earnings per common share:        
Net income attributable to Gentiva shareholders $ 0.46 $ 0.17 $ 0.61 $ 0.61
XML 26 R67.htm IDEA: XBRL DOCUMENT v2.4.0.6
Legal Matters (Details Textual) (USD $)
 6 Months Ended
Jun. 30, 2012
LegalMatter
Subpoena
Person
CostReport
Plaintiffs
Lawsuits
Employee
Feb. 15, 2012
Loss Contingencies [Line Items]    
Attorney Fees $ 675,000  
Legal Matters (Textual) [Abstract]    
Loss Contingency, Number of Plaintiffs 5  
Settlement of damages claims 5,000,000  
Former employees of Generations Healthcare 2  
Putative class action lawsuits filed in connection with Odyssey acquisition 3  
Shareholder class actions filed against company 5  
Number of lawsuits filed against the Company's current Board of Directors 2  
Legal Matters Aggregate Adjustment to Allowable Costs 15,900,000  
Number of cost reports 2,000  
Number of patients records 50  
Additional subpoenas from the OIG requesting medical records 2  
Odyssey paid for Settlement Agreement   $ 25,000,000
XML 27 R61.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity (Details Textual) (USD $)
 3 Months Ended 6 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
2005 Repurchase Program [Member]
Apr. 14, 2005
2005 Repurchase Program [Member]
Jun. 30, 2012
2012 Repurchase Program [Member]
Mar. 13, 2012
2012 Repurchase Program [Member]
Equity (Textual) [Abstract]                
Repurchase Limitations           1,500,000   5,000,000
Shares of common stock received in connection with acquisition of business     14,334          
Remaining authorization to repurchase common stock             $ 1,500,000  
Treasury stock, shares     595,177 0        
Authorization to repurchase an aggregate of shares of its outstanding common stock         0      
Remaining shares authorized         0      
Equity (Additional Textual) [Abstract]                
Comprehensive income 14,172,000 5,340,000 19,225,000 18,481,000        
Accumulated other comprehensive income (loss), tax       400,000        
Stock repurchase, shares 605,777              
Stock repurchase, average cost $ 8.22              
Stock repurchase, total cost 5,000,000              
Senior note governing repurchases of the Company's common stock limitations per year 5,000,000   5,000,000          
Limitations per year for leverage ratio less than or equal to 3.5:1 $ 20,000,000   $ 20,000,000          
Consolidated Leverage Ratio less than or equal to 3.5:1   less than or equal to 3.5:1          
XML 28 R47.htm IDEA: XBRL DOCUMENT v2.4.0.6
Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements (Details) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Mar. 31, 2012
Jun. 30, 2011
Mar. 31, 2011
Jun. 30, 2012
Jun. 30, 2011
Costs incurred and cash expenditures            
Beginning Balance $ 13,333 $ 38,379 $ 19,306 $ 19,377 $ 38,379 $ 19,377
Charge 25 5,391 21,246 3,765 5,400 25,000
Cash Expenditure (7,883) (30,240) (15,486) (3,836)    
Non-cash expenditures (114) (197) (407)      
Ending Balance 5,361 13,333 24,659 19,306 5,361 24,659
Cost Savings and Other Restructuring [Member]
            
Costs incurred and cash expenditures            
Beginning Balance 6,005 8,671 2,662 2,893 8,671 2,893
Charge 542 842 504 1,259    
Cash Expenditure (2,462) (3,527) (788) (1,490)    
Non-cash expenditures (114) 19 (407)      
Ending Balance 3,971 6,005 1,971 2,662 3,971 1,971
Acquisition & Integration [Member]
            
Costs incurred and cash expenditures            
Beginning Balance 2,328 3,708 4,144 3,984 3,708 3,984
Charge (517) (409) 2,242 2,506    
Cash Expenditure (421) (755) (2,198) (2,346)    
Non-cash expenditures 0 (216) 0      
Ending Balance 1,390 2,328 4,188 4,144 1,390 4,188
Legal Settlements [Member]
            
Costs incurred and cash expenditures            
Beginning Balance 5,000 26,000 12,500 12,500 26,000 12,500
Charge 0 4,958 18,500 0    
Cash Expenditure (5,000) (25,958) (12,500) 0    
Non-cash expenditures 0 0 0      
Ending Balance $ 0 $ 5,000 $ 18,500 $ 12,500 $ 0 $ 18,500
XML 29 R9.htm IDEA: XBRL DOCUMENT v2.4.0.6
Acquisitions and Dispositions
 6 Months Ended
Jun. 30, 2012
Acquisitions and Dispositions [Abstract]  
Acquisitions And Dispositions
  Note 3.   Acquisitions and Dispositions

Acquisitions

Odyssey Healthcare of Augusta, LLC

Effective April 29, 2011, the Company purchased the outstanding member units representing the noncontrolling interest in Odyssey Healthcare of Augusta, LLC (“Augusta”) for approximately $0.3 million. As a result of the transaction, the Company owns 100 percent of the outstanding member units of Augusta.

Dispositions

Gentiva Consulting, Louisiana Home Health and Hospice Dispositions

Effective May 31, 2012, the Company completed the sale of its Gentiva consulting business to MP Healthcare Partners, LLC, pursuant to an asset purchase agreement, for cash consideration of approximately $0.3 million.

During the second quarter of 2012, the Company sold eight home health branches and four hospice branches in Louisiana, pursuant to an asset purchase agreement, for total consideration of approximately $6.4 million. The Company received proceeds of approximately $5.9 million during the first six months of 2012 and established a receivable of approximately $0.5 million.

In connection with the sales, the Company recorded a gain on sale of businesses in the Company’s consolidated statements of comprehensive income of approximately $5.4 million for the second quarter and first six months of 2012.

Home Health and Hospice Branch Dispositions

In the fourth quarter of 2011, the Company entered into asset purchase agreements to sell the assets of certain home health branches in Utah, Michigan and Nevada, as well as a hospice branch in Texas. In addition, the Company entered into an option agreement to sell the assets of the Company’s home health branch in Brooklyn, New York pending approval by the Public Health Council and New York State Agencies.

Homemaker Services Agency and Rehab Without Walls ® Dispositions

Effective October 14, 2011, the Company completed the sale of its IDOA business to Premier Home Health Care Services, Inc., pursuant to an asset purchase agreement, for total consideration of approximately $2.4 million, consisting of (i) cash proceeds of approximately $2.0 million and (ii) an escrow fund of approximately $0.4 million, to be received by the Company subject to certain post closing conditions. During the first six months of 2012, the Company reduced the escrow fund receivable to approximately $0.3 million as a result of certain post closing conditions and received such funds in July 2012.

Effective September 10, 2011, the Company completed the sale of its Rehab Without Walls ® business to Southern Home Care Services, Inc., pursuant to an asset purchase agreement, for total consideration of approximately $9.8 million. The consideration consisted of (i) cash proceeds of approximately $9.2 million and (ii) an escrow fund of approximately $0.6 million that will be received by the Company subject to certain post closing conditions.

 

Net revenues and operating results for the second quarter and first six months of 2011 for the homemaker services agency business in Illinois and the Rehab Without Walls® ® HME and IV businesses (in thousands):

 

                 
    Second Quarter
2011		     First Six Months
2011		  
     

Net revenues

   $ 8,231     $ 15,937  
   

 

 

    

 

 

  
     

Gain before income taxes

   $ 1,105     $ 1,846  

Income tax expense

     (439 )      (733 ) 
   

 

 

    

 

 

  

Discontinued operations, net of tax

   $ 666     $ 1,113  
   

 

 

    

 

 

  

 
XML 30 R62.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans (Details) (USD $)
 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Weighted-average fair values of the Company's stock options granted    
Weighted average fair value of options granted $ 8.33 $ 11.30
Risk-free interest rate   2.15%
Expected volatility 64.00% 44.00%
Contractual life 7 years 7 years
Expected dividend yield 0.00% 0.00%
Maximum [Member]
    
Weighted-average fair values of the Company's stock options granted    
Risk-free interest rate 0.95%  
Expected life 5 years 4 months 24 days 6 years 6 months
Minimum [Member]
    
Weighted-average fair values of the Company's stock options granted    
Risk-free interest rate 0.77%  
Expected life 3 years 4 months 24 days 4 years 6 months
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Net Revenues and Accounts Receivable (Details) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Net revenues by major payer classification        
Total net revenues $ 427,691 $ 448,712 $ 863,343 $ 899,821
Percentage Variance 4.70%   4.10%  
Home Health [Member]
        
Net revenues by major payer classification        
Total net revenues 235,700 254,300 475,700 510,400
Hospice [Member]
        
Net revenues by major payer classification        
Total net revenues 192,000 194,400 387,600 389,400
Medicare [Member]
        
Net revenues by major payer classification        
Total net revenues 365,700 379,800 738,300 762,400
Medicare [Member] | Home Health [Member]
        
Net revenues by major payer classification        
Total net revenues 186,100 199,800 376,800 401,400
Percentage Variance 6.80%   6.10%  
Medicare [Member] | Hospice [Member]
        
Net revenues by major payer classification        
Total net revenues 179,600 180,000 361,500 361,000
Percentage Variance 0.20%   0.20%  
Medicare [Member] | Total Medicare [Member]
        
Net revenues by major payer classification        
Total net revenues 365,700 379,800 738,300 762,400
Percentage Variance 3.70%   3.20%  
Medicaid and Local Government [Member]
        
Net revenues by major payer classification        
Total net revenues 18,300 21,000 37,700 41,900
Percentage Variance 13.10%   10.10%  
Commercial Insurance and Other [Member] | Paid at Episodic Rates [Member]
        
Net revenues by major payer classification        
Total net revenues 21,300 20,000 41,300 38,700
Percentage Variance 6.50%   6.60%  
Commercial Insurance and Other [Member] | Other [Member]
        
Net revenues by major payer classification        
Total net revenues 22,400 27,900 46,000 56,800
Percentage Variance 19.80%   18.90%  
Commercial Insurance and Other [Member] | Total Commercial Insurance and Other [Member]
        
Net revenues by major payer classification        
Total net revenues $ 43,700 $ 47,900 $ 87,300 $ 95,500
Percentage Variance 8.80%   8.60%  

XML 33 R29.htm IDEA: XBRL DOCUMENT v2.4.0.6
Identifiable Intangible Assets and Goodwill (Tables)
 6 Months Ended
Jun. 30, 2012
Identifiable Intangible Assets and Goodwill [Abstract]  
Gross carrying amount and accumulated amortization of identifiable intangible assets
                                                     
    June 30, 2012     December 31, 2011    

Useful

Life
    Home
Health		     Hospice     Total     Home
Health		     Hospice     Total    

Amortized intangible assets:

                                                    
               

Covenants not to compete

   $ 1,473     $ 15,675     $ 17,148     $ 1,473     $ 15,675     $ 17,148     2-5 Years

Less: accumulated amortization

     (1,423 )      (12,369 )      (13,792 )      (1,411 )      (9,144 )      (10,555 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net covenants not to compete

     50       3,306       3,356       62       6,531       6,593      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Customer relationships

     27,196       910       28,106       27,196       910       28,106     5-10 Years

Less: accumulated amortization

     (16,478 )      (344 )      (16,822 )      (15,304 )      (299 )      (15,603 )     

accumulated impairment losses

     (27 )      —         (27 )      (27 )      —         (27 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net customer relationships

     10,691       566       11,257       11,865       611       12,476      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Tradenames

     18,215       16,730       34,945       18,215       16,730       34,945     5-10 Years

Less: accumulated amortization

     (11,369 )      (3,188 )      (14,557 )      (10,522 )      (2,346 )      (12,868 )     

accumulated impairment losses

     (411 )      —         (411 )      (411 )      —         (411 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net tradenames

     6,435       13,542       19,977       7,282       14,384       21,666      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Subtotal

     17,176       17,414       34,590       19,209       21,526       40,735      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Indefinite-lived intangible assets:

                                                    

Medicare licenses and certificates of need

     220,285       98,526       318,811       220,285       98,526       318,811     Indefinite

Less: accumulated impairment losses

     (144,672 )      (519 )      (145,191 )      (144,672 )      —         (144,672 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net medicare licenses and certificates of need

     75,613       98,007       173,620       75,613       98,526       174,139      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Total identifiable intangible assets

   $ 92,789     $ 115,421     $ 208,210     $ 94,822     $ 120,052     $ 214,874      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
Gross carrying amount of goodwill
                         
    Home Health     Hospice     Total  

Balance at December 31, 2010

   $ 264,679     $ 820,387     $ 1,085,066  

Goodwill adjustment

     2,379       11,261       13,640  

Accumulated impairment losses

     (263,370 )      (193,667 )      (457,037 ) 
   

 

 

    

 

 

    

 

 

  

Balance at December 31, 2011

   $ 3,688     $ 637,981     $ 641,669  

Goodwill acquired during 2012

     —         —         —    
   

 

 

    

 

 

    

 

 

  

Balance at June 30, 2012

   $ 3,688     $ 637,981     $ 641,669  
   

 

 

    

 

 

    

 

 

  
XML 34 R28.htm IDEA: XBRL DOCUMENT v2.4.0.6
Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements (Tables)
 6 Months Ended
Jun. 30, 2012
Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements [Abstract]  
Costs incurred and cash expenditures
                                 
    Cost Savings
and Other
Restructuring		     Acquisition &
Integration		     Legal
Settlements		     Total  
         

Ending balance at December 31, 2010

   $ 2,893     $ 3,984     $ 12,500     $ 19,377  
         

Charge in first quarter 2011

     1,259       2,506       —         3,765  

Cash expenditures

     (1,490 )      (2,346 )      —         (3,836 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at March 31, 2011

     2,662       4,144       12,500       19,306  
         

Charge in second quarter 2011

     504       2,242       18,500       21,246  

Cash expenditures

     (788 )      (2,198 )      (12,500 )      (15,486 ) 

Non-cash expenditures

     (407 )      —         —         (407 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at June 30, 2011

   $ 1,971     $ 4,188     $ 18,500     $ 24,659  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Ending balance at December 31, 2011

   $ 8,671     $ 3,708     $ 26,000     $ 38,379  
         

Charge in first quarter 2012

     842       (409 )      4,958       5,391  

Cash expenditures

     (3,527 )      (755 )      (25,958 )      (30,240 ) 

Non-cash expenditures

     19       (216 )      —         (197 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at March 31, 2012

     6,005       2,328       5,000       13,333  
         

Charge in second quarter 2012

     542       (517 )      —         25  

Cash expenditures

     (2,462 )      (421 )      (5,000 )      (7,883 ) 

Non-cash expenditures

     (114 )      —         —         (114 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at June 30, 2012

   $ 3,971     $ 1,390     $ —       $ 5,361  
   

 

 

    

 

 

    

 

 

    

 

 

  
XML 35 R56.htm IDEA: XBRL DOCUMENT v2.4.0.6
Long-Term Debt (Details 2)
 6 Months Ended
Jun. 30, 2012
Maximum Consolidated Leverage Ratio Subsequent to Amendment No. 2  
August 17, 2010 to September 30, 2011 4.75%
October 1, 2011 to September 30, 2012 4.50%
October 1, 2012 to September 30, 2013 3.75%
Thereafter 3.00%
XML 36 R44.htm IDEA: XBRL DOCUMENT v2.4.0.6
Net Revenues and Accounts Receivable (Details 1) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Accounts receivable attributable to major payer sources of reimbursement    
Gross Accounts Receivable $ 272,838 $ 302,151
Less: Allowance for doubtful accounts (12,807) (11,562)
Net Accounts Receivable 260,031 290,589
Medicare [Member]
    
Accounts receivable attributable to major payer sources of reimbursement    
Gross Accounts Receivable 193,707 217,028
Medicaid and Local Government [Member]
    
Accounts receivable attributable to major payer sources of reimbursement    
Gross Accounts Receivable 40,116 46,553
Commercial Insurance and Other [Member]
    
Accounts receivable attributable to major payer sources of reimbursement    
Gross Accounts Receivable $ 39,015 $ 38,570
XML 37 R30.htm IDEA: XBRL DOCUMENT v2.4.0.6
Earnings Per Share (Tables)
 6 Months Ended
Jun. 30, 2012
Earnings Per Share [Abstract]  
Computations of the basic and diluted per share amounts
                                 
    For the Three Months Ended     For the Six Months Ended  
    June 30, 2012     June 30, 2011     June 30, 2012     June 30, 2011  

Net income attributable to Gentiva shareholders

   $ 13,909     $ 5,189     $ 18,749     $ 18,641  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Basic weighted average common shares outstanding

     30,338       30,293       30,532       30,210  
         

Shares issuable upon the assumed exercise of stock options and under stock plans for employees and directors using the treasury stock method

     108       553       100       599  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Diluted weighted average common shares outstanding

     30,446       30,846       30,632       30,809  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Basic earnings per common share

                                

Net income attributable to Gentiva shareholders

   $ 0.46     $ 0.17     $ 0.61     $ 0.62  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Diluted earnings per common share:

                                

Net income attributable to Gentiva shareholders

   $ 0.46     $ 0.17     $ 0.61     $ 0.61  
   

 

 

    

 

 

    

 

 

    

 

 

  
XML 38 R31.htm IDEA: XBRL DOCUMENT v2.4.0.6
Long-Term Debt (Tables)
 6 Months Ended
Jun. 30, 2012
Long-Term Debt [Abstract]  
Long-term debt
                 
    June 30, 2012     December 31, 2011  

Credit Agreement:

                

Term Loan A, maturing August 17, 2015

   $ 146,693     $ 158,653  

Term Loan B, maturing August 17, 2016

     466,432       504,472  

11.5% Senior Notes due 2018

     325,000       325,000  
   

 

 

    

 

 

  

Total debt

     938,125       988,125  

Less: current portion of long-term debt

     (15,443 )      (14,903 ) 
   

 

 

    

 

 

  

Total long-term debt

   $ 922,682     $ 973,222  
   

 

 

    

 

 

  
Applicable Rate for Term Loan A
                                         
    Previous Applicable Rate     Amended Applicable Rate        

Consolidated

Leverage Ratio

   Eurodollar Rate Loans and
Letter of Credit Fees		     Base Rate
Loans		     Eurodollar Rate Loans and
Letter of Credit Fees		     Base Rate
Term A Loans		     Base Rate
Term B Loans		  
> 3.0:1     5.00 %      4.00 %      3.25 %      2.25 %      2.25 % 
> 2.0:1 and < 3.0:1     4.50 %      3.50 %      3.00 %      2.00 %      2.00 % 
< 2.0:1     4.00 %      3.00 %      2.75 %      1.75 %      1.75 % 
Maximum consolidated leverage ratio
     

For the period

   Maximum Consolidated
Leverage Ratio

August 17, 2010 to September 30, 2011

   £ 4.75:1

October 1, 2011 to September 30, 2012

   £ 4.50:1

October 1, 2012 to September 30, 2013

   £ 3.75:1

Thereafter

   £ 3.00:1
Increase in Gentiva's permitted maximum consolidated leverage ratio under Amendment No.3
     

Four Fiscal Quarters Ending

   Maximum Consolidated
Leverage Ratio

March 31, 2012 to September 30, 2014

   £ 6.25:1

Each fiscal quarter thereafter

   £ 5.75:1
Senior Notes at redemption prices set forth below plus accrued and unpaid interest and Additional Interest
         

Year

   Percentage  

2014

     105.750 % 

2015

     102.875 % 

2016 and thereafter

     100.000 % 
XML 39 R8.htm IDEA: XBRL DOCUMENT v2.4.0.6
Accounting Policies
 6 Months Ended
Jun. 30, 2012
Accounting Policies [Abstract]  
Accounting Policies
  Note 2.   Accounting Policies

Cash and Cash Equivalents

The Company considers all investments with a maturity date three months or less from their date of acquisition to be cash equivalents, including money market funds invested in U.S. Treasury securities, short-term treasury bills and commercial paper. Cash and cash equivalents also included amounts on deposit with several major financial institutions in excess of the maximum amount insured by the Federal Deposit Insurance Corporation. Management believes that these major financial institutions are viable entities.

The Company had operating funds of approximately $6.4 million and $5.0 million at June 30, 2012 and December 31, 2011, respectively, which relate exclusively to a non-profit hospice operation managed in Florida.

Investments

At both June 30, 2012 and December 31, 2011, the Company had no remaining ownership interest in CareCentrix Holdings Inc. During the second quarter of 2011, the Company exchanged 135,870 shares of class A preferred stock of CareCentrix Holdings Inc. for shares of class A common stock of CareCentrix Holdings Inc. The Company then sold such shares of class A common stock to a new investor in CareCentrix. The Company received $18.2 million of which $4.6 million represented accumulated and unpaid dividends on the preferred shares which were reflected in dividend income in the Company’s consolidated statements of comprehensive income.

At June 30, 2012 and December 31, 2011, the Company had assets of $27.9 million and $26.3 million, respectively, held in a Rabbi Trust for the benefit of participants of the Company’s non-qualified defined contribution retirement plan. The corresponding amounts payable to the plan participants are equivalent to the underlying value of the assets held in the Rabbi Trust. Assets held in a Rabbi Trust and amounts payable to plan participants are classified in other assets and other liabilities, respectively, in the Company’s consolidated balance sheets.

Debt Issuance Costs

The Company amortizes deferred debt issuance costs over the term of its credit agreement and senior notes. As of June 30, 2012 and December 31, 2011, the Company had unamortized debt issuance costs of $50.8 million and $53.7 million, respectively, recorded in other assets in the Company’s consolidated balance sheets. During the first six months of 2012, the Company incurred incremental debt issuance costs of approximately $5.3 million in connection with an amendment to the Company’s Term Loan A, Term Loan B and revolving credit facilities. Approximately $4.1 million of these costs have been capitalized and are being amortized over the remaining life of the debt using an effective interest rate methodology. In addition, the Company wrote off prepaid debt issuance costs of approximately $0.5 million, which is reflected in interest expense in the Company’s consolidated statement of comprehensive income, associated with the reduction in the revolving credit facility.

During the first six months of 2011, the Company (i) incurred incremental debt issuance costs of approximately $10.9 million and (ii) recorded a write-off of deferred debt issuance costs of approximately $3.5 million in connection with the refinancing of the Company’s Term Loan A and Term Loan B under the Company’s credit agreement. See Note 10 for additional information.

Fixed Assets

Fixed assets, including costs of Company developed software, are stated at cost and depreciated over the estimated useful lives of the assets using the straight-line method. Leasehold improvements are amortized over the shorter of the life of the lease or the life of the improvement. Repairs and maintenance costs are expensed as incurred. As of June 30, 2012 and December 31, 2011, fixed assets, net were $44.4 million and $46.2 million, respectively.

Goodwill and Other Indefinite-Lived Intangible Assets

The Company is required to test goodwill and other indefinite-lived intangible assets for impairment on an annual basis and between annual tests if current events or circumstances require an interim impairment assessment. The Company allocates goodwill to its various operating units. The Company compares the fair value of each operating unit to its carrying amount to determine if there is potential goodwill impairment. If the fair value of an operating unit is less than its carrying value, an impairment loss is recorded to the extent that the fair value of the goodwill within the operating unit is less than the carrying value of its goodwill. To determine the fair value of the Company’s operating units, the Company uses a present value (discounted cash flow) technique corroborated by market multiples when available, or other valuation methodologies, as appropriate.

If the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment loss is recognized. Fair values of other indefinite-lived intangible assets are determined based on discounted cash flows or appraised values, as appropriate.

During 2011, the Company determined a triggering event had occurred and performed an interim impairment test of its identifiable intangible assets and goodwill. The Company recorded a non-cash charge to reduce the carrying value of certain identifiable intangible assets, as well as goodwill, to their estimated fair values. See Note 8 for additional information.

The Company also completed its annual impairment test of goodwill and indefinite-lived intangible assets for the Company’s operating units as of December 31, 2011, which indicated that there was no additional impairment.

Obligations Under Self Insurance Programs

As of June 30, 2012 and December 31, 2011, the Company’s obligations under insurance programs were $52.9 million and $55.0 million, respectively. The decrease is primarily attributable to favorable claim trends and the timing of payments.

Workers’ compensation and professional and general liability expenses were $2.9 million and $7.6 million for the second quarter and first six months of 2012, respectively, as compared to $2.1 million and $6.3 million for the corresponding periods of 2011. Employee health and welfare expenses were $22.5 million and $46.1 million for the second quarter and first six months of 2012, respectively, as compared to $24.4 million and $44.7 million for the corresponding periods of 2011.

 

Nursing Home Costs

For patients receiving nursing home care under a state Medicaid program who elect hospice care under Medicare or Medicaid, the Company contracts with nursing homes for the nursing homes to provide patients’ room and board services. The state must pay the Company, in addition to the applicable Medicare or Medicaid hospice daily or hourly rate, an amount equal to at least 95 percent of the Medicaid daily nursing home rate for room and board furnished to the patient by the nursing home. Under the Company’s standard nursing home contracts, the Company pays the nursing home for these room and board services at the Medicaid daily nursing home rate. Nursing home costs are partially offset by nursing home net revenue, and the net amount is included in cost of services sold in the Company’s consolidated statements of comprehensive income.

 
XML 40 R32.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity (Tables)
 6 Months Ended
Jun. 30, 2012
Equity [Abstract]  
Changes in Equity
                                                                 
    Gentiva Shareholders              
    Common Stock     Additional
Paid-in		     Retained
Earnings
Accumulated		     Accumulated
Other
Comprehensive		     Treasury     Noncontrolling        
    Shares     Amount     Capital     (Deficit)     Income (Loss)     Stock     Interests     Total  

Balance at December 31, 2010

     30,799,091     $ 3,080     $ 372,106     $ 272,394     $ 478     $ (12,484 )    $ 2,658     $ 638,232  
                 

Comprehensive income:

                                                                

Net income

     —         —         —         18,641       —         —         318       18,959  

Changes in fair value of interest rate swaps

     —         —         —         —         (768 )      —         —         (768 ) 

Realized loss on interest rate swaps

     —         —         —         —         290       —         —         290  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total comprehensive income

     —         —         —         18,641       (478 )      —         318       18,481  
                 

Income tax benefits associated with the exercise of non-qualified stock options

     —         —         259       —         —         —         —         259  

Equity-based compensation expense

     —         —         4,361       —         —         —         —         4,361  

Net issuance of stock upon exercise of stock options and under stock plans for employees and directors

     420,593       42       6,204       —         —         —         —         6,246  

Purchase of non-controlling interest

     —         —         (352 )      —         —         —         32       (320 ) 

Distribution to partnership interests

     —         —         —         —         —         —         (478 )      (478 ) 

Treasury shares:

                                                                

Common stock received from Healthfield escrow (14,334 shares)

     —         —         —         —         —         (394 )      —         (394 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Balance at June 30, 2011

     31,219,684     $ 3,122     $ 382,578     $ 291,035     $ —       $ (12,878 )    $ 2,530     $ 666,387  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
                 

Balance at December 31, 2011

     31,435,264     $ 3,144     $ 387,803     $ (178,131 )    $ —       $ (12,878 )    $ 2,593     $ 202,531  
                 

Comprehensive income:

                                                                

Net income

     —         —         —         18,749       —         —         476       19,225  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total comprehensive income

     —         —         —         18,749       —         —         476       19,225  
                 

Equity-based compensation expense

     —         —         3,442       —         —         —         —         3,442  

Net issuance of stock upon exercise of stock options and under stock plans for employees and directors

     259,658       25       1,615       —         —         —         —         1,640  

Purchase of non-controlling interest

     —         —         —         —         —         —         (1,111 )      (1,111 ) 

Distribution to partnership interests

     —         —         —         —         —         —         (495 )      (495 ) 

Treasury shares:

                                                                

Stock repurchase (605,077 shares)

     —         —         —         —         —         (4,974 )      —         (4,974 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Balance at June 30, 2012

     31,694,922     $ 3,169     $ 392,860     $ (159,382 )    $ —       $ (17,852 )    $ 1,463     $ 220,258  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
XML 41 R40.htm IDEA: XBRL DOCUMENT v2.4.0.6
Fair Value of Financial Instruments (Details) (Recurring [Member], USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Financial assets measured at fair value on a recurring basis    
Assets fair value $ 81,942 $ 80,329
Money Market Funds [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 54,045 54,006
Money Market Funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 6,006 697
Mutual funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 21,891 25,626
Payables To Plan Participant [Member]
    
Financial assets measured at fair value on a recurring basis    
Liabilities fair value 27,897 26,323
Level 1 [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 81,942 80,329
Level 1 [Member] | Money Market Funds [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 54,045 54,006
Level 1 [Member] | Money Market Funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 6,006 697
Level 1 [Member] | Mutual funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 21,891 25,626
Level 1 [Member] | Payables To Plan Participant [Member]
    
Financial assets measured at fair value on a recurring basis    
Liabilities fair value 27,897 26,323
Level 2 [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 2 [Member] | Money Market Funds [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 2 [Member] | Money Market Funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 2 [Member] | Mutual funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 2 [Member] | Payables To Plan Participant [Member]
    
Financial assets measured at fair value on a recurring basis    
Liabilities fair value 0 0
Level 3 [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 3 [Member] | Money Market Funds [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 3 [Member] | Money Market Funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 3 [Member] | Mutual funds [Member] | Rabbi Trust [Member]
    
Financial assets measured at fair value on a recurring basis    
Assets fair value 0 0
Level 3 [Member] | Payables To Plan Participant [Member]
    
Financial assets measured at fair value on a recurring basis    
Liabilities fair value $ 0 $ 0
XML 42 R53.htm IDEA: XBRL DOCUMENT v2.4.0.6
Earnings Per Share (Details Textual) (Stock Options [Member])
In Millions, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Stock Options [Member]
        
Earnings Per Share (Textual) [Abstract]        
Anit-dilutive effect of options and restricted stock awards 2.9 1.1 3.0 1.1
XML 43 R72.htm IDEA: XBRL DOCUMENT v2.4.0.6
Business Segment Information (Details Textual) (USD $)
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Mar. 31, 2012
Jun. 30, 2011
Mar. 31, 2011
Jun. 30, 2012
Jun. 30, 2011
Segment Reporting Information [Line Items]            
Interest expense and other, net $ (22,655,000)   $ (20,786,000)   $ (44,157,000) $ (47,669,000)
Segment Reporting Information, Profit (Loss) [Abstract]            
Charge 25,000 5,391,000 21,246,000 3,765,000 5,400,000 25,000,000
Settlement and Legal Fees     18,500,000      
Recognized dividend income     4,613,000     4,613,000
Interest Rate Swap [Member]
            
Segment Reporting Information [Line Items]            
Interest expense and other, net         500,000 3,800,000
Home Health [Member]
            
Segment Reporting Information [Line Items]            
Number of states in certified providers serving 38       38  
Segment Reporting Information, Profit (Loss) [Abstract]            
Charge (100,000)   0   5,700,000 300,000
Hospice [Member]
            
Segment Reporting Information [Line Items]            
Number of states in certified providers serving 28       28  
Segment Reporting Information, Profit (Loss) [Abstract]            
Charge 300,000   0   100,000 700,000
Corporate expenses [Member]
            
Segment Reporting Information, Profit (Loss) [Abstract]            
Charge $ (200,000)   $ 21,200,000   $ (400,000) $ 24,000,000
XML 44 R2.htm IDEA: XBRL DOCUMENT v2.4.0.6
Consolidated Balance Sheets (Unaudited) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Current assets:    
Cash and cash equivalents $ 155,278 $ 164,912
Accounts receivable, less allowance for doubtful accounts of $12,807 and $11,562 at June 30, 2012 and December 31, 2011, respectively 260,031 290,589
Deferred tax assets, net 17,214 26,451
Prepaid expenses and other current assets 46,402 38,379
Total current assets 478,925 520,331
Note receivable from CareCentrix 25,000 25,000
Fixed assets, net 44,374 46,246
Intangible assets, net 208,210 214,874
Goodwill 641,669 641,669
Other assets 80,843 82,208
Total assets 1,479,021 1,530,328
Current liabilities:    
Current portion of long-term debt 15,443 14,903
Accounts payable 13,008 12,613
Payroll and related taxes 37,964 42,027
Deferred revenue 38,516 34,114
Medicare liabilities 25,703 23,066
Obligations under insurance programs 52,926 54,976
Accrued nursing home costs 22,706 24,223
Other accrued expenses 62,293 89,270
Total current liabilities 268,559 295,192
Long-term debt 922,682 973,222
Deferred tax liabilities, net 33,167 32,498
Other liabilities 34,355 26,885
Gentiva shareholders' equity:    
Common stock, $0.10 par value; authorized 100,000,000 shares; issued 31,694,922 and 31,435,264 shares at June 30, 2012 and December 31, 2011, respectively 3,169 3,144
Additional paid-in capital 392,860 387,803
Treasury stock, 1,260,879 and 655,802 shares at June 30, 2012 and December 31, 2011, respectively (17,852) (12,878)
Accumulated deficit (159,382) (178,131)
Total Gentiva shareholders' equity 218,795 199,938
Noncontrolling interests 1,463 2,593
Total equity 220,258 202,531
Total liabilities and equity $ 1,479,021 $ 1,530,328
XML 45 R45.htm IDEA: XBRL DOCUMENT v2.4.0.6
Net Revenues and Accounts Receivable (Details Textual) (USD $)
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Dec. 31, 2011
Jun. 30, 2012
Medicare [Member]
Dec. 31, 2011
Medicare [Member]
Jun. 30, 2012
Medicare [Member]
Hospice [Member]
Jun. 30, 2011
Medicare [Member]
Hospice [Member]
Jun. 30, 2012
Medicare [Member]
Hospice [Member]
Jun. 30, 2011
Medicare [Member]
Hospice [Member]
Net Revenues and Accounts Receivable (Textual) [Abstract]                
Cost of reimbursable expense         $ 1,100,000 $ 1,100,000 $ 3,200,000 $ 1,700,000
Medicare cap liabilities     18,800,000 15,600,000        
Allowance for credit loss 0 0            
Commercials Insurance self pay accounts receivables related to patient $ 2,100,000 $ 2,100,000            
XML 46 R6.htm IDEA: XBRL DOCUMENT v2.4.0.6
Consolidated Statements of Cash Flows (Parenthetical) (Unaudited)
 6 Months Ended
Jun. 30, 2012
Consolidated Statements of Cash Flows [Abstract]  
Shares of common stock received in connection with acquisition of business 14,334
XML 47 R59.htm IDEA: XBRL DOCUMENT v2.4.0.6
Long-Term Debt (Details Textual) (USD $)
 3 Months Ended 6 Months Ended 9 Months Ended 6 Months Ended 6 Months Ended 9 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended 6 Months Ended 9 Months Ended 6 Months Ended 6 Months Ended 6 Months Ended 9 Months Ended 6 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Sep. 30, 2011
Dec. 31, 2011
Mar. 09, 2011
Jun. 30, 2012
Interest Expense [Member]
Jun. 30, 2012
Interest Rate Cap [Member]
Nov. 15, 2010
Interest Rate Cap [Member]
Jun. 30, 2012
Interest Rate Swap [Member]
Sep. 30, 2011
Interest Rate Swap [Member]
Nov. 15, 2010
Interest Rate Swap [Member]
Jun. 30, 2012
Maximum [Member]
Jun. 30, 2014
Maximum [Member]
Sep. 30, 2013
Maximum [Member]
Jun. 30, 2013
Maximum [Member]
Sep. 30, 2011
Maximum [Member]
Nov. 15, 2010
Maximum [Member]
Interest Rate Cap [Member]
Jun. 30, 2012
Minimum [Member]
Jun. 30, 2012
Term Loan A [Member]
Mar. 31, 2012
Term Loan A [Member]
Jun. 30, 2012
Term Loan A [Member]
Mar. 05, 2012
Term Loan A [Member]
Sep. 30, 2011
Term Loan A [Member]
Jun. 30, 2012
Term Loan A [Member]
Future Payments [Member]
Jun. 30, 2012
Term Loan B [Member]
Sep. 30, 2011
Term Loan B [Member]
Mar. 05, 2012
Term Loan B [Member]
Jun. 30, 2012
Term Loan B [Member]
Future Payments [Member]
Jun. 30, 2012
Term Loan B [Member]
Minimum [Member]
Jun. 30, 2012
Leverage Ratio Range One [Member]
Term Loan A [Member]
Jun. 30, 2012
Leverage Ratio Range Two [Member]
Term Loan A [Member]
Jun. 30, 2012
Leverage Ratio Range Three [Member]
Jun. 30, 2012
Leverage Ratio Range Three [Member]
Term Loan A [Member]
Sep. 30, 2011
Leverage Ratio Range Three [Member]
Minimum Base Rate [Member]
Term Loan A [Member]
Sep. 30, 2011
Credit Agreement [Member]
Jun. 30, 2012
Revolving Credit Facility [Member]
Sep. 30, 2011
Revolving Credit Facility [Member]
Jun. 30, 2012
Senior Notes [Member]
Sep. 01, 2018
Senior Notes [Member]
Dec. 31, 2011
Senior Notes [Member]
Sep. 30, 2011
Senior Notes [Member]
Sep. 30, 2011
Senior Notes [Member]
Minimum [Member]
Jun. 30, 2012
Credit facility interest rate option X [Member]
Jun. 30, 2012
Credit Facility Interest Rate Option Y [Member]
Jun. 30, 2012
Credit Facility Interest Rate Option Z [Member]
Long-Term Debt (Textual) [Abstract]                                                                                              
Term Loan A Maturity Date                                             Aug. 17, 2015                             Aug. 17, 2015   Aug. 01, 2018              
Consolidated Interest Coverage Ratio, Original                           2.75%                                                                  
Consolidated Interest Coverage Ratio After Amendment No. 1                           2.25%                                                                  
Minimum Cash Consolidated Interest Coverage Ratio After Amendment No. 3         2.60%                   1.75% 1.75% 2.00% 2.25%                                                          
Line of credit facility, maximum borrowing capacity                                         $ 200,000,000   $ 200,000,000                             $ 110,000,000                  
Aggregate principal amount of Senior Notes redemption                                                                               325,000,000   325,000,000          
Debt Instrument Maturity Year                                                                                     2018        
Outstanding letters of credit                                                 200,000,000     550,000,000                   125,000,000                  
Capitalized cost associated with revolving credit facility     4,100,000                                                                     800,000                  
Aggregate principal payments of long term debt for each of 2013 and 2014                                                                               25,000,000              
Unused and available borrowing capacity under the Credit Agreement 64,600,000   64,600,000                                                                                        
Weighted average cash interest rate on outstanding borrowings 8.20%   8.20%     6.90%                                                                                  
Principal payment                                             25,000,000     0   13,800,000   0                                  
Consolidated leverage ratio 480.00%   480.00%                                                                                        
Consolidated interest coverage ratio 270.00%   270.00%                                                                                        
Principal prepayments term loan                                         6,300,000   2,900,000       466,400,000                                        
Refinancing Amendment reduction in the minimum Base Rate 2.25%   2.25%                                                       4.00%                                
Term Loan A and Term Loan B Amended Minimum Eurodollar Rate 1.25%   1.25%                     1.75%           1.25%             3.50%                                        
Term Loan B Original Minimum Eurodollar Rate                                                             5.00%                                
Consolidated Leverage Ratio                                                               >3.0:1 >2.0:1 and < 3.0:1   < 2.0:1                        
Refinancing Amendment minimum Base Rate Amended                           2.75%           2.25%             2.50%                 1.75%                      
Credit Agreement Interest Rate     Base Rate represents the highest of (x) the Bank of America prime rate, (y) the federal funds rate plus 0.50 percent and (z) the Eurodollar Rate plus 1.00 percent                                                                                   the Bank of America prime rate the federal funds rate plus 0.50 percent the Eurodollar Rate plus 1.00 percent
Commitment fees                                                                             0.50%                
Variable Interest Rate                                                                                           0.50% 1.00%
Effective Interest Rate             6.75%                           6.25%   6.25% 4.50%     6.50%   4.75%                           11.50%        
Notional value consolidated outstanding indebtedness                       50.00%                                                                      
Time Period of Derivative Coverage                 3 years                                                                            
Notional Amount of Interest Rate Derivatives                   220,000,000     300,000,000                                                                    
Derivative Asset Period                 1 year   2 years                                                                        
Description of interest rate risk exposure                 Under the interest rate cap, the Company would pay a fixed rate of 1.75 percent per annum plus an applicable rate (an aggregate of 6.75 percent per annum for the period beginning November 15, 2010 through December 30, 2011) on the $220 million rather than a variable rate plus an applicable rate should the variable rate plus applicable rate exceed 6.75 percent                                                                            
Interest rate cap fixed rate                   1.75%                                                                          
Maximum Consolidated Leverage Ratio for specified time period     4.75%                                                                                        
Aggregate Interest Rate on interest rate cap                                     6.75%                                                        
Derivative Interest Rate Cap Term for Applicability of Fixed Rate                                         Variable rate plus applicable rate exceed 6.75 percent   Variable rate plus applicable rate exceed 6.75 percent                                                
Interest expense and other 23,352,000 21,425,000 45,515,000 48,973,000               300,000                                                                      
Prepayment premium aggregate principal amount                                                       1.00%                                      
Proceeds from the issuance of equity with step-downs based on leverage                                                       50.00%                                      
Excess cash flow with two step downs based on company leverage ratio                                                       75.00%                                      
Prepayment Penalty Percentage Term loan                                                       2.00%                                      
Pre Payment Penalty on Term Loan                                                       10,900,000                                      
Maximum Consolidated Leverage Ratio for specified time period                           4.50                                                                  
Cost incurred in connection with Amendment 3                                                                   5,300,000                          
Pledge of Capital Stock to Lenders Percentage     100.00%                                                                                        
Debt Instrument Redemption Terms                                                                                 Gentiva may redeem up to 35 percent of the aggregate principal amount of the Senior Notes with the net cash proceeds of a qualified equity offering at a redemption price equal to 111.5 percent of the aggregate principal amount, provided that (i) at least 65 percent of the aggregate principal amount of Senior Notes originally issued remain outstanding after the occurrence of such redemption and (ii) such redemption occurs within 180 days after the closing of a qualified equity offering.            
Percentage of senior notes to be redeemed                                                                                     35.00%        
Senior notes redemption price                                                                                     111.50%        
Redemption Clause One                                                                               at least 65 percent of the aggregate principal amount of Senior Notes originally issued remain outstanding after the occurrence of such redemption              
Minimum Percentage of Senior notes originally issued to remain after redemption                                                                                       65.00%      
Debt Instrument Redemption Clause Two                                                                               Such redemption occurs within 180 days after the closing of a qualified equity offering              
Consolidated Leverage Ratio                                                                         4.40                    
Prepayment on Term Loan A facility at the end of fourth quarter of 2012                                         0 12,000,000                                                  
Number of days after which redemption can occur     180 days                                                                                        
Prepayment of outstanding Term Loan B facility                                                     38,000,000                                        
Debt instrument redemption price terms                                                                               Gentiva may redeem the Senior Notes, in whole or in part, at any time prior to the first interest payment of 2014, at a price equal to 100 percent of the principal amount of the Senior Notes redeemed plus an applicable make-whole premium based on the present value of the remaining payments discounted at the treasury rate plus 50 basis points plus accrued and unpaid interest, if any, to the date of redemption.              
Deferred debt issuance costs, write off     500,000 3,500,000 3,500,000     500,000                                                                              
Long-Term Debt (Additional Textual) [Abstract]                                                                                              
Aggregate principal payments of long term debt for 2012 2,900,000   2,900,000                                                                                        
Aggregate principal payments of long term debt for 2015 93,800,000   93,800,000                                                                                        
Aggregate principal payments of long term debt for 2016 466,400,000   466,400,000                                                                                        
Aggregate principal payments of long term debt for 2017 and thereafter 325,000,000   325,000,000                                                                                        
Repayment of borrowings under revolving credit facility     50,000,000                                                                                        
Current portion of obligations under capital leases 100,000   100,000     100,000                                                                                  
Outstanding letter of credit $ 45,400,000   $ 45,400,000     $ 41,800,000                                                                                  
Senior Notes redemption price determination percentage     100.00%                                                                                        
Premium on redemption of senior notes, basis points added to treasury rate     5.00%                                                                                        
XML 48 R35.htm IDEA: XBRL DOCUMENT v2.4.0.6
Supplemental Guarantor and Non-Guarantor Financial Information (Tables)
 6 Months Ended
Jun. 30, 2012
Supplemental Guarantor and Non-Guarantor Financial Information [Abstract]  
Condensed Consolidating Balance Sheet

Condensed Consolidating Balance Sheet

June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

ASSETS

                                       

Current assets:

                                        

Cash and cash equivalents

   $ 114,028     $ —       $ 41,250     $ —       $ 155,278  

Receivables, net

     —         257,909       21,467       (19,345 )      260,031  

Deferred tax assets, net

     —         14,848       2,366       —         17,214  

Prepaid expenses and other current assets

     —         33,384       13,375       (357 )      46,402  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current assets

     114,028       306,141       78,458       (19,702 )      478,925  

Note receivable from CareCentrix

     —         25,000       —         —         25,000  

Fixed assets, net

     —         44,074       300       —         44,374  

Intangible assets, net

     —         208,110       100       —         208,210  

Goodwill

     —         635,605       6,064       —         641,669  

Investment in subsidiaries

     1,042,892       28,384       —         (1,071,276 )      —    

Other assets

     —         80,835       8       —         80,843  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total assets

   $ 1,156,920     $ 1,328,149     $ 84,930     $ (1,090,978 )    $ 1,479,021  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

LIABILITIES AND EQUITY

                                        

Current liabilities:

                                        

Current portion of long-term debt

   $ 15,443     $ —       $ —       $ —       $ 15,443  

Accounts payable

     —         31,274       1,079       (19,345 )      13,008  

Other current liabilities

     —         186,477       53,988       (357 )      240,108  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current liabilities

     15,443       217,751       55,067       (19,702 )      268,559  

Long-term debt

     922,682       —         —         —         922,682  

Deferred tax liabilities, net

     —         33,167       —         —         33,167  

Other liabilities

     —         34,339       16       —         34,355  
           

Total Gentiva shareholders’ equity

     218,795       1,042,892       28,384       (1,071,276 )      218,795  

Noncontrolling interests

     —         —         1,463       —         1,463  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total equity

     218,795       1,042,892       29,847       (1,071,276 )      220,258  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total liabilities and equity

   $ 1,156,920     $ 1,328,149     $ 84,930     $ (1,090,978 )    $ 1,479,021  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Balance Sheet

December 31, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

ASSETS

                                        

Current assets:

                                        

Cash and cash equivalents

   $ 124,101     $ —       $ 40,811     $ —       $ 164,912  

Receivables, net

     —         283,552       18,168       (11,131 )      290,589  

Deferred tax assets, net

     —         24,560       1,891       —         26,451  

Prepaid expenses and other current assets

     —         32,619       6,904       (1,144 )      38,379  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current assets

     124,101       340,731       67,774       (12,275 )      520,331  

Note receivable from CareCentrix

     —         25,000       —         —         25,000  

Fixed assets, net

     —         45,917       329       —         46,246  

Intangible assets, net

     —         214,774       100       —         214,874  

Goodwill

     —         635,605       6,064       —         641,669  

Investment in subsidiaries

     1,063,962       25,173       —         (1,089,135 )      —    

Other assets

     —         82,200       8       —         82,208  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total assets

   $ 1,188,063     $ 1,369,400     $ 74,275     $ (1,101,410 )    $ 1,530,328  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

LIABILITIES AND EQUITY

                                        

Current liabilities:

                                        

Current portion of long-term debt

   $ 14,903     $ —       $ —       $ —       $ 14,903  

Accounts payable

     —         22,913       831       (11,131 )      12,613  

Other current liabilities

     —         223,165       45,655       (1,144 )      267,676  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current liabilities

     14,903       246,078       46,486       (12,275 )      295,192  

Long-term debt

     973,222       —         —         —         973,222  

Deferred tax liabilities, net

     —         32,498       —         —         32,498  

Other liabilities

             26,862       23               26,885  
           

Total Gentiva shareholders’ equity

     199,938       1,063,962       25,173       (1,089,135 )      199,938  

Noncontrolling interests

     —         —         2,593       —         2,593  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total equity

     199,938       1,063,962       27,766       (1,089,135 )      202,531  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total liabilities and equity

   $ 1,188,063     $ 1,369,400     $ 74,275     $ (1,101,410 )    $ 1,530,328  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
Condensed Consolidating Statement of Comprehensive Income

Condensed Consolidating Statement of Comprehensive Income

For the Three Months Ended June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 416,774     $ 13,930     $ (3,013 )    $ 427,691  

Cost of services sold

     —         216,455       9,295       (3,013 )      222,737  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         200,319       4,635       —         204,954  

Selling, general and administrative expenses

     —         (159,965 )      (3,963 )      —         (163,928 ) 

Gain on sale of assets

     —         5,447       —         —         5,447  

Interest (expense) and other, net

     (22,678 )      —         23       —         (22,655 ) 

Equity in earnings of subsidiaries

     26,850       53       —         (26,903 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     4,172       45,854       695       (26,903 )      23,818  

Income tax benefit (expense)

     9,737       (19,004 )      (379 )      —         (9,646 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     13,909       26,850       316       (26,903 )      14,172  

Discontinued operations, net of tax

     —         —         —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     13,909       26,850       316       (26,903 )      14,172  

Noncontrolling interests

     —         —         (263 )      —         (263 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 13,909     $ 26,850     $ 53     $ (26,903 )    $ 13,909  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Comprehensive income

   $ 13,909     $ 26,850     $ 316     $ (26,903 )    $ 14,172  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Three Months Ended June 30, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 438,576     $ 12,827     $ (2,691 )    $ 448,712  

Cost of services sold

     —         232,800       4,042       (2,691 )      234,151  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         205,776       8,785       —         214,561  

Selling, general and administrative expenses

     —         (187,809 )      (3,829 )      —         (191,638 ) 

Dividend income

             4,613       —                 4,613  

Interest (expense) and other, net

     (20,799 )      —         13       —         (20,786 ) 

Equity in earnings of subsidiaries

     18,001       3,435       —         (21,436 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     (2,798 )      26,015       4,969       (21,436 )      6,750  

Income tax benefit (expense)

     7,987       (8,851 )      (1,548 )      —         (2,412 ) 

Equity in net earnings of CareCentrix

     —         336       —         —         336  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     5,189       17,500       3,421       (21,436 )      4,674  

Discontinued operations, net of tax

     —         501       165       —         666  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     5,189       18,001       3,586       (21,436 )      5,340  

Noncontrolling interests

     —         —         (151 )      —         (151 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 5,189     $ 18,001     $ 3,435     $ (21,436 )    $ 5,189  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Comprehensive income

   $ 5,189     $ 18,001     $ 3,586     $ (21,436 )    $ 5,340  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Six Months Ended June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 840,201     $ 28,243     $ (5,101 )    $ 863,343  

Cost of services sold

     —         445,056       15,643       (5,101 )      455,598  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         395,145       12,600       —         407,745  

Selling, general and administrative expenses

     —         (329,513 )      (8,122 )      —         (337,635 ) 

Gain on sale of assets

             5,447       —         —         5,447  

Interest (expense) and other, net

     (44,221 )      —         64       —         (44,157 ) 

Equity in earnings of subsidiaries

     44,937       2,213       —         (47,150 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     716       73,292       4,542       (47,150 )      31,400  

Income tax benefit (expense)

     18,033       (28,355 )      (1,853 )      —         (12,175 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     18,749       44,937       2,689       (47,150 )      19,225  

Discontinued operations, net of tax

     —         —         —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     18,749       44,937       2,689       (47,150 )      19,225  

Noncontrolling interests

     —         —         (476 )      —         (476 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 18,749     $ 44,937     $ 2,213     $ (47,150 )    $ 18,749  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Comprehensive income

   $ 18,749     $ 44,937     $ 2,689     $ (47,150 )    $ 19,225  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Six Months Ended June 30, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 880,021     $ 25,502     $ (5,702 )    $ 899,821  

Cost of services sold

     —         460,447       10,162       (5,702 )      464,907  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         419,574       15,340       —         434,914  

Selling, general and administrative expenses

     —         (357,185 )      (7,186 )      —         (364,371 ) 

Dividend income

     —         4,613       —         —         4,613  

Interest (expense) and other, net

     (47,699 )      —         30       —         (47,669 ) 

Equity in earnings of subsidiaries

     48,024       5,726       —         (53,750 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     325       72,728       8,184       (53,750 )      27,487  

Income tax benefit (expense)

     18,316       (26,421 )      (2,426 )      —         (10,531 ) 

Equity in net earnings of CareCentrix

     —         890       —         —         890  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     18,641       47,197       5,758       (53,750 )      17,846  

Discontinued operations, net of tax

     —         827       286       —         1,113  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     18,641       48,024       6,044       (53,750 )      18,959  

Noncontrolling interests

     —         —         (318 )      —         (318 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 18,641     $ 48,024     $ 5,726     $ (53,750 )    $ 18,641  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Comprehensive income

   $ 18,163     $ 48,024     $ 6,044     $ (53,750 )    $ 18,481  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
Condensed Consolidating Statement of Cash Flows

Condensed Consolidating Statement of Cash Flows

For the Six Months Ended June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

OPERATING ACTIVITIES:

                                        

Net cash provided by (used in) operating activities

   $ (20,697 )    $ 65,807     $ 4,034     $ —       $ 49,144  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

INVESTING ACTIVITIES:

                                        

Purchase of fixed assets

     —         (6,911 )      (30 )      —         (6,941 ) 

Proceeds from sale of businesses

     —         6,090       —         —         6,090  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash used in investing activities

     —         (821 )      (30 )      —         (851 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

FINANCING ACTIVITIES:

                                        

Proceeds from issuance of common stock

     1,640       —         —         —         1,640  

Repayment of long-term debt

     (50,000 )      —         —         —         (50,000 ) 

Debt issuance costs

     (4,125 )      —         —         —         (4,125 ) 

Repurchase of common stock

     (4,974 )      —         —         —         (4,974 ) 

Repayment of capital lease obligations

     (73 )      —         —         —         (73 ) 

Other

     3,198       (28 )      (3,565 )      —         (395 ) 

Net payments related to intercompany financing

     64,958       (64,958 )      —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash used in financing activities

     10,624       (64,986 )      (3,565 )      —         (57,927 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Net change in cash and cash equivalents

     (10,073 )      —         439       —         (9,634 ) 

Cash and cash equivalents at beginning of period

     124,101       —         40,811       —         164,912  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Cash and cash equivalents at end of period

   $ 114,028     $ —       $ 41,250     $ —       $ 155,278  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Cash Flows

For the Six Months Ended June 30, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

OPERATING ACTIVITIES:

                                        

Net cash (used in) provided by operating activities

   $ (15,957 )    $ 35,192     $ 642     $ —       $ 19,877  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

INVESTING ACTIVITIES:

                                        

Purchase of fixed assets

     —         (8,604 )      (113 )      —         (8,717 ) 

Proceeds from sale of businesses

     13,581       —         —         —         13,581  

Acquisition of businesses

     —         (320 )      —         —         (320 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash provided by (used in) investing activities

     13,581       (8,924 )      (113 )      —         4,544  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

FINANCING ACTIVITIES:

                                        

Proceeds from issuance of common stock

     6,235       —         —         —         6,235  

Windfall tax benefits associated with equity-based compensation

     194       —         —         —         194  

Repayment of long-term debt

     (23,438 )      —         —         —         (23,438 ) 

Debt issuance costs

     (13,457 )      —         —         —         (13,457 ) 

Repayment of capital lease obligations

     (145 )      —         —         —         (145 ) 

Other

     —         623       (1,036 )      —         (413 ) 

Net payments related to intercompany financing

     26,891       (26,891 )      —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash (used in) provided by financing activities

     (3,720 )      (26,268 )      (1,036 )      —         (31,024 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Net change in cash and cash equivalents

     (6,096 )      —         (507 )      —         (6,603 ) 

Cash and cash equivalents at beginning of period

     63,816       —         40,936       —         104,752  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Cash and cash equivalents at end of period

   $ 57,720     $ —       $ 40,429     $ —       $ 98,149  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
XML 49 R65.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans (Details 3) (Restricted Stock [Member], USD $)
 6 Months Ended
Jun. 30, 2012
Restricted Stock [Member]
  
Summary of restricted Stock activity  
Number of Restricted Shares, Beginning balance 377,750
Weighted Average Exercise Price, Beginning balance $ 25.30
Number of Restricted Shares, Granted 0
Weighted Average Exercise Price, Granted $ 0.00
Number of Restricted Shares, Exercised 0
Weighted Average Exercise Price, Exercised $ 0.00
Number of Performance Share Units, Cancelled (7,500)
Weighted Average Exercise Price, Cancelled $ 26.55
Number of Performance Share Units, Ending balance 370,250
Weighted Average Exercise Price, Ending balance $ 25.27
Aggregate Intrinsic Value, Ending Balance $ 2,565,833
XML 50 R22.htm IDEA: XBRL DOCUMENT v2.4.0.6
Supplemental Guarantor and Non-Guarantor Financial Information
 6 Months Ended
Jun. 30, 2012
Supplemental Guarantor and Non-Guarantor Financial Information [Abstract]  
Supplemental Guarantor and Non-Guarantor Financial Information
  Note 16.   Supplemental Guarantor and Non-Guarantor Financial Information

Gentiva’s guarantor subsidiaries are guarantors to the Company’s debt securities which are registered under the Securities Act of 1933, as amended. The condensed consolidating financial statements presented below are provided pursuant to Rule 3-10 of Regulation S-X. Separate financial statements of each subsidiary guaranteeing Gentiva’s debt securities are not presented because the guarantor subsidiaries are jointly and severally, fully and unconditionally liable under the guarantees, and 100 percent owned by the Company. There are no restrictions on the ability to obtain funds from these subsidiaries by dividends or other means.

The following condensed consolidating financial statements include the balance sheets as of June 30, 2012 and December 31, 2011, statements of comprehensive income for the three months and six months ended June 30, 2012 and 2011 and statements of cash flows for the six months ended June 30, 2012 and 2011 of (i) Gentiva Health Services, Inc. (in each case, reflecting investments in its consolidated subsidiaries under the equity method of accounting), (ii) its guarantor subsidiaries, (iii) its non-guarantor subsidiaries, and (iv) the eliminations necessary to arrive at the information for the Company on a consolidated basis.

 

Condensed Consolidating Balance Sheet

June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

ASSETS

                                       

Current assets:

                                        

Cash and cash equivalents

   $ 114,028     $ —       $ 41,250     $ —       $ 155,278  

Receivables, net

     —         257,909       21,467       (19,345 )      260,031  

Deferred tax assets, net

     —         14,848       2,366       —         17,214  

Prepaid expenses and other current assets

     —         33,384       13,375       (357 )      46,402  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current assets

     114,028       306,141       78,458       (19,702 )      478,925  

Note receivable from CareCentrix

     —         25,000       —         —         25,000  

Fixed assets, net

     —         44,074       300       —         44,374  

Intangible assets, net

     —         208,110       100       —         208,210  

Goodwill

     —         635,605       6,064       —         641,669  

Investment in subsidiaries

     1,042,892       28,384       —         (1,071,276 )      —    

Other assets

     —         80,835       8       —         80,843  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total assets

   $ 1,156,920     $ 1,328,149     $ 84,930     $ (1,090,978 )    $ 1,479,021  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

LIABILITIES AND EQUITY

                                        

Current liabilities:

                                        

Current portion of long-term debt

   $ 15,443     $ —       $ —       $ —       $ 15,443  

Accounts payable

     —         31,274       1,079       (19,345 )      13,008  

Other current liabilities

     —         186,477       53,988       (357 )      240,108  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current liabilities

     15,443       217,751       55,067       (19,702 )      268,559  

Long-term debt

     922,682       —         —         —         922,682  

Deferred tax liabilities, net

     —         33,167       —         —         33,167  

Other liabilities

     —         34,339       16       —         34,355  
           

Total Gentiva shareholders’ equity

     218,795       1,042,892       28,384       (1,071,276 )      218,795  

Noncontrolling interests

     —         —         1,463       —         1,463  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total equity

     218,795       1,042,892       29,847       (1,071,276 )      220,258  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total liabilities and equity

   $ 1,156,920     $ 1,328,149     $ 84,930     $ (1,090,978 )    $ 1,479,021  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Balance Sheet

December 31, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

ASSETS

                                        

Current assets:

                                        

Cash and cash equivalents

   $ 124,101     $ —       $ 40,811     $ —       $ 164,912  

Receivables, net

     —         283,552       18,168       (11,131 )      290,589  

Deferred tax assets, net

     —         24,560       1,891       —         26,451  

Prepaid expenses and other current assets

     —         32,619       6,904       (1,144 )      38,379  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current assets

     124,101       340,731       67,774       (12,275 )      520,331  

Note receivable from CareCentrix

     —         25,000       —         —         25,000  

Fixed assets, net

     —         45,917       329       —         46,246  

Intangible assets, net

     —         214,774       100       —         214,874  

Goodwill

     —         635,605       6,064       —         641,669  

Investment in subsidiaries

     1,063,962       25,173       —         (1,089,135 )      —    

Other assets

     —         82,200       8       —         82,208  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total assets

   $ 1,188,063     $ 1,369,400     $ 74,275     $ (1,101,410 )    $ 1,530,328  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

LIABILITIES AND EQUITY

                                        

Current liabilities:

                                        

Current portion of long-term debt

   $ 14,903     $ —       $ —       $ —       $ 14,903  

Accounts payable

     —         22,913       831       (11,131 )      12,613  

Other current liabilities

     —         223,165       45,655       (1,144 )      267,676  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total current liabilities

     14,903       246,078       46,486       (12,275 )      295,192  

Long-term debt

     973,222       —         —         —         973,222  

Deferred tax liabilities, net

     —         32,498       —         —         32,498  

Other liabilities

             26,862       23               26,885  
           

Total Gentiva shareholders’ equity

     199,938       1,063,962       25,173       (1,089,135 )      199,938  

Noncontrolling interests

     —         —         2,593       —         2,593  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total equity

     199,938       1,063,962       27,766       (1,089,135 )      202,531  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total liabilities and equity

   $ 1,188,063     $ 1,369,400     $ 74,275     $ (1,101,410 )    $ 1,530,328  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Three Months Ended June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 416,774     $ 13,930     $ (3,013 )    $ 427,691  

Cost of services sold

     —         216,455       9,295       (3,013 )      222,737  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         200,319       4,635       —         204,954  

Selling, general and administrative expenses

     —         (159,965 )      (3,963 )      —         (163,928 ) 

Gain on sale of assets

     —         5,447       —         —         5,447  

Interest (expense) and other, net

     (22,678 )      —         23       —         (22,655 ) 

Equity in earnings of subsidiaries

     26,850       53       —         (26,903 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     4,172       45,854       695       (26,903 )      23,818  

Income tax benefit (expense)

     9,737       (19,004 )      (379 )      —         (9,646 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     13,909       26,850       316       (26,903 )      14,172  

Discontinued operations, net of tax

     —         —         —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     13,909       26,850       316       (26,903 )      14,172  

Noncontrolling interests

     —         —         (263 )      —         (263 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 13,909     $ 26,850     $ 53     $ (26,903 )    $ 13,909  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Comprehensive income

   $ 13,909     $ 26,850     $ 316     $ (26,903 )    $ 14,172  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Three Months Ended June 30, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 438,576     $ 12,827     $ (2,691 )    $ 448,712  

Cost of services sold

     —         232,800       4,042       (2,691 )      234,151  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         205,776       8,785       —         214,561  

Selling, general and administrative expenses

     —         (187,809 )      (3,829 )      —         (191,638 ) 

Dividend income

             4,613       —                 4,613  

Interest (expense) and other, net

     (20,799 )      —         13       —         (20,786 ) 

Equity in earnings of subsidiaries

     18,001       3,435       —         (21,436 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     (2,798 )      26,015       4,969       (21,436 )      6,750  

Income tax benefit (expense)

     7,987       (8,851 )      (1,548 )      —         (2,412 ) 

Equity in net earnings of CareCentrix

     —         336       —         —         336  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     5,189       17,500       3,421       (21,436 )      4,674  

Discontinued operations, net of tax

     —         501       165       —         666  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     5,189       18,001       3,586       (21,436 )      5,340  

Noncontrolling interests

     —         —         (151 )      —         (151 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 5,189     $ 18,001     $ 3,435     $ (21,436 )    $ 5,189  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Comprehensive income

   $ 5,189     $ 18,001     $ 3,586     $ (21,436 )    $ 5,340  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Six Months Ended June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 840,201     $ 28,243     $ (5,101 )    $ 863,343  

Cost of services sold

     —         445,056       15,643       (5,101 )      455,598  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         395,145       12,600       —         407,745  

Selling, general and administrative expenses

     —         (329,513 )      (8,122 )      —         (337,635 ) 

Gain on sale of assets

             5,447       —         —         5,447  

Interest (expense) and other, net

     (44,221 )      —         64       —         (44,157 ) 

Equity in earnings of subsidiaries

     44,937       2,213       —         (47,150 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     716       73,292       4,542       (47,150 )      31,400  

Income tax benefit (expense)

     18,033       (28,355 )      (1,853 )      —         (12,175 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     18,749       44,937       2,689       (47,150 )      19,225  

Discontinued operations, net of tax

     —         —         —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     18,749       44,937       2,689       (47,150 )      19,225  

Noncontrolling interests

     —         —         (476 )      —         (476 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 18,749     $ 44,937     $ 2,213     $ (47,150 )    $ 18,749  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Comprehensive income

   $ 18,749     $ 44,937     $ 2,689     $ (47,150 )    $ 19,225  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Comprehensive Income

For the Six Months Ended June 30, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  
           

Net revenues

   $ —       $ 880,021     $ 25,502     $ (5,702 )    $ 899,821  

Cost of services sold

     —         460,447       10,162       (5,702 )      464,907  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Gross profit

     —         419,574       15,340       —         434,914  

Selling, general and administrative expenses

     —         (357,185 )      (7,186 )      —         (364,371 ) 

Dividend income

     —         4,613       —         —         4,613  

Interest (expense) and other, net

     (47,699 )      —         30       —         (47,669 ) 

Equity in earnings of subsidiaries

     48,024       5,726       —         (53,750 )      —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations before income taxes and equity in net earnings of CareCentrix

     325       72,728       8,184       (53,750 )      27,487  

Income tax benefit (expense)

     18,316       (26,421 )      (2,426 )      —         (10,531 ) 

Equity in net earnings of CareCentrix

     —         890       —         —         890  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Income from continuing operations

     18,641       47,197       5,758       (53,750 )      17,846  

Discontinued operations, net of tax

     —         827       286       —         1,113  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income

     18,641       48,024       6,044       (53,750 )      18,959  

Noncontrolling interests

     —         —         (318 )      —         (318 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net income attributable to Gentiva shareholders

   $ 18,641     $ 48,024     $ 5,726     $ (53,750 )    $ 18,641  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Comprehensive income

   $ 18,163     $ 48,024     $ 6,044     $ (53,750 )    $ 18,481  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Cash Flows

For the Six Months Ended June 30, 2012

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

OPERATING ACTIVITIES:

                                        

Net cash provided by (used in) operating activities

   $ (20,697 )    $ 65,807     $ 4,034     $ —       $ 49,144  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

INVESTING ACTIVITIES:

                                        

Purchase of fixed assets

     —         (6,911 )      (30 )      —         (6,941 ) 

Proceeds from sale of businesses

     —         6,090       —         —         6,090  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash used in investing activities

     —         (821 )      (30 )      —         (851 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

FINANCING ACTIVITIES:

                                        

Proceeds from issuance of common stock

     1,640       —         —         —         1,640  

Repayment of long-term debt

     (50,000 )      —         —         —         (50,000 ) 

Debt issuance costs

     (4,125 )      —         —         —         (4,125 ) 

Repurchase of common stock

     (4,974 )      —         —         —         (4,974 ) 

Repayment of capital lease obligations

     (73 )      —         —         —         (73 ) 

Other

     3,198       (28 )      (3,565 )      —         (395 ) 

Net payments related to intercompany financing

     64,958       (64,958 )      —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash used in financing activities

     10,624       (64,986 )      (3,565 )      —         (57,927 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Net change in cash and cash equivalents

     (10,073 )      —         439       —         (9,634 ) 

Cash and cash equivalents at beginning of period

     124,101       —         40,811       —         164,912  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Cash and cash equivalents at end of period

   $ 114,028     $ —       $ 41,250     $ —       $ 155,278  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Condensed Consolidating Statement of Cash Flows

For the Six Months Ended June 30, 2011

(In thousands)

 

                                         
    Gentiva Health
Services, Inc.		     Guarantor
Subsidiaries		     Non-Guarantor
Subsidiaries		     Eliminations     Consolidated
Total		  

OPERATING ACTIVITIES:

                                        

Net cash (used in) provided by operating activities

   $ (15,957 )    $ 35,192     $ 642     $ —       $ 19,877  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

INVESTING ACTIVITIES:

                                        

Purchase of fixed assets

     —         (8,604 )      (113 )      —         (8,717 ) 

Proceeds from sale of businesses

     13,581       —         —         —         13,581  

Acquisition of businesses

     —         (320 )      —         —         (320 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash provided by (used in) investing activities

     13,581       (8,924 )      (113 )      —         4,544  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

FINANCING ACTIVITIES:

                                        

Proceeds from issuance of common stock

     6,235       —         —         —         6,235  

Windfall tax benefits associated with equity-based compensation

     194       —         —         —         194  

Repayment of long-term debt

     (23,438 )      —         —         —         (23,438 ) 

Debt issuance costs

     (13,457 )      —         —         —         (13,457 ) 

Repayment of capital lease obligations

     (145 )      —         —         —         (145 ) 

Other

     —         623       (1,036 )      —         (413 ) 

Net payments related to intercompany financing

     26,891       (26,891 )      —         —         —    
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Net cash (used in) provided by financing activities

     (3,720 )      (26,268 )      (1,036 )      —         (31,024 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
           

Net change in cash and cash equivalents

     (6,096 )      —         (507 )      —         (6,603 ) 

Cash and cash equivalents at beginning of period

     63,816       —         40,936       —         104,752  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Cash and cash equivalents at end of period

   $ 57,720     $ —       $ 40,429     $ —       $ 98,149  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 
XML 51 R36.htm IDEA: XBRL DOCUMENT v2.4.0.6
Background and Basis of Presentation (Details Textual) (USD $)
 1 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended 1 Months Ended
Apr. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Apr. 29, 2011
Jun. 30, 2012
Home Health and Hospice [Member]
Jun. 30, 2012
Home Health and Hospice [Member]
May 31, 2012
MP Healthcare Partners [Member]
Background and Basis of Presentation (Textual) [Abstract]              
Sale of business         $ 6,400,000   $ 300,000
Proceeds from Divestiture of Businesses   6,090,000 13,581,000   5,900,000 5,900,000  
Receivables from business dispositions           500,000  
Background and Basis of Presentation (Additional Textual) [Abstract]              
Purchased the outstanding member units representing the noncontrolling interest $ 300,000            
Outstanding member units       100.00%      
Accounts and operations of the Company and its subsidiaries Percentage   50.00%          
XML 52 R24.htm IDEA: XBRL DOCUMENT v2.4.0.6
Accounting Policies (Policies)
 6 Months Ended
Jun. 30, 2012
Accounting Policies [Abstract]  
Cash and Cash Equivalents

Cash and Cash Equivalents

The Company considers all investments with a maturity date three months or less from their date of acquisition to be cash equivalents, including money market funds invested in U.S. Treasury securities, short-term treasury bills and commercial paper. Cash and cash equivalents also included amounts on deposit with several major financial institutions in excess of the maximum amount insured by the Federal Deposit Insurance Corporation. Management believes that these major financial institutions are viable entities.

The Company had operating funds of approximately $6.4 million and $5.0 million at June 30, 2012 and December 31, 2011, respectively, which relate exclusively to a non-profit hospice operation managed in Florida.

Investments

Investments

At both June 30, 2012 and December 31, 2011, the Company had no remaining ownership interest in CareCentrix Holdings Inc. During the second quarter of 2011, the Company exchanged 135,870 shares of class A preferred stock of CareCentrix Holdings Inc. for shares of class A common stock of CareCentrix Holdings Inc. The Company then sold such shares of class A common stock to a new investor in CareCentrix. The Company received $18.2 million of which $4.6 million represented accumulated and unpaid dividends on the preferred shares which were reflected in dividend income in the Company’s consolidated statements of comprehensive income.

At June 30, 2012 and December 31, 2011, the Company had assets of $27.9 million and $26.3 million, respectively, held in a Rabbi Trust for the benefit of participants of the Company’s non-qualified defined contribution retirement plan. The corresponding amounts payable to the plan participants are equivalent to the underlying value of the assets held in the Rabbi Trust. Assets held in a Rabbi Trust and amounts payable to plan participants are classified in other assets and other liabilities, respectively, in the Company’s consolidated balance sheets.

Debt Issuance Costs

Debt Issuance Costs

The Company amortizes deferred debt issuance costs over the term of its credit agreement and senior notes. As of June 30, 2012 and December 31, 2011, the Company had unamortized debt issuance costs of $50.8 million and $53.7 million, respectively, recorded in other assets in the Company’s consolidated balance sheets. During the first six months of 2012, the Company incurred incremental debt issuance costs of approximately $5.3 million in connection with an amendment to the Company’s Term Loan A, Term Loan B and revolving credit facilities. Approximately $4.1 million of these costs have been capitalized and are being amortized over the remaining life of the debt using an effective interest rate methodology. In addition, the Company wrote off prepaid debt issuance costs of approximately $0.5 million, which is reflected in interest expense in the Company’s consolidated statement of comprehensive income, associated with the reduction in the revolving credit facility.

During the first six months of 2011, the Company (i) incurred incremental debt issuance costs of approximately $10.9 million and (ii) recorded a write-off of deferred debt issuance costs of approximately $3.5 million in connection with the refinancing of the Company’s Term Loan A and Term Loan B under the Company’s credit agreement. See Note 10 for additional information.

Fixed assets

Fixed Assets

Fixed assets, including costs of Company developed software, are stated at cost and depreciated over the estimated useful lives of the assets using the straight-line method. Leasehold improvements are amortized over the shorter of the life of the lease or the life of the improvement. Repairs and maintenance costs are expensed as incurred. As of June 30, 2012 and December 31, 2011, fixed assets, net were $44.4 million and $46.2 million, respectively.

Goodwill and Other Indefinite-Lived Intangible Assets

Goodwill and Other Indefinite-Lived Intangible Assets

The Company is required to test goodwill and other indefinite-lived intangible assets for impairment on an annual basis and between annual tests if current events or circumstances require an interim impairment assessment. The Company allocates goodwill to its various operating units. The Company compares the fair value of each operating unit to its carrying amount to determine if there is potential goodwill impairment. If the fair value of an operating unit is less than its carrying value, an impairment loss is recorded to the extent that the fair value of the goodwill within the operating unit is less than the carrying value of its goodwill. To determine the fair value of the Company’s operating units, the Company uses a present value (discounted cash flow) technique corroborated by market multiples when available, or other valuation methodologies, as appropriate.

If the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment loss is recognized. Fair values of other indefinite-lived intangible assets are determined based on discounted cash flows or appraised values, as appropriate.

During 2011, the Company determined a triggering event had occurred and performed an interim impairment test of its identifiable intangible assets and goodwill. The Company recorded a non-cash charge to reduce the carrying value of certain identifiable intangible assets, as well as goodwill, to their estimated fair values. See Note 8 for additional information.

The Company also completed its annual impairment test of goodwill and indefinite-lived intangible assets for the Company’s operating units as of December 31, 2011, which indicated that there was no additional impairment.

Obligations Under Self Insurance Programs

Obligations Under Self Insurance Programs

As of June 30, 2012 and December 31, 2011, the Company’s obligations under insurance programs were $52.9 million and $55.0 million, respectively. The decrease is primarily attributable to favorable claim trends and the timing of payments.

Workers’ compensation and professional and general liability expenses were $2.9 million and $7.6 million for the second quarter and first six months of 2012, respectively, as compared to $2.1 million and $6.3 million for the corresponding periods of 2011. Employee health and welfare expenses were $22.5 million and $46.1 million for the second quarter and first six months of 2012, respectively, as compared to $24.4 million and $44.7 million for the corresponding periods of 2011.

Nursing Home Costs

Nursing Home Costs

For patients receiving nursing home care under a state Medicaid program who elect hospice care under Medicare or Medicaid, the Company contracts with nursing homes for the nursing homes to provide patients’ room and board services. The state must pay the Company, in addition to the applicable Medicare or Medicaid hospice daily or hourly rate, an amount equal to at least 95 percent of the Medicaid daily nursing home rate for room and board furnished to the patient by the nursing home. Under the Company’s standard nursing home contracts, the Company pays the nursing home for these room and board services at the Medicaid daily nursing home rate. Nursing home costs are partially offset by nursing home net revenue, and the net amount is included in cost of services sold in the Company’s consolidated statements of comprehensive income.

XML 53 R68.htm IDEA: XBRL DOCUMENT v2.4.0.6
Income Taxes (Details Textual) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Income Taxes (Textual) [Abstract]        
Income tax expense $ (9,646) $ (2,412) $ (12,175) $ (10,531)
Company's effective rate     38.80% 38.30%
Effective Federal Tax Rate     35.00% 35.00%
Change in tax reserves     2.10% 1.90%
State income taxes, federal benefit     5.10% 4.60%
Other items     0.80% 0.60%
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Background and Basis of Presentation
 6 Months Ended
Jun. 30, 2012
Background and Basis of Presentation [Abstract]  
Background and Basis of Presentation
  Note 1.   Background and Basis of Presentation

Gentiva Health Services, Inc. (“Gentiva” or the “Company”) provides home health services and hospice care throughout most of the United States. The Company’s continuing operations involve servicing its patients and customers through (i) its Home Health segment and (ii) its Hospice segment.

Effective May 31, 2012, the Company completed the sale of its Gentiva consulting business to MP Healthcare Partners, LLC, pursuant to an asset purchase agreement, for cash consideration of approximately $0.3 million.

During the second quarter of 2012, the Company sold eight home health branches and four hospice branches in Louisiana, pursuant to an asset purchase agreement, for total consideration of approximately $6.4 million. The Company received proceeds of approximately $5.9 million during the second quarter and first six months of 2012 and established a receivable of approximately $0.5 million.

Effective October 14, 2011, the Company sold its homemaker services agency business in Illinois (“IDOA”) pursuant to an asset purchase agreement. The financial results of this business are presented as discontinued operations in the Company’s consolidated financial statements for the three and six months ended June 30, 2011. See Note 3 for additional information.

Effective September 10, 2011, the Company completed the sale of its Rehab Without Walls ® business. The financial results of the Rehab Without Walls ® business are presented as discontinued operations in the Company’s consolidated financial statements for the three and six months ended June 30, 2011. See Note 3 for additional information.

Effective April 29, 2011, the Company purchased the outstanding member units representing the noncontrolling interest in Odyssey Healthcare of Augusta, LLC (“Augusta”) for approximately $0.3 million. As a result of the transaction, the Company owns 100 percent of the outstanding member units of Augusta.

In addition, the Company has completed various other transactions that have impacted the Company’s results of operations and financial condition and are reflected therein as further described in Note 3.

The accompanying interim consolidated financial statements are unaudited, and have been prepared by the Company using accounting principles consistent with those described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2011, and pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) and, in the opinion of management, include all adjustments necessary for a fair statement of financial position, results of operations and cash flows for each period presented. Certain information and disclosures normally included in the consolidated statements of financial position, comprehensive income and cash flows prepared in conformity with accounting principles generally accepted in the United States of America have been condensed or omitted as permitted by such rules and regulations. Results for interim periods are not necessarily indicative of results for a full year. The year-end balance sheet data was derived from audited financial statements.

The Company’s consolidated financial statements include the accounts and operations of the Company and its subsidiaries in which the Company owns more than a 50 percent interest. Noncontrolling interests, which relate to the minority ownership held by third party investors in certain of the Company’s hospice programs, are reported below net income under the heading “Net income attributable to noncontrolling interests” in the Company’s consolidated statements of comprehensive income and presented as a component of equity in the Company’s consolidated balance sheets. All balances and transactions between the consolidated entities have been eliminated.

 
XML 56 R3.htm IDEA: XBRL DOCUMENT v2.4.0.6
Consolidated Balance Sheets (Parenthetical) (Unaudited) (USD $)
In Thousands, except Share data, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Consolidated Balance Sheets [Abstract]    
Accounts receivables, allowance for doubtful accounts $ 12,807 $ 11,562
Common stock, par value $ 0.10 $ 0.10
Common stock, shares authorized 100,000,000 100,000,000
Common stock, shares issued 31,694,922 31,435,264
Treasury stock, shares 1,260,879 655,802
XML 57 R17.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity
 6 Months Ended
Jun. 30, 2012
Equity [Abstract]  
Equity
  Note 11.   Equity

Changes in equity for the six months ended June 30, 2012 and 2011 were as follows (in thousands, except share amounts):

 

                                                                 
    Gentiva Shareholders              
    Common Stock     Additional
Paid-in		     Retained
Earnings
Accumulated		     Accumulated
Other
Comprehensive		     Treasury     Noncontrolling        
    Shares     Amount     Capital     (Deficit)     Income (Loss)     Stock     Interests     Total  

Balance at December 31, 2010

     30,799,091     $ 3,080     $ 372,106     $ 272,394     $ 478     $ (12,484 )    $ 2,658     $ 638,232  
                 

Comprehensive income:

                                                                

Net income

     —         —         —         18,641       —         —         318       18,959  

Changes in fair value of interest rate swaps

     —         —         —         —         (768 )      —         —         (768 ) 

Realized loss on interest rate swaps

     —         —         —         —         290       —         —         290  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total comprehensive income

     —         —         —         18,641       (478 )      —         318       18,481  
                 

Income tax benefits associated with the exercise of non-qualified stock options

     —         —         259       —         —         —         —         259  

Equity-based compensation expense

     —         —         4,361       —         —         —         —         4,361  

Net issuance of stock upon exercise of stock options and under stock plans for employees and directors

     420,593       42       6,204       —         —         —         —         6,246  

Purchase of non-controlling interest

     —         —         (352 )      —         —         —         32       (320 ) 

Distribution to partnership interests

     —         —         —         —         —         —         (478 )      (478 ) 

Treasury shares:

                                                                

Common stock received from Healthfield escrow (14,334 shares)

     —         —         —         —         —         (394 )      —         (394 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Balance at June 30, 2011

     31,219,684     $ 3,122     $ 382,578     $ 291,035     $ —       $ (12,878 )    $ 2,530     $ 666,387  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
                 

Balance at December 31, 2011

     31,435,264     $ 3,144     $ 387,803     $ (178,131 )    $ —       $ (12,878 )    $ 2,593     $ 202,531  
                 

Comprehensive income:

                                                                

Net income

     —         —         —         18,749       —         —         476       19,225  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total comprehensive income

     —         —         —         18,749       —         —         476       19,225  
                 

Equity-based compensation expense

     —         —         3,442       —         —         —         —         3,442  

Net issuance of stock upon exercise of stock options and under stock plans for employees and directors

     259,658       25       1,615       —         —         —         —         1,640  

Purchase of non-controlling interest

     —         —         —         —         —         —         (1,111 )      (1,111 ) 

Distribution to partnership interests

     —         —         —         —         —         —         (495 )      (495 ) 

Treasury shares:

                                                                

Stock repurchase (605,077 shares)

     —         —         —         —         —         (4,974 )      —         (4,974 ) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Balance at June 30, 2012

     31,694,922     $ 3,169     $ 392,860     $ (159,382 )    $ —       $ (17,852 )    $ 1,463     $ 220,258  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Comprehensive income amounted to $14.2 million and $19.2 million for the second quarter and first six months of 2012, respectively, and $5.3 million and $18.5 million for the second quarter and first six months of 2011, respectively. The amounts reflected in accumulated other comprehensive income (loss) for the six months ended June 30, 2011 are reflected net of tax of approximately $0.4 million.

On April 14, 2005, the Company announced that its Board of Directors had authorized the repurchase of up to 1,500,000 shares of the Company’s outstanding common stock (the “2005 Repurchase Program”). In addition, on March 13, 2012, the Company announced that its Board of Directors had authorized the repurchase of up to $5,000,000 of shares of the Company’s outstanding common stock (the “2012 Repurchase Program”). During the three months ended June 30, 2012, the Company repurchased 605,777 shares of its common stock at an average cost of $8.22 per share and a total cost of approximately $5.0 million. Due to these repurchases, as of June 30, 2012, the Company had no remaining shares authorized under the 2005 Repurchase Program and remaining authorization under the 2012 Repurchase Program to repurchase common stock with an aggregate purchase price of up to $1.5 million, subject to the additional limitations set forth below.

The Company’s Credit Agreement provides for repurchases of the Company’s common stock not to exceed $5.0 million per year, and not to exceed $20.0 million per year if the consolidated leverage ratio is less than or equal to 3.5:1 immediately after giving effect on a pro forma basis to the repurchase. The indenture governing the Company’s Senior Notes also contains limitations on the Company’s repurchases of its common stock.

 
XML 58 R1.htm IDEA: XBRL DOCUMENT v2.4.0.6
Document and Entity Information
 6 Months Ended
Jun. 30, 2012
Jul. 27, 2012
Document and Entity Information [Abstract]    
Entity Registrant Name GENTIVA HEALTH SERVICES INC  
Entity Central Index Key 0001096142  
Document Type 10-Q  
Document Period End Date Jun. 30, 2012  
Amendment Flag false  
Document Fiscal Year Focus 2012  
Document Fiscal Period Focus Q2  
Current Fiscal Year End Date --12-31  
Entity Filer Category Accelerated Filer  
Entity Common Stock, Shares Outstanding   30,566,762
XML 59 R18.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans
 6 Months Ended
Jun. 30, 2012
Equity-Based Compensation Plans [Abstract]  
Equity-Based Compensation Plans
  Note 12.   Equity-Based Compensation Plans

The Company provides several equity-based compensation plans under which the Company’s officers, employees and non-employee directors may participate, including (i) the 2004 Equity Incentive Plan (amended and restated) (“2004 Plan”), (ii) the Stock & Deferred Compensation Plan for Non-Employee Directors (“DSU Plan”) and (iii) the Employee Stock Purchase Plan (“ESPP”). Collectively, these equity-based compensation plans permit the grants of (i) incentive stock options, (ii) non-qualified stock options, (iii) stock appreciation rights, (iv) restricted stock, (v) performance units, (vi) stock units and (vii) cash, as well as allow employees to purchase shares of the Company’s common stock under the ESPP at a pre-determined discount.

 

For both the second quarter and first six months of 2012, the Company recorded equity-based compensation expense, as calculated on a straight-line basis over the vesting periods of the related equity instruments, of $1.8 million and $3.4 million, respectively, as compared to $2.3 million and $4.0 million for the corresponding periods of 2011, which were reflected as selling, general and administrative expense in the consolidated statements of comprehensive income. During the second quarter of 2011, the Company recorded non-cash compensation expense of approximately $0.4 million associated with modifications of stock options for a former executive, which is reflected as selling, general and administrative expense in the consolidated statements of comprehensive income and is categorized as restructuring costs. See Note 7.

Stock Options

The weighted average fair values of the Company’s stock options granted during the first six months of 2012 and 2011 calculated using the Black-Scholes option pricing model and other assumptions, were as follows.

 

                 
    Six Months Ended  
    June 30, 2012     June 30, 2011  

Weighted average fair value of options granted

   $ 8.33     $ 11.30  

Risk-free interest rate

     0.77% - 0.95 %      2.15 % 

Expected volatility

     64 %      44 % 

Contractual life

     7 years       7 years  

Expected life

     3.4 - 5.4 years       4.5 -6.5 years  

Expected dividend yield

     0 %      0 % 

Stock option grants in 2011 and 2012 vest over a three-year period based on a vesting schedule that provides for one-third vesting after each year. Stock option grants in 2006 through 2010 fully vest over a four-year period based on a vesting schedule that provides for one-half vesting after year two and an additional one-fourth vesting after each of years three and four. The Company’s expected volatility assumptions are based on the historical volatility of the Company’s stock price over a period corresponding to the expected term of the stock option. Forfeitures are estimated utilizing the Company’s historical forfeiture experience. The expected life of the Company’s stock options is based on the Company’s historical experience of the exercise patterns associated with its stock options.

A summary of Gentiva stock option activity as of June 30, 2012 and changes during the six months then ended is presented below:

 

                                 
         
    Number of
Options		     Weighted-
Average
Exercise
Price		     Weighted-
Average
Remaining
Contractual
Life (Years)		     Aggregate
Intrinsic
Value		  

Balance as of December 31, 2011

     4,228,907     $ 15.59                  
         

Granted

     36,000       8.46                  
         

Exercised

     —         —                    
         

Cancelled

     (306,461 )      12.86                  
   

 

 

    

 

 

                  
         

Balance as of June 30, 2012

     3,958,446     $ 15.74       5.4     $ 1,936,380  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Exercisable options

     2,156,077     $ 20.13       4.6     $ —    
   

 

 

    

 

 

    

 

 

    

 

 

  

There were no options exercised during the six months ended June 30, 2012. The total intrinsic value of options exercised during the six months ended June 30, 2011 was $1.9 million. As of June 30, 2012, the Company had $3.9 million of unrecognized compensation expense related to nonvested stock options. This compensation expense is expected to be recognized over a weighted-average period of 1.5 years. The total fair value of options that vested during the first six months of 2012 was $3.4 million.

 

Performance Share Units

The Company may grant performance share units under its 2004 Plan. Performance share units result in the issuance of common stock at the end of a three-year period and may range between zero and 150 percent of the performance share units granted at target in 2010 and between zero and 200 percent of the performance share units granted at target in 2011, based on the achievement of defined thresholds of the performance criteria over a three-year period (in the case of performance share units granted in 2010) and at the end of a one-year period (in the case of performance share units granted in 2011).

A summary of Gentiva performance share unit activity as of June 30, 2012 is presented below:

 

                 
    Number of
Performance
Share Units		     Weighted-
Average
Exercise
Price		  

Balance as of December 31, 2011

     125,800     $ 26.33  
     

Granted

     —         —    
     

Vested

     —         —    
     

Cancelled

     (3,200 )      26.74  
   

 

 

    

 

 

  
     

Balance as of June 30, 2012

     122,600     $ 26.32  
   

 

 

    

 

 

  

These performance share units carry performance criteria measured on annual diluted earnings per share targets and fully vest at the end of a three-year period provided the performance criteria are met. Forfeitures are estimated utilizing the Company’s historical forfeiture experience.

As of June 30, 2012 and 2011, the Company had $1.4 million and $2.5 million, respectively, of total unrecognized compensation cost related to performance share units. This compensation expense is expected to be recognized over a weighted-average period of 1.4 years and 2.1 years, respectively.

Restricted Stock

A summary of Gentiva restricted stock activity as of June 30, 2012 is presented below:

 

                         
    Number of
Restricted
Shares		     Weighted-
Average
Exercise
Price		     Aggregate
Intrinsic
Value		  

Balance as of December 31, 2011

     377,750     $ 25.30          
       

Granted

     —         —            
       

Exercised

     —         —            
       

Cancelled

     (7,500 )      26.55          
   

 

 

    

 

 

          
       

Balance as of June 30, 2012

     370,250     $ 25.27     $ 2,565,833  
   

 

 

    

 

 

    

 

 

  

The restricted stock fully vests at the end of a three-year or five-year period, depending on the individual grants. Forfeitures are estimated utilizing the Company’s historical forfeiture experience.

As of June 30, 2012, the aggregate intrinsic value of the restricted stock awards was $2.6 million. The Company had $5.6 million and $7.6 million of total unrecognized compensation cost related to restricted stock as of June 30, 2012 and 2011, respectively. This compensation expense is expected to be recognized over a weighted-average period of 2.8 years and 3.5 years, respectively.

Directors Deferred Share Units

Under the Company’s DSU Plan, each non-employee director receives an annual deferred stock unit award credited quarterly and paid in shares of the Company’s common stock following termination of the director’s service on the Board of Directors. In May of 2012, the Company’s shareholders approved increasing the aggregate number of shares of common stock available for issuance under the plan by 350,000 shares; therefore, the total number of shares of common stock reserved for issuance under this plan is 650,000, of which 314,608 shares were available for future grants as of June 30, 2012. During the first six months of 2012, the Company granted 37,287 stock units under the DSU Plan at a grant date weighted-average fair value of $6.03 per stock unit. Prior to the increase in the aggregate shares available for issuance in May of 2012, there were insufficient deferred stock units available under the DSU Plan for the full quarterly equity grant to each non-employee director in the first quarter of 2012. Therefore, the Company also made a cash payment of approximately $28,100 to each non-employee director during the first six months of 2012. Under the DSU Plan, 225,005 stock units were outstanding as of June 30, 2012.

Employee Stock Purchase Plan

The Company provides an ESPP under which the offering period is three months and the purchase price of shares is equal to 85 percent of the fair market value of the Company’s common stock on the last day of the three-month offering period. All employees of the Company are eligible to purchase stock under the ESPP regardless of their actual or scheduled hours of service. During the first six months of 2012, the Company issued 259,448 shares of common stock under its ESPP. Under the Company’s ESPP, compensation expense is equal to the 15 percent discount from the fair market value of the Company’s common stock on the date of purchase.

On May 10, 2012, the shareholders of the Company authorized an additional 1,800,000 shares of the Company’s stock for issuance under the ESPP Plan.

 
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Consolidated Statements of Comprehensive Income (Unaudited) (USD $)
In Thousands, except Per Share data, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Consolidated Statements of Comprehensive Income [Abstract]        
Net revenues $ 427,691 $ 448,712 $ 863,343 $ 899,821
Cost of services sold 222,737 234,151 455,598 464,907
Gross profit 204,954 214,561 407,745 434,914
Selling, general and administrative expenses (163,928) (191,638) (337,635) (364,371)
Gain on sale of businesses 5,447   5,447  
Dividend income   4,613   4,613
Interest income 697 639 1,358 1,304
Interest expense and other (23,352) (21,425) (45,515) (48,973)
Income from continuing operations before income taxes and equity in net earnings of CareCentrix 23,818 6,750 31,400 27,487
Income tax expense (9,646) (2,412) (12,175) (10,531)
Equity in net earnings of CareCentrix   336   890
Income from continuing operations 14,172 4,674 19,225 17,846
Discontinued operations, net of tax 0 666 0 1,113
Net income 14,172 5,340 19,225 18,959
Less: Net income attributable to noncontrolling interests (263) (151) (476) (318)
Net income attributable to Gentiva shareholders 13,909 5,189 18,749 18,641
Comprehensive income 14,172 5,340 19,225 18,481
Basic earnings per common share        
Income from continuing operations attributable to Gentiva shareholders $ 0.46 $ 0.15 $ 0.61 $ 0.58
Discontinued operations, net of tax   $ 0.02   $ 0.04
Net income attributable to Gentiva shareholders $ 0.46 $ 0.17 $ 0.61 $ 0.62
Weighted average shares outstanding 30,338 30,293 30,532 30,210
Diluted earnings per common share:        
Income from continuing operations attributable to Gentiva shareholders $ 0.46 $ 0.15 $ 0.61 $ 0.57
Discontinued operations, net of tax   $ 0.02   $ 0.04
Net income attributable to Gentiva shareholders $ 0.46 $ 0.17 $ 0.61 $ 0.61
Weighted average shares outstanding 30,446 30,846 30,632 30,809
Amounts attributable to Gentiva shareholders:        
Income from continuing operations 13,909 4,523 18,749 17,528
Discontinued operations, net of tax 0 666 0 1,113
Net income attributable to Gentiva shareholders $ 13,909 $ 5,189 $ 18,749 $ 18,641

XML 62 R12.htm IDEA: XBRL DOCUMENT v2.4.0.6
Note Receivable from and Investment in CareCentrix
 6 Months Ended
Jun. 30, 2012
Note Receivable from and Investment in CareCentrix [Abstract]  
Note Receivable from and Investment in CareCentrix
  Note 6.   Note Receivable from and Investment in CareCentrix

The Company holds a $25 million subordinated promissory note from CareCentrix, Inc. In connection with the sale of the Company’s ownership interest in CareCentrix Holdings, the maturity date of the note was extended to the earlier of March 19, 2017, which is five and one-half years from the closing of the transaction, or a sale of CareCentrix Holdings. The note bears interest at a fixed rate of 10 percent, which is payable quarterly, provided that CareCentrix remains in compliance with its senior debt covenants. Interest on the CareCentrix promissory note, which is included in interest income in the Company’s consolidated statements of comprehensive income, amounted to $0.6 million and $1.3 million for the second quarter and first six months of both 2012 and 2011, respectively.

During 2011, the Company sold its equity investment in CareCentrix Holdings. The Company recognized $0.3 million and $0.9 million of equity in the net earnings of CareCentrix for the second quarter and first six months of 2011, respectively.

 
XML 63 R11.htm IDEA: XBRL DOCUMENT v2.4.0.6
Net Revenues and Accounts Receivable
 6 Months Ended
Jun. 30, 2012
Net Revenues and Accounts Receivable [Abstract]  
Net Revenues And Accounts Receivable
  Note 5.   Net Revenues and Accounts Receivable

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

 

                                                 
    Second Quarter     First Six Months  
    2012     2011     Percentage
Variance		     2012     2011     Percentage
Variance		  

Medicare:

                                                

Home Health

   $ 186.1     $ 199.8       (6.8 %)    $ 376.8     $ 401.4       (6.1 %) 

Hospice

     179.6       180.0       (0.2 %)      361.5       361.0       0.2 % 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total Medicare

     365.7       379.8       (3.7 %)      738.3       762.4       (3.2 %) 

Medicaid and Local Government

     18.3       21.0       (13.1 %)      37.7       41.9       (10.1 %) 

Commercial Insurance and Other:

                                                

Paid at episodic rates

     21.3       20.0       6.5 %      41.3       38.7       6.6 % 

Other

     22.4       27.9       (19.8 %)      46.0       56.8       (18.9 %) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total Commercial Insurance and Other

     43.7       47.9       (8.8 %)      87.3       95.5       (8.6 %) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total net revenues

   $ 427.7     $ 448.7       (4.7 %)    $ 863.3     $ 899.8       (4.1 %) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

For the second quarter and first six months of 2012, the Company recorded hospice Medicare cap expense of $1.1 million and $3.2 million, respectively, which is reflected in net revenues in the Company’s consolidated statements of comprehensive income. For the second quarter and first six months of 2011, the Company recorded hospice Medicare cap expense of $1.1 million and $1.7 million, respectively. The Medicare payment cap, which is calculated for each provider by the Medicare fiscal intermediary at the end of the hospice cap period, is determined by multiplying the number of first time patient admissions during the cap period by the Medicare cap amount, subject to certain adjustments. Medicare revenue paid to a provider during the twelve month cap period that ends annually on October 31 cannot exceed the aggregate Medicare payment cap calculated for the related twelve month period. As of June 30, 2012 and December 31, 2011, the Company had Medicare cap liabilities of $18.8 million and $15.6 million, respectively, which was reflected in Medicare liabilities in the Company’s consolidated balance sheets.

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

 

                 
    June 30, 2012     December 31, 2011  

Medicare

   $ 193,707     $ 217,028  

Medicaid and Local Government

     40,116       46,553  

Commercial Insurance and Other

     39,015       38,570  
   

 

 

    

 

 

  

Gross Accounts Receivable

     272,838       302,151  

Less: Allowance for doubtful accounts

     (12,807 )      (11,562 ) 
   

 

 

    

 

 

  

Net Accounts Receivable

   $ 260,031     $ 290,589  
   

 

 

    

 

 

  

The Commercial Insurance and Other payer group included self-pay accounts receivable relating to patient co-payments of $2.1 million as of both June 30, 2012 and December 31, 2011.

The Company’s only financing receivable is the note receivable from CareCentrix, Inc. The Company measures impairment based on the present value of expected cash flows after considering assumptions relating to risk factors and economic conditions. On an ongoing basis, the Company assesses the credit quality based on the Company’s review of CareCentrix, Inc.’s financial position and receipt of interest payments when due. Based on the Company’s analysis, as of June 30, 2012 and December 31, 2011, the Company had no allowances for credit losses.

 
XML 64 R23.htm IDEA: XBRL DOCUMENT v2.4.0.6
Subsequent Events
 6 Months Ended
Jun. 30, 2012
Subsequent Events [Abstract]  
Subsequent Events
  Note 17.   Subsequent Events

Advocate Hospice acquisition

Effective July 22, 2012, the Company acquired Advocate Hospice LLC in Danville, Indiana pursuant to an asset purchase agreement for consideration of approximately $5.5 million, which consideration also included entering into an option purchase agreement with a third party covering membership interests in Advocate Hospice. Additional consideration of up to $2 million is payable if certain earnout conditions are met. The acquisition enables the Company to expand its coverage in central and southern Indiana and to leverage its hospice and home health capabilities in the state.

XML 65 R19.htm IDEA: XBRL DOCUMENT v2.4.0.6
Legal Matters
 6 Months Ended
Jun. 30, 2012
Legal Matters [Abstract]  
Legal Matters
  Note 13.   Legal Matters

Litigation

In addition to the matters referenced in this Note 13, the Company is party to certain legal actions arising in the ordinary course of business, including legal actions arising out of services rendered by its various operations, personal injury and employment disputes. Management does not expect that these other legal actions will have a material adverse effect on the business, financial condition, results of operations, liquidity or capital resources of the Company.

On May 10, 2010, a collective and class action complaint entitled Lisa Rindfleisch et al. v. Gentiva Health Services, Inc. was filed in the United States District Court for the Eastern District of New York against the Company in which five former employees allege wage and hour law violations. The former employees claim they were paid pursuant to “an unlawful hybrid” compensation plan that paid them on both a per visit and an hourly basis, thereby voiding their exempt status and entitling them to overtime pay. The plaintiffs have alleged continuing violations of federal and state law and seek damages under the Fair Labor Standards Act (“FLSA”), as well as under the New York Labor Law and North Carolina Wage and Hour Act (“NCWHA”). On October 8, 2010, the Court granted the Company’s motion to transfer the venue of the lawsuit to the United States District Court for the Northern District of Georgia. On April 13, 2011, the Court granted plaintiffs’ motion for conditional certification of the FLSA claims as a collective action. On May 26, 2011, the Court bifurcated the FLSA portion of the suit into a liability phase, in which discovery is scheduled to close on August 28, 2012, and a damages phase, to be scheduled pending outcome of the liability phase. Following a motion for partial summary judgment by the Company regarding the New York state law claims, plaintiffs agreed voluntarily to dismiss those claims in a filing on December 12, 2011. Plaintiffs continue to seek class certification of allegedly similar employees and seek attorneys’ fees, back wages and liquidated damages going back three years under the FLSA and two years under the North Carolina statute. Plaintiffs filed a motion for certification of a North Carolina state law class for NCWHA claims on January 20, 2012. The Company filed a motion for partial summary judgment on plaintiffs’ claims under the NCWHA on March 22, 2012. These motions have been briefed in full by both parties and are currently awaiting the Court’s decision. Plaintiffs also filed a motion for partial summary judgment with regard to the Company’s liability for plaintiffs’ FLSA claims on April 3, 2012. The Company moved for a continuance for its response to plaintiffs’ motion to provide time to obtain full discovery. On April 19, 2012, the Court denied plaintiffs’ motion with leave to re-file and granted the Company’s motion for continuance.

Based on the information the Company has at this time in the Rindfleisch lawsuit, the Company is unable to assess the probable outcome or potential liability, if any, arising from this proceeding on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for this lawsuit at this time. The Company intends to defend itself vigorously in this lawsuit.

On June 11, 2010, a collective and class action complaint entitled Catherine Wilkie, individually and on behalf of all others similarly situated v. Gentiva Health Services, Inc. was filed in the United States District Court for the Eastern District of California against the Company in which a former employee alleges wage and hour violations under the FLSA and California law. The complaint alleges that the Company paid some of its employees on both a per visit and hourly basis, thereby voiding their exempt status and entitling them to overtime pay. The complaint further alleges that California employees were subject to violations of state laws requiring meal and rest breaks, accurate wage statements and timely payment of wages. The plaintiff seeks class certification, attorneys’ fees, back wages, penalties and damages going back three years on the FLSA claim and four years on the state wage and hour claims. The parties held mediation discussions on August 3, 2011 and March 7, 2012. The parties have finalized the terms of a monetary settlement, and the Company has paid $5 million in escrow to settle all claims in the lawsuit, including the plaintiff’s attorney’s fees and costs. The settlement is subject to court approval.

 

On December 29, 2011, Odyssey HealthCare, Inc. was served with a complaint captioned United States of America and the State of Illinois ex rel. Laurie Geschrey and Laurie Janus v. Generations Healthcare, LLC, Odyssey HealthCare, Inc. Narayan Ponakala and Catherine Ponakala, which was filed on April 19, 2010 as a qui tam action in the United States District Court for the Northern District of Illinois, Eastern Division, Case No. 10 C 2413, under the provisions of the Federal False Claims Act, the Illinois Whistleblower Reward and Protection Act and the Illinois Whistleblower Act. The plaintiffs, two former employees of Generations Healthcare, LLC, a hospice company whose assets were acquired by Odyssey on December 31, 2009, are the relators and allege that defendants committed fraud against the United States and the State of Illinois by, among other things, recruiting and certifying patients as being eligible for hospice care when they were known not to be eligible and falsifying patients’ medical records in support of the claims for reimbursement. Relators further allege that Odyssey was aware of Generations Healthcare’s alleged fraudulent business practices. Both the United States and the State of Illinois declined to intervene in the action, and the complaint was unsealed on December 1, 2011. Relators seek statutory damages, which are three times the amount of any actual damages suffered by the United States and the State of Illinois, the maximum statutory civil penalty due under the statutes plus all costs and attorneys fees. Additionally, relators seek back pay plus interest and other damages because of defendants’ alleged retaliation against relators.

Odyssey filed a motion to dismiss the complaint against it on March 23, 2012. That motion is fully briefed and is pending before the court. Odyssey is also pursuing indemnification from Generations Healthcare and its owners, who are defendants in this action. Given the preliminary stage of this action, the Company is unable to assess the probable outcome or potential liability, if any, arising from this action on the business, financial condition, results of operations, liquidity or capital resources of the Company or Odyssey. Odyssey intends to defend itself vigorously in the action.

Odyssey Merger Litigation

Three putative class action lawsuits were filed in connection with the Company’s acquisition (“Merger”) of Odyssey HealthCare, Inc. (“Odyssey”). The first, entitled Pompano Beach Police & Firefighters’ Retirement System v. Odyssey HealthCare, Inc. et al., was filed on May 27, 2010 in the County Court, Dallas County, Texas. The second, entitled Eric Hemminger et al. v. Richard Burnham et al., was filed on June 9, 2010 in the District Court, Dallas, Texas. The third, entitled John O. Hansen v. Odyssey HealthCare, Inc. et al., was filed on July 2, 2010 in the United States District Court for the Northern District of Texas. All three lawsuits named the Company, GTO Acquisition Corp., Odyssey and the members of Odyssey’s board of directors as defendants. All three lawsuits were brought by purported stockholders of Odyssey, both individually and on behalf of a putative class of stockholders, alleging that Odyssey’s board of directors breached its fiduciary duties in connection with the Merger by failing to maximize shareholder value and that the Company and Odyssey aided and abetted the alleged breaches. On October 8, 2010, the District Court consolidated the Hemminger and Pompano Beach actions and transferred the Hemminger action to County Court No. 5 in Dallas County, Texas. On October 12, 2010, Gentiva entered a general denial with respect to the material allegations in both the Pompano Beach and Hemminger complaints. On December 16, 2010, defendants in the actions executed a Memorandum of Understanding with plaintiffs reflecting an agreement in principle to settle each of the actions for additional disclosures which were included in Odyssey’s Definitive Proxy Statement on Schedule 14A, filed on July 9, 2010. Defendants also agreed not to contest an application for attorneys’ fees not exceed $675,000 to be made by plaintiffs. On February 17, 2012, the court preliminarily approved a settlement of the Pompano Beach, Hemminger and Hansen actions. The settlement became final following court approval at a final settlement hearing on May 18, 2012.

Federal Securities Class Action Litigation

Between November 2, 2010 and October 25, 2011, five shareholder class actions were filed against Gentiva and certain of its current and former officers and directors in the United States District Court for the Eastern District of New York. Each of these actions asserted claims under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 in connection with the Company’s participation in the Medicare Home Health Prospective Payment System (“HH PPS”). Following consolidation of the actions, and the appointment of Los Angeles City Employees’ Retirement System as lead plaintiff and Kaplan Fox & Kilsheimer LLP as lead counsel, on April 16, 2012, a consolidated shareholder class action complaint, captioned In re Gentiva Securities Litigation, Civil Action No. 10-CV-5064, was filed in the United States District Court for the Eastern District of New York. The complaint, which names Gentiva and certain current and former officers and directors as defendants, asserts claims under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as well as Sections 11 and 15 of the Securities Act of 1933, in connection with the Company’s participation in the HH PPS. The complaint alleges, among other things, that the Company’s public disclosures misrepresented and failed to disclose that the Company improperly increased the number of in-home therapy visits to patients for the purposes of triggering higher reimbursement rates under the HH PPS, which caused an artificial inflation in the price of Gentiva’s common stock during the period between July 31, 2008 and October 4, 2011. On June 15, 2012, defendants filed a motion to dismiss the complaint.

Given the preliminary stage of the action, the Company is unable to assess the probable outcome or potential liability, if any, arising from the action on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for the action at this time. The defendants intend to defend themselves vigorously in the action.

 

Shareholder Derivative Litigation

On January 4, 2011 and October 31, 2011, two actions were filed against certain of Gentiva’s current and former directors in Superior Court of DeKalb County in the State of Georgia, alleging, among other things, that Gentiva’s board of directors breached its fiduciary duties to the Company. The actions were consolidated and, on February 9, 2012, plaintiffs filed a consolidated complaint (the “Georgia State Court Action”). The Georgia State Court Action, which names certain of Gentiva’s current and former directors as defendants, alleges, among other things, that Gentiva’s board of directors had actual or constructive knowledge that the Company’s public disclosures misrepresented and failed to disclose that the Company improperly increased the number of in-home therapy visits to patients for the purpose of triggering higher reimbursement rates under HH PPS, which caused an artificial inflation in the price of Gentiva’s common stock. On March 26, 2012, defendants filed a motion to dismiss the Georgia State Court Action and further requested a transfer to the Superior Court of Cobb County. That motion is fully briefed and is now pending before the Cobb County court.

On October 7 and October 13, 2011, two actions were filed against certain of Gentiva’s current and former directors and officers in the United States District Court for the Northern District of Georgia, alleging, among other things, that Gentiva’s board of directors breached its fiduciary duties to the Company. The actions also asserted a claim under Section 14(a) of the Securities Exchange Act of 1934. The actions were consolidated and, on March 5, 2012, plaintiffs filed a consolidated complaint (the “Georgia Federal Court Action”). The Georgia Federal Court Action, which names certain of Gentiva’s current and former directors and officers as defendants, alleges, among other things, that Gentiva’s board of directors had actual or constructive knowledge that the Company’s public disclosures misrepresented and failed to disclose that the Company improperly increased the number of in-home therapy visits to patients for the purpose of triggering higher reimbursement rates under HH PPS, which caused an artificial inflation in the price of Gentiva’s common stock. The complaint further alleges that the Company’s Proxy Statement for its 2010 Annual Meeting of Shareholders was materially false and misleading. On April 16, 2012, defendants filed a motion to dismiss the Georgia Federal Court Action. That motion is fully briefed and is pending before the court.

Given the preliminary stage of the actions, the Company is unable to assess the probable outcome or potential liability, if any, arising from these actions on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for these actions at this time. The defendants intend to defend themselves vigorously in these actions.

Government Matters

PRRB Appeal

In connection with the audit of the Company’s 1997 cost reports, the Medicare fiscal intermediary made certain audit adjustments related to the methodology used by the Company to allocate a portion of its residual overhead costs. The Company filed cost reports for years subsequent to 1997 using the fiscal intermediary’s methodology. The Company believed the methodology it used to allocate such overhead costs was accurate and consistent with past practice accepted by the fiscal intermediary; as such, the Company filed appeals with the Provider Reimbursement Review Board (“PRRB”) concerning this issue with respect to cost reports for the years 1997, 1998 and 1999. The Company’s consolidated financial statements for the years 1997, 1998 and 1999 had reflected use of the methodology mandated by the fiscal intermediary. In June 2003, the Company and its Medicare fiscal intermediary signed an Administrative Resolution relating to the issues covered by the appeals pending before the PRRB. Under the terms of the Administrative Resolution, the fiscal intermediary agreed to reopen and adjust the Company’s cost reports for the years 1997, 1998 and 1999 using a modified version of the methodology used by the Company prior to 1997. This modified methodology will also be applied to cost reports for the year 2000, which are currently under audit. The Administrative Resolution required that the process to (i) reopen all 1997 cost reports, (ii) determine the adjustments to allowable costs through the issuance of Notices of Program Reimbursement and (iii) make appropriate payments to the Company, be completed in early 2004. Cost reports relating to years subsequent to 1997 were to be reopened after the process for the 1997 cost reports was completed.

The fiscal intermediary completed the reopening of all 1997, 1998 and 1999 cost reports and determined that the adjustment to allowable costs aggregated $15.9 million which the Company has received and recorded as adjustments to net revenues in the fiscal years 2004 through 2006. The Company is unable to predict when the Centers for Medicare & Medicaid Services (“CMS”) will finalize all items relating to the 2000 cost reports.

Senate Finance Committee Report

In a letter dated May 12, 2010, the United States Senate Finance Committee requested information from the Company regarding its Medicare utilization rates for therapy visits. The letter was sent to all publicly traded home healthcare companies mentioned in a Wall Street Journal article that explored the relationship between the CMS’ home health policies and the utilization rates of some health agencies. The Company responded to this request as well as to supplemental requests for information. On October 3, 2011, the Senate Finance Committee released its report, which generally criticized certain of the home health therapy practices of publicly traded home healthcare companies, including the Company. The Company maintains its belief that it has provided and is providing the highest quality of care and has received and continues to receive payment within the standards set forth by the reimbursement system established by CMS. The Company is unable to assess the probable outcome or potential liability, if any, arising from this matter on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for this matter at this time.

Subpoena

On July 13, 2010, the SEC informed the Company that the SEC had commenced an investigation relating to the Company’s participation in the Medicare Home Health Prospective Payment System, and, on July 16, 2010, the Company received a subpoena from the SEC requesting certain documents in connection with its investigation. Similar to the Senate Finance Committee request, the SEC subpoena, among other things, focused on issues related to the number of and reimbursement received for therapy visits before and after changes in the Medicare reimbursement system, relationships with physicians, compliance efforts including compliance with fraud and abuse laws, and certain documents sent to the Senate Finance Committee. The Company is unable to assess the probable outcome or potential liability, if any, arising from this matter on the business, financial condition, results of operations, liquidity or capital resources of the Company. The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made for this matter at this time.

Investigations Involving Odyssey

On February 14, 2008, Odyssey received a letter from the Medicaid Fraud Control Unit of the Texas Attorney General’s office notifying Odyssey that the Texas Attorney General was conducting an investigation concerning Medicaid hospice services provided by Odyssey, including its practices with respect to patient admission and retention, and requesting medical records of approximately 50 patients served by its programs in the State of Texas. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of this investigation, the Texas Attorney General’s views of the issues being investigated or any actions that the Texas Attorney General may take.

On May 5, 2008, Odyssey received a letter from the U.S. Department of Justice (“DOJ”) notifying Odyssey that the DOJ was conducting an investigation of VistaCare, Inc. (“VistaCare”) and requesting that Odyssey provide certain information and documents related to the DOJ’s investigation of claims submitted by VistaCare to Medicare, Medicaid and the U.S. government health insurance plan for active military members, their families and retirees, formerly the Civilian Health and Medical Program of the Uniformed Services (“TRICARE”), from January 1, 2003 through March 6, 2008, the date Odyssey completed the acquisition of VistaCare. Odyssey has been informed by the DOJ and the Medicaid Fraud Control Unit of the Texas Attorney General’s Office that they are reviewing allegations that VistaCare may have billed the federal Medicare, Medicaid and TRICARE programs for hospice services that were not reasonably or medically necessary or performed as claimed. The basis of the investigation is a qui tam lawsuit filed in the United States District Court for the Northern District of Texas by a former employee of VistaCare. The lawsuit alleges, among other things, that VistaCare submitted false claims to Medicare and Medicaid for hospice services that were not medically necessary and for hospice services that were referred in violation of the anti-kickback statute. The court unsealed the lawsuit on October 5, 2009 and Odyssey was served on January 28, 2010. In connection with the unsealing of the complaint, the DOJ filed a notice with the court declining to intervene in the qui tam action at such time. The Texas Attorney General also filed a notice of non-intervention with the court. These actions should not be viewed as a final assessment by the DOJ or the Texas Attorney General of the merits of this qui tam action. Odyssey continues to cooperate with the DOJ and the Texas Attorney General in their investigation. The relator has continued to pursue the qui tam lawsuit. VistaCare filed motions to dismiss the relator’s complaint on March 30, 2010 and April 2, 2012. The court issued orders on the motions to dismiss on March 9, 2011 and July 23, 2012. Consistent with the court’s orders, relator’s false claims act claims based on alleged medically unnecessary hospice services and for hospice services referred in violation of the anti-kickback statute are permitted to proceed to discovery. Based on the information that Odyssey has at this time, the Company cannot predict the outcome of the qui tam lawsuit, the governments’ continuing investigation, the DOJ’s or Texas Attorney General’s views of the issues being investigated, other than the DOJ’s and Texas Attorney General’s notice declining to intervene in the qui tam action, or any actions that the DOJ or Texas Attorney General may take.

On October 28, 2011, the Assistant United States Attorney for the Northern District of Texas notified Odyssey and the Company of the existence of a second qui tam lawsuit against VistaCare, doing business as VistaCare Hospice, Odyssey Healthcare, Inc., and Gentiva Healthcare Services, that had initially been filed on October 29, 2010, in the Northern District of Alabama, but transferred to the Northern District of Texas due to the similarity of allegations with the first qui tam lawsuit. A non-intervention order and unsealing of the second complaint was entered by the District Court for the Northern District of Texas on October 27, 2011. The Company believes this action should not be viewed as a final assessment by the DOJ of the merits of this qui tam action. On February 28, 2012, the court ordered a stay in this qui tam action until the court rules on the pending motion to dismiss in the first qui tam action. The court lifted the stay on July 23, 2012 following the court entry of an order ruling on the motion to dismiss in the first qui tam action. The Company anticipates that this second qui tam action will proceed in due course. VistaCare denies the allegations made in the second qui tam action and will vigorously defend against them. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of this second qui tam lawsuit, the government’s continuing investigation, the DOJ’s views of the issues being investigated, other than the DOJ’s non-intervention in the qui tam action, or any actions that the DOJ may take.

 

On January 5, 2009, Odyssey received a letter from the Georgia State Health Care Fraud Control Unit notifying Odyssey that the Georgia State Health Care Fraud Unit was conducting an investigation concerning Medicaid hospice services provided by VistaCare from 2003 through 2007 and requesting certain documents. Odyssey is cooperating with the Georgia State Health Care Fraud Control Unit and has complied with the document request. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of the investigation, the Georgia State Health Care Fraud Control Unit’s views of the issues being investigated or any actions that the Georgia State Health Care Fraud Control Unit may take.

On February 23, 2010, Odyssey received a subpoena from the Department of Health and Human Services, Office of Inspector General (“OIG”), requesting various documents and certain patient records of one of Odyssey’s hospice programs relating to services performed from January 1, 2006 through December 31, 2009. Odyssey is cooperating with the OIG and has completed its subpoena production. Based on the limited information that Odyssey has at this time, the Company cannot predict the outcome of the investigation, the OIG’s views of the issues being investigated or any actions that the OIG may take.

The Company does not believe that an estimate of a reasonably possible loss or range of loss can be made at this time with regard to the above investigations involving Odyssey. Based on the limited information that Odyssey has at this time regarding such investigations, the Company is unable to predict the impact, if any, that such investigations may have on Odyssey’s and the Company’s business, financial condition, results of operations, liquidity or capital resources.

On February 2, 2009, Odyssey received a subpoena from the OIG requesting certain documents related to Odyssey’s provision of continuous care services from January 1, 2004 through January 22, 2009. Odyssey subsequently received two additional subpoenas from the OIG requesting medical records for certain patients who had been provided continuous care services by Odyssey during the same time period. On February 15, 2012, Odyssey entered into a settlement agreement with the United States, acting through the DOJ and on behalf of the OIG, regarding Odyssey’s provision of continuous care services prior to the Company’s acquisition of Odyssey in August 2010. Pursuant to the settlement agreement Odyssey paid the United States $25 million.

 
XML 66 R15.htm IDEA: XBRL DOCUMENT v2.4.0.6
Earnings Per Share
 6 Months Ended
Jun. 30, 2012
Earnings Per Share [Abstract]  
Earnings Per Share
  Note 9.   Earnings Per Share

Basic and diluted earnings per share for each period presented have been computed by dividing income from continuing operations, discontinued operations, net of tax and net income attributable to Gentiva shareholders by the weighted average number of shares outstanding for each respective period. The computations of the basic and diluted per share amounts were as follows (in thousands, except per share amounts):

 

                                 
    For the Three Months Ended     For the Six Months Ended  
    June 30, 2012     June 30, 2011     June 30, 2012     June 30, 2011  

Net income attributable to Gentiva shareholders

   $ 13,909     $ 5,189     $ 18,749     $ 18,641  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Basic weighted average common shares outstanding

     30,338       30,293       30,532       30,210  
         

Shares issuable upon the assumed exercise of stock options and under stock plans for employees and directors using the treasury stock method

     108       553       100       599  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Diluted weighted average common shares outstanding

     30,446       30,846       30,632       30,809  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Basic earnings per common share

                                

Net income attributable to Gentiva shareholders

   $ 0.46     $ 0.17     $ 0.61     $ 0.62  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Diluted earnings per common share:

                                

Net income attributable to Gentiva shareholders

   $ 0.46     $ 0.17     $ 0.61     $ 0.61  
   

 

 

    

 

 

    

 

 

    

 

 

  

For the second quarter and first six months of 2012, approximately 2.9 million and 3.0 million stock options and restricted stock awards, respectively, were excluded from the computations of diluted earnings per share, as their inclusion would be anti-dilutive. For both the second quarter and first six months of 2011, approximately 1.1 million stock options were excluded from the computations of diluted earnings per share as their inclusion would be anti-dilutive.

 
XML 67 R60.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Comprehensive (loss) income:        
Beginning Balance     $ 202,531 $ 638,232
Comprehensive Income        
Net income 14,172 5,340 19,225 18,959
Changes in fair value of interest rate swaps       (768)
Realized loss on interest rate swap       290
Total comprehensive income 14,172 5,340 19,225 18,481
Income tax benefits associated with the exercise of non-qualified stock options       259
Equity-based compensation expense     3,442 4,361
Net issuance of stock upon exercise of stock options and under stock plans for employees and directors     1,640 6,246
Purchase of non-controlling interest     1,111 (320)
Distribution to partnership interests     (495) (478)
Treasury shares:        
Common stock received from Healthfield escrow (14,334 shares)       (394)
Stock repurchase (605,077 shares)     (4,974)  
Ending Balance 220,258 666,387 220,258 666,387
Common Stock [Member]
        
Comprehensive (loss) income:        
Shares, Beginning Balance     31,435,264 30,799,091
Beginning Balance     3,144 3,080
Comprehensive Income        
Net issuance of stock upon exercise of stock options and under stock plans for employees and directors, Shares     259,658 420,593
Net issuance of stock upon exercise of stock options and under stock plans for employees and directors     25 42
Treasury shares:        
Shares, Ending Balance 31,694,922 31,219,684 31,694,922 31,219,684
Ending Balance 3,169 3,122 3,169 3,122
Additional Paid-in Capital [Member]
        
Comprehensive (loss) income:        
Beginning Balance     387,803 372,106
Comprehensive Income        
Income tax benefits associated with the exercise of non-qualified stock options       259
Equity-based compensation expense     3,442 4,361
Net issuance of stock upon exercise of stock options and under stock plans for employees and directors     1,615 6,204
Purchase of non-controlling interest       (352)
Treasury shares:        
Ending Balance 392,860 382,578 392,860 382,578
Retained Earnings / Accumulated (deficit) [Member]
        
Comprehensive (loss) income:        
Beginning Balance     (178,131) 272,394
Comprehensive Income        
Net income     18,749 18,641
Total comprehensive income     18,749 18,641
Treasury shares:        
Ending Balance (159,382) 291,035 (159,382) 291,035
Accumulated Other Comprehensive Income (Loss) [Member]
        
Comprehensive (loss) income:        
Beginning Balance       478
Comprehensive Income        
Changes in fair value of interest rate swaps       (768)
Realized loss on interest rate swap       290
Total comprehensive income       (478)
Treasury Stock [Member]
        
Comprehensive (loss) income:        
Beginning Balance     (12,878) (12,484)
Treasury shares:        
Common stock received from Healthfield escrow (14,334 shares)       (394)
Stock repurchase (605,077 shares)     (4,974)  
Ending Balance (17,852) (12,878) (17,852) (12,878)
Noncontrolling Interests [Member]
        
Comprehensive (loss) income:        
Beginning Balance     2,593 2,658
Comprehensive Income        
Net income     476 318
Total comprehensive income     476 318
Purchase of non-controlling interest     1,111 32
Distribution to partnership interests     (495) (478)
Treasury shares:        
Ending Balance $ 1,463 $ 2,530 $ 1,463 $ 2,530
XML 68 R13.htm IDEA: XBRL DOCUMENT v2.4.0.6
Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements
 6 Months Ended
Jun. 30, 2012
Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements [Abstract]  
Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements
  Note 7.   Cost Savings Initiatives and Other Restructuring Costs, Acquisition and Integration Activities and Legal Settlements

The Company recorded net charges relating to restructuring, acquisition and integration activities, and legal settlements of $5.4 million for the first six months of 2012 and $21.2 million and $25.0 million for the second quarter and first six months of 2011, respectively, which were recorded in selling, general and administrative expenses in the Company’s consolidated statements of comprehensive income.

Cost Savings Initiatives and Other Restructuring Costs

During the last half of 2011, the Company undertook a comprehensive review of its branch structure, support infrastructure and other significant expenditures in order to reduce its ongoing operating costs given the challenging rate environment the Company was facing. As a result of this effort, the Company closed or divested of 34 home health branches and 9 hospice branches during the fourth quarter of 2011 and 4 home health branches in the first quarter of 2012, and completed significant reductions in staffing levels in regional, area and corporate support functions. In connection with these activities, the Company recorded charges of $0.5 million and $1.3 million in the second quarter and first six months of 2012, respectively, related to severance costs, facility lease and other costs.

During the second quarter and first six months of 2011, the Company recorded charges of $0.5 million and $1.8 million, respectively, in connection with restructuring activities, including severance costs in connection with the termination of personnel and facility lease and other costs. These charges included non-cash charges of approximately $0.4 million, recorded in the second quarter of 2011, associated with the acceleration of compensation expense relating to future vesting of stock options under severance agreements for certain of the Company’s former executive officers.

Acquisition and Integration Activities

The Company recorded positive adjustments of $0.5 million and $0.9 million for the second quarter and the first six months of 2012, respectively, related to acquisition and integration activities. During the second quarter and first six months of 2011, the Company recorded charges of $2.2 million and $4.7 million, respectively, in connection with costs of acquisition and integration activities, primarily related to the Odyssey transaction. These costs consisted of legal, accounting and other professional fees and expenses, severance costs and facility lease costs.

Legal Settlements

During the first six months of 2012, the Company recorded legal settlements of $5.0 million related to certain of the wage and hour litigation and paid approximately $26.0 million in settlement with the United States regarding Odyssey’s provision of continuous care services prior to the Company’s acquisition of Odyssey in August 2010. See Note 13 for additional information.

During the first six months of 2011, the Company recorded charges of $18.5 million related to discussions of potential legal settlements associated with the continuous care investigation assumed in connection with the Odyssey transaction. See Note 13 for additional information.

The costs incurred and cash expenditures associated with these activities by component were as follows (in thousands):

 

                                 
    Cost Savings
and Other
Restructuring		     Acquisition &
Integration		     Legal
Settlements		     Total  
         

Ending balance at December 31, 2010

   $ 2,893     $ 3,984     $ 12,500     $ 19,377  
         

Charge in first quarter 2011

     1,259       2,506       —         3,765  

Cash expenditures

     (1,490 )      (2,346 )      —         (3,836 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at March 31, 2011

     2,662       4,144       12,500       19,306  
         

Charge in second quarter 2011

     504       2,242       18,500       21,246  

Cash expenditures

     (788 )      (2,198 )      (12,500 )      (15,486 ) 

Non-cash expenditures

     (407 )      —         —         (407 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at June 30, 2011

   $ 1,971     $ 4,188     $ 18,500     $ 24,659  
   

 

 

    

 

 

    

 

 

    

 

 

  
         

Ending balance at December 31, 2011

   $ 8,671     $ 3,708     $ 26,000     $ 38,379  
         

Charge in first quarter 2012

     842       (409 )      4,958       5,391  

Cash expenditures

     (3,527 )      (755 )      (25,958 )      (30,240 ) 

Non-cash expenditures

     19       (216 )      —         (197 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at March 31, 2012

     6,005       2,328       5,000       13,333  
         

Charge in second quarter 2012

     542       (517 )      —         25  

Cash expenditures

     (2,462 )      (421 )      (5,000 )      (7,883 ) 

Non-cash expenditures

     (114 )      —         —         (114 ) 
   

 

 

    

 

 

    

 

 

    

 

 

  

Ending balance at June 30, 2012

   $ 3,971     $ 1,390     $ —       $ 5,361  
   

 

 

    

 

 

    

 

 

    

 

 

  

The balance of unpaid charges relating to cost savings initiatives and other restructuring costs, acquisition and integration activities and legal settlements approximated $5.4 million at June 30, 2012 and $38.4 million at December 31, 2011, which were included in other accrued expenses in the Company’s consolidated balance sheets.

 
XML 69 R14.htm IDEA: XBRL DOCUMENT v2.4.0.6
Identifiable Intangible Assets and Goodwill
 6 Months Ended
Jun. 30, 2012
Identifiable Intangible Assets and Goodwill [Abstract]  
Identifiable Intangible Assets and Goodwill
  Note 8.   Identifiable Intangible Assets and Goodwill

The gross carrying amount and accumulated amortization of each category of identifiable intangible assets as of June 30, 2012 and December 31, 2011 were as follows (in thousands):

 

                                                     
    June 30, 2012     December 31, 2011    

Useful

Life
    Home
Health		     Hospice     Total     Home
Health		     Hospice     Total    

Amortized intangible assets:

                                                    
               

Covenants not to compete

   $ 1,473     $ 15,675     $ 17,148     $ 1,473     $ 15,675     $ 17,148     2-5 Years

Less: accumulated amortization

     (1,423 )      (12,369 )      (13,792 )      (1,411 )      (9,144 )      (10,555 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net covenants not to compete

     50       3,306       3,356       62       6,531       6,593      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Customer relationships

     27,196       910       28,106       27,196       910       28,106     5-10 Years

Less: accumulated amortization

     (16,478 )      (344 )      (16,822 )      (15,304 )      (299 )      (15,603 )     

accumulated impairment losses

     (27 )      —         (27 )      (27 )      —         (27 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net customer relationships

     10,691       566       11,257       11,865       611       12,476      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Tradenames

     18,215       16,730       34,945       18,215       16,730       34,945     5-10 Years

Less: accumulated amortization

     (11,369 )      (3,188 )      (14,557 )      (10,522 )      (2,346 )      (12,868 )     

accumulated impairment losses

     (411 )      —         (411 )      (411 )      —         (411 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net tradenames

     6,435       13,542       19,977       7,282       14,384       21,666      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Subtotal

     17,176       17,414       34,590       19,209       21,526       40,735      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      
               

Indefinite-lived intangible assets:

                                                    

Medicare licenses and certificates of need

     220,285       98,526       318,811       220,285       98,526       318,811     Indefinite

Less: accumulated impairment losses

     (144,672 )      (519 )      (145,191 )      (144,672 )      —         (144,672 )     
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Net medicare licenses and certificates of need

     75,613       98,007       173,620       75,613       98,526       174,139      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

Total identifiable intangible assets

   $ 92,789     $ 115,421     $ 208,210     $ 94,822     $ 120,052     $ 214,874      
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

      

During the second quarter of 2012, the Company recorded a charge of approximately $0.5 million to reflect the transfer of the Medicare licenses associated with the sale of the four hospice branches in Louisiana, which is recorded in gain on sale of businesses in the Company’s consolidated statements of comprehensive income for the three month and six month periods ended June 30, 2012. The Company recorded amortization expense of approximately $3.1 million and $6.2 million for the second quarter and first six months of 2012, respectively, and $3.3 million and $6.5 million for the second quarter and first six months of 2011, respectively. The estimated amortization expense for the remainder of 2012 is $4.7 million and for each of the next five succeeding years approximates $7.4 million for 2013, $5.7 million for 2014, $5.6 million for 2015, $3.4 million for 2016, and $2.9 million for 2017.

The gross carrying amount of goodwill as of June 30, 2012 and December 31, 2011 and activity during the first six months of 2012 were as follows (in thousands):

 

                         
    Home Health     Hospice     Total  

Balance at December 31, 2010

   $ 264,679     $ 820,387     $ 1,085,066  

Goodwill adjustment

     2,379       11,261       13,640  

Accumulated impairment losses

     (263,370 )      (193,667 )      (457,037 ) 
   

 

 

    

 

 

    

 

 

  

Balance at December 31, 2011

   $ 3,688     $ 637,981     $ 641,669  

Goodwill acquired during 2012

     —         —         —    
   

 

 

    

 

 

    

 

 

  

Balance at June 30, 2012

   $ 3,688     $ 637,981     $ 641,669  
   

 

 

    

 

 

    

 

 

  

During 2011, the Company reclassified deferred tax assets of $13.6 million associated with the classification of deductible intangible assets and goodwill related to a 2006 acquisition. The impact of this reclassification was an increase in goodwill in the Home Health and Hospice segments of $2.4 million and $11.2 million, respectively, and a decrease in non-current deferred tax assets of $13.6 million.

 
XML 70 R16.htm IDEA: XBRL DOCUMENT v2.4.0.6
Long-Term Debt
 6 Months Ended
Jun. 30, 2012
Long-Term Debt [Abstract]  
Long-Term Debt
  Note 10.   Long-Term Debt

Credit Arrangements

At June 30, 2012, the Company’s credit arrangements included a senior secured credit agreement providing (i) a $200 million Term Loan A facility, (ii) a $550 million Term Loan B facility and (iii) a $110 million revolving credit facility (collectively, the “Credit Agreement”), and $325 million aggregate principal amount of 11.5% Senior Notes due 2018 (the “Senior Notes”). The Credit Agreement’s revolving credit facility also includes borrowing capacity available for letters of credit and for borrowings on same-day notice, referred to as swing line loans.

As of June 30, 2012 and December 31, 2011, the Company’s long-term debt consisted of the following (in thousands):

 

                 
    June 30, 2012     December 31, 2011  

Credit Agreement:

                

Term Loan A, maturing August 17, 2015

   $ 146,693     $ 158,653  

Term Loan B, maturing August 17, 2016

     466,432       504,472  

11.5% Senior Notes due 2018

     325,000       325,000  
   

 

 

    

 

 

  

Total debt

     938,125       988,125  

Less: current portion of long-term debt

     (15,443 )      (14,903 ) 
   

 

 

    

 

 

  

Total long-term debt

   $ 922,682     $ 973,222  
   

 

 

    

 

 

  

In response to uncertainties around Medicare reimbursement rates and to ensure compliance under its Credit Agreement as of December 31, 2011, on November 28, 2011, the Company entered into Amendment No. 2 to the Credit Agreement (“Amendment No. 2”). In addition, on March 6, 2012, the Company entered into Amendment No. 3 to the Credit Agreement (“Amendment No. 3”) in order to provide increased flexibility in the Company’s debt covenants over the remaining term of the Credit Agreement and reasonable assurance with respect to the Company’s ability to remain in compliance with its debt covenants beyond January 1, 2012, including the maximum consolidated leverage ratio and the minimum interest coverage ratio, which are discussed below under “Debt Covenants.” Among other things, Amendment No. 3 also reduced the revolving credit facility from $125 million to $110 million.

As of June 30, 2012, advances under the revolving credit facility may be made, and letters of credit may be issued, up to the $110 million borrowing capacity of the facility at any time prior to the facility expiration date of August 17, 2015. In connection with the reduction in the revolving credit facility, the Company wrote-off prepaid debt issuance costs of approximately $0.5 million, which is reflected in interest expense and other in the Company’s consolidated statement of comprehensive income for the first six months of 2012, and capitalized costs associated with the revolving credit facility of approximately $0.8 million. Outstanding letters of credit were $45.4 million and $41.8 million at June 30, 2012 and December 31, 2011, respectively. The letters of credit were issued to guarantee payments under the Company’s workers’ compensation program and for certain other commitments. As of June 30, 2012, the Company’s unused and available borrowing capacity under the Credit Agreement was $64.6 million.

As of June 30, 2012, the mandatory aggregate principal payments of long-term debt were $2.9 million in 2012, $25.0 million in each of 2013 and 2014, $93.8 million in 2015 and $466.4 million in 2016 under the Credit Agreement, and $325.0 million thereafter under the Senior Notes. The weighted average cash interest rate on outstanding borrowings was 8.2 percent per annum at June 30, 2012 and 6.9 percent per annum at December 31, 2011.

The Term Loan A facility is subject to mandatory principal payments of $25 million per year, payable in equal quarterly installments, with the remaining balance of the original $200 million loan payable on August 17, 2015. Pursuant to Amendment No. 3, the Company made a prepayment of $12.0 million on its Term Loan A facility in the first quarter of 2012. There are no required payments on the Company’s Term Loan A facility until the end of the fourth quarter of 2012, at which time a principal payment of $2.9 million is required and $6.3 million per quarter thereafter. The Term Loan B facility is subject to mandatory principal payments of $13.8 million per year, payable in equal quarterly installments. Pursuant to Amendment No. 3, the Company made a prepayment of $38.0 million on its Term Loan B facility in the first quarter of 2012. As a result of the prepayment, there are no required payments on the Company’s Term Loan B facility until August 17, 2016, at which time a payment of the outstanding balance of $466.4 million is required.

On March 9, 2011, the Company entered into a First Refinancing Amendment to the Credit Agreement (“Amendment No. 1”), which provided for, among other things, (i) refinancing of the outstanding indebtedness under the Company’s senior secured Term Loan A and Term Loan B facilities, (ii) elimination of the requirement to hedge a certain portion of the Company’s variable rate debt, (iii) a reduction in the minimum Base Rate from 2.75 percent to 2.25 percent, (iv) a reduction in the minimum Eurodollar Rate from 1.75 percent to 1.25 percent, (v) reductions in Term Loan B Applicable Rates to 3.50 percent for Eurodollar Rate Loans and 2.50 percent for Base Rate Loans as compared to 5.00 percent and 4.00 percent, respectively, under the previous arrangement and (vi) reductions in the Applicable Rate for Term Loan A as reflected in the table below.

                                         
    Previous Applicable Rate     Amended Applicable Rate        

Consolidated

Leverage Ratio

   Eurodollar Rate Loans and
Letter of Credit Fees		     Base Rate
Loans		     Eurodollar Rate Loans and
Letter of Credit Fees		     Base Rate
Term A Loans		     Base Rate
Term B Loans		  
> 3.0:1     5.00 %      4.00 %      3.25 %      2.25 %      2.25 % 
> 2.0:1 and < 3.0:1     4.50 %      3.50 %      3.00 %      2.00 %      2.00 % 
< 2.0:1     4.00 %      3.00 %      2.75 %      1.75 %      1.75 % 

In addition, Amendment No. 1 provided for a reduction in the Company’s minimum consolidated interest coverage ratio to a ratio of 2.25 to 1.00 from the previous ratio of 2.75 to 1.00. As discussed below under “Debt Covenants,” Amendment No. 3 provided for a further reduction in the minimum consolidated interest coverage ratio.

The interest rate per annum on borrowings under the Credit Agreement is based on, at the option of the Company, (i) the Eurodollar Rate or (ii) the Base Rate, plus an Applicable Rate. The Base Rate represents the highest of (x) the Bank of America prime rate, (y) the federal funds rate plus 0.50 percent and (z) the Eurodollar Rate plus 1.00 percent. In connection with determining the interest rates on the Term Loan A and Term Loan B facilities, in no event shall the Eurodollar Rate be less than 1.25 percent and the Base Rate be less than 2.25 percent. The Company may select interest periods of one, two, three or six months for Eurodollar Rate loans. Interest is payable at the end of the selected interest period. From August 17, 2010 through March 9, 2011, the interest rate on borrowings under the Credit Agreement was 6.75 percent per annum. From March 9, 2011 through March 5, 2012, the interest rate on Term Loan A borrowings was 4.50 percent and on Term Loan B borrowings was 4.75 percent. Giving effect to Amendment No. 3, subsequent to March 5, 2012, the interest rate on Term Loan A borrowings is 6.25 percent and on Term Loan B borrowings is 6.50 percent. The Company must also pay a fee of 0.50 percent per annum on unused commitments under the revolving credit facility.

Prior to Amendment No. 1, the Credit Agreement included a requirement that the Company enter into and maintain interest rate swap contracts covering a notional value of not less than 50 percent of the Company’s aggregate consolidated outstanding indebtedness (other than total revolving credit outstanding), including the Senior Notes, for a period of not less than three years. On November 15, 2010, the Company entered into derivative instruments consisting of (i) a one-year interest rate cap with a notional value of $220.0 million and (ii) two-year forward starting interest rate swaps with notional value of $300.0 million. Under the interest rate cap, the Company would pay a fixed rate of 1.75 percent per annum plus an applicable rate (an aggregate of 6.75 percent per annum for the period beginning November 15, 2010 through December 30, 2011) on the $220 million rather than a variable rate plus an applicable rate should the variable rate plus applicable rate exceed 6.75 percent. In connection with Amendment No. 1, the Company terminated the two-year forward starting interest rate swaps and paid a termination fee of approximately $0.3 million, which is reflected in interest expense and other in the Company’s consolidated statement of comprehensive income for the six months ended June 30, 2011.

 

The Company may voluntarily repay outstanding loans under the revolving credit facility or Term Loan A at any time without premium or penalty, other than customary “breakage” costs with respect to LIBOR loans. For the period from March 9, 2011 to September 9, 2011, the Company was subject to a prepayment premium equal to 1.0 percent of the aggregate principal amount of Term Loan B. Prepayment and commitment reductions will be required in connection with (i) certain asset sales, (ii) certain extraordinary receipts such as certain insurance proceeds, (iii) cash proceeds from the issuance of debt, (iv) 50 percent of the proceeds from the issuance of equity with step-downs based on leverage, with certain exceptions, and (v) 75 percent of “Excess Cash Flow” (as defined in the Credit Agreement) with two step-downs based on the Company’s leverage ratio.

In connection with the refinancing pursuant to Amendment No. 1, the Company paid a two percent prepayment penalty on its Term Loan B facility of approximately $10.9 million which was recorded as deferred debt issuance costs. In accordance with applicable guidance, due to changes in some of the participating lenders, the Company recorded a write-off of a portion of its deferred debt issuance costs of approximately $3.5 million, which is reflected in interest expense and other in the Company’s consolidated statement of comprehensive income for the six months ended June 30, 2011.

Debt Covenants

The Credit Agreement contains a number of covenants that, among other things, restrict, subject to certain exceptions, the Company’s and its subsidiaries’ ability to incur additional indebtedness or issue certain preferred stock, create liens on assets, enter into sale and leaseback transactions, engage in mergers or consolidations with other companies, sell assets, pay dividends, repurchase capital stock, make investments, loans and advances, make certain acquisitions, engage in certain transactions with affiliates, amend material agreements, repay certain indebtedness, change the nature of the Company’s business, change accounting policies and practices, grant negative pledges and incur capital expenditures. In addition, after giving effect to Amendment No. 3, the Credit Agreement requires the Company to maintain no more than a maximum consolidated leverage ratio as shown in the second table below and no less than a minimum cash interest coverage ratio of 2.00 to 1.00 through June 30, 2013, 1.75 to 1.00 from September 30, 2013 through June 30, 2014 and 2.00 to 1.00 thereafter and also contains certain customary affirmative covenants and events of default. The previously required ratio was 2.25 to 1.00 for all periods.

On November 28, 2011, the Company entered into Amendment No. 2, which provided for modification to the definition of “Consolidated EBITDA” contained in the Credit Agreement to allow for the add-back of costs associated with the Company’s cost realignment activities and operating losses associated with branches closed or sold during the fourth quarter of 2011 and to reset the maximum consolidated leverage ratio for the fourth quarter of 2011 to 4.75 to 1.00. As of June 30, 2012, the Company was in compliance with all covenants in the Credit Agreement.

The maximum consolidated leverage ratio under Amendment No. 2 was as follows:

 

     

For the period

   Maximum Consolidated
Leverage Ratio

August 17, 2010 to September 30, 2011

   £ 4.75:1

October 1, 2011 to September 30, 2012

   £ 4.50:1

October 1, 2012 to September 30, 2013

   £ 3.75:1

Thereafter

   £ 3.00:1

On March 6, 2012, the Company entered into Amendment No. 3 to the Credit Agreement, which provided, among other things, for (i) an increase by 175 basis points per annum of the interest rates applicable to each of outstanding Term Loan A loans and Term Loan B loans, (ii) an increase in the Company’s permitted maximum consolidated leverage ratio as set forth in the table below, (iii) an amendment to the consolidated interest coverage ratio (and corresponding definitions) to provide that consolidated interest charges included in such calculation are such charges paid in cash (as compared with the previous covenant that included non-cash interest charges), along with a decrease in the Company’s permitted minimum consolidated cash interest coverage ratio to (a) 2.00 to 1.00 through June 30, 2013, (b) 1.75 to 1.00 from September 30, 2013 through June 30, 2014 and (c) 2.00 to 1.00 thereafter, (iv) amendments to the definition of “Consolidated EBITDA,” which include the ability to add-back certain costs associated with the Company’s cost realignment and operating losses associated with certain facilities and branches closed or sold by the Company during the fourth quarter of 2011 and during 2012 and an increase in the add-back for litigation settlement costs, (v) an addition of a mechanism for the Company to make discounted prepayments of Term Loan A loans and Term Loan B loans pursuant to Dutch auction procedures and (vi) a reduction of the revolving credit facility from $125 million to $110 million. As a condition to effectiveness of Amendment No. 3, the Company paid $50 million of the outstanding term loans under the Credit Agreement, applied ratably between the Term Loan A facility and the Term Loan B facility. The Company also paid certain fees in connection with Amendment No. 3, including a consent fee to each lender approving Amendment No. 3 in an amount equal to 0.50% of its respective term loans and revolving credit commitments. In connection with Amendment No. 3, the Company incurred costs of approximately $5.3 million. Approximately $4.1 million of these costs (including the $0.8 million associated with the revolving credit facility) have been capitalized and are being amortized over the remaining life of the debt using an effective interest rate.

 

The increase in Gentiva’s permitted maximum consolidated leverage ratio under Amendment No. 3 is set forth in the following table:

 

     

Four Fiscal Quarters Ending

   Maximum Consolidated
Leverage Ratio

March 31, 2012 to September 30, 2014

   £ 6.25:1

Each fiscal quarter thereafter

   £ 5.75:1

As of June 30, 2012, the Company’s consolidated leverage ratio was 4.8x and the Company’s interest coverage ratio was 2.7x.

Guaranty Agreement and Security Agreement

Gentiva and substantially all of its subsidiaries (the “Guarantor Subsidiaries”) entered into a guaranty agreement pursuant to which the Guarantor Subsidiaries have agreed, jointly and severally, fully and unconditionally to guarantee all of the Company’s obligations under the Credit Agreement. Additionally, Gentiva and its Guarantor Subsidiaries entered into a security agreement pursuant to which a first-priority security interest was granted in substantially all of the Company’s and its Guarantor Subsidiaries’ present and future real, personal and intangible assets, including the pledge of 100 percent of all outstanding capital stock of substantially all of the Company’s domestic subsidiaries to secure full payment of all of the Company’s obligations for the ratable benefit of the lenders.

Senior Notes

The Senior Notes are unsecured, senior subordinated obligations of the Company. The Senior Notes are guaranteed by all of Gentiva’s subsidiaries that are guarantors under the Credit Agreement. Interest on the Senior Notes accrues at a rate of 11.5 percent per annum and is payable semi-annually in arrears on March 1 and September 1. Gentiva will make each interest payment to the holders of record on the immediately preceding February 15 and August 15.

The Senior Notes mature on September 1, 2018 and are generally free to be transferred. Gentiva may redeem the Senior Notes, in whole or in part, at any time prior to the first interest payment of 2014, at a price equal to 100 percent of the principal amount of the Senior Notes redeemed plus an applicable make-whole premium based on the present value of the remaining payments discounted at the treasury rate plus 50 basis points plus accrued and unpaid interest, if any, to the date of redemption. In addition, prior to September 1, 2013, Gentiva may redeem up to 35 percent of the aggregate principal amount of the Senior Notes with the net cash proceeds of a qualified equity offering at a redemption price equal to 111.5 percent of the aggregate principal amount, provided that (i) at least 65 percent of the aggregate principal amount of Senior Notes originally issued remain outstanding after the occurrence of such redemption and (ii) such redemption occurs within 180 days after the closing of a qualified equity offering.

On or after September 1, 2014, Gentiva may redeem all or part of the Senior Notes at redemption prices set forth below plus accrued and unpaid interest and Additional Interest, if any, as defined in the indenture relating to the Senior Notes during the twelve month period beginning on September 1 of the years indicated below:

 

         

Year

   Percentage  

2014

     105.750 % 

2015

     102.875 % 

2016 and thereafter

     100.000 % 

Other

The Company has equipment capitalized under capital lease obligations. At June 30, 2012 and December 31, 2011, the Company had no obligations under long-term capital leases. The current portion of obligations under capital leases was $0.1 million at both June 30, 2012 and December 31, 2011, respectively, and was recorded in other accrued expenses on the Company’s consolidated balance sheets.

 
XML 71 R64.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans (Details 2) (Performance Shares [Member], USD $)
 6 Months Ended
Jun. 30, 2012
Performance Shares [Member]
  
Summary of performance share unit  
Number of Restricted Shares, Beginning balance 125,800
Weighted Average Exercise Price, Beginning balance $ 26.33
Number of Performance Share Units, Granted 0
Weighted Average Exercise Price, Granted $ 0.00
Number of Performance Share Units, Vested 0
Weighted Average Exercise Price, Vested $ 0.00
Number of Performance Share Units, Cancelled (3,200)
Weighted Average Exercise Price, Cancelled $ 26.74
Number of Performance Share Units, Ending balance 122,600
Weighted Average Exercise Price, Ending balance $ 26.32
XML 72 R66.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans (Details Textual) (USD $)
 3 Months Ended 6 Months Ended 6 Months Ended 6 Months Ended 12 Months Ended 6 Months Ended 12 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
May 10, 2012
Jun. 30, 2012
Stock option grants in 2011 and 2012 [Member]
Jun. 30, 2012
Stock option grants in 2006 through 2010 [Member]
Jun. 30, 2012
Performance Shares [Member]
Jun. 30, 2011
Performance Shares [Member]
Jun. 30, 2012
Restricted Stock Units R S U [Member]
Jun. 30, 2011
Restricted Stock Units R S U [Member]
Jun. 30, 2011
Restricted Stock [Member]
Dec. 31, 2011
Maximum [Member]
Dec. 31, 2010
Maximum [Member]
Jun. 30, 2012
Maximum [Member]
Performance Shares [Member]
Jun. 30, 2012
Maximum [Member]
Restricted Stock Units R S U [Member]
Dec. 31, 2011
Minimum [Member]
Dec. 31, 2010
Minimum [Member]
Jun. 30, 2012
Minimum [Member]
Performance Shares [Member]
Jun. 30, 2012
Minimum [Member]
Restricted Stock Units R S U [Member]
Jun. 30, 2012
Selling General and Administrative Expenses [Member]
Jun. 30, 2011
Selling General and Administrative Expenses [Member]
Jun. 30, 2012
Selling General and Administrative Expenses [Member]
Jun. 30, 2011
Selling General and Administrative Expenses [Member]
Equity-Based Compensation Plans (Textual) [Abstract]                                                
Equity-based compensation expense     $ 3,442,000 $ 3,966,000                                 $ 1,800,000 $ 2,300,000 $ 3,400,000 $ 4,000,000
Non-cash compensation expense   400,000                                            
Stock option vesting Period           3 years 4 years               3 years 5 years     1 year 3 years        
Stock option vesting rights           one-third vesting after each year one-half vesting after year two and an additional one-fourth vesting after each of years three and four                                  
Number of Options, Exercised     0                                          
Intrinsic value of options       1,900,000                                        
Unrecognized compensation expense 3,900,000   3,900,000                                          
Compensation expense recognized over a weighted-average period     1 year 6 months         1 year 4 months 24 days 2 years 1 month 6 days 2 years 9 months 18 days   3 years 6 months                        
Fair Value of Vested Options     3,400,000                                          
Performance share units granted                         200.00% 150.00%     0.00% 0.00%            
Unrecognized compensation cost total               1,400,000 2,500,000 5,600,000 7,600,000                          
Restricted stock awards 2,600,000   2,600,000                                          
Total number of shares of common stock reserved for issuance 650,000   650,000                                          
Number of shares of common stock available for issuance 314,608   314,608                                          
Performance share units vesting period     P3Y                                          
Stock & Deferred Compensation Plan for Non-Employee     37,287                                          
Weighted-average fair value     $ 6.03                                          
Approximate cash payment to each non-employee for insufficient deferred stock units     $ 28,100                                          
Share units outstanding under the plan 225,005   225,005                                          
Increasing in aggregate number of shares of common stock available for issuance         350,000                                      
ESPP under which the offering purchase price of shares 85.00%                                              
Offering Period of Employee Stock Purchase Plan     3 months                                          
Stock issued under ESPP     259,448                                          
Company issued common stock under its ESPP 15.00%                                              
Authorization of additional shares under ESPP         1,800,000                                      
XML 73 R63.htm IDEA: XBRL DOCUMENT v2.4.0.6
Equity-Based Compensation Plans (Details 1) (USD $)
 6 Months Ended
Jun. 30, 2012
Summary of stock option activity  
Number of options, Beginning balance 4,228,907
Weighted Average Exercise Price, Beginning balance $ 15.59
Number of Options, Granted 36,000
Weighted Average Exercise Price, Granted $ 8.46
Number of Options, Exercised 0
Weighted Average Exercise Price, Exercised $ 0.00
Number of Options, Cancelled (306,461)
Weighted Average Exercise Price, Cancelled $ 12.86
Number of options, Ending balance 3,958,446
Weighted Average Exercise Price, Ending balance $ 15.74
Weighted Average Remaining Contractual Life-Years 5 years 4 months 24 days
Aggregate intrinsic value, Ending balance $ 1,936,380
Number of Options, Exercisable options 2,156,077
Weighted Average Exercise Price, Exercisable options $ 20.13
Weighted Average Remaining Contractual Term, Exercisable options 4 years 7 months 6 days
Aggregate Intrinsic Value, Exercisable options $ 0
XML 74 R34.htm IDEA: XBRL DOCUMENT v2.4.0.6
Business Segment Information (Tables)
 6 Months Ended
Jun. 30, 2012
Business Segment Information [Abstract]  
Segment net revenues by major payer source
                                                 
    Second Quarter  
    2012     2011  
    Home
Health		     Hospice     Total     Home
Health		     Hospice     Total  

Medicare

   $ 186.1     $ 179.6     $ 365.7     $ 199.8     $ 180.0     $ 379.8  

Medicaid and Local Government

     11.6       6.7       18.3       13.4       7.6       21.0  

Commercial Insurance and Other:

                                                

Paid at episodic rates

     21.3       —         21.3       20.0       —         20.0  

Other

     16.7       5.7       22.4       21.1       6.8       27.9  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total net revenues

   $ 235.7     $ 192.0     $ 427.7     $ 254.3     $ 194.4     $ 448.7  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

                                                 
    First Six Months  
    2012     2011  
    Home
Health		     Hospice     Total     Home
Health		     Hospice     Total  

Medicare

   $ 376.8     $ 361.5     $ 738.3     $ 401.4     $ 361.0     $ 762.4  

Medicaid and Local Government

     23.5       14.2       37.7       26.6       15.3       41.9  

Commercial Insurance and Other:

                                                

Paid at episodic rates

     41.3       —         41.3       38.7       —         38.7  

Other

     34.1       11.9       46.0       43.7       13.1       56.8  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total net revenues

   $ 475.7     $ 387.6     $ 863.3     $ 510.4     $ 389.4     $ 899.8  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
Segment information about the Company's operations
                         
    Home Health     Hospice     Total  

For the three months ended June 30, 2012

                        

Net revenue

   $ 235,687     $ 192,004     $ 427,691  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 36,383 (1)    $ 35,146 (1)    $ 71,529  
   

 

 

    

 

 

          

Corporate expenses

                     (23,211 )(1) 

Depreciation and amortization

                     (7,292 ) 

Gain on sale of businesses

                     5,447  

Interest expense and other, net

                     (22,655 ) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 23,818  
                   

 

 

  
       

For the three months ended June 30, 2011

                        

Net revenue

   $ 254,343     $ 194,369     $ 448,712  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 34,828     $ 36,687     $ 71,515  
   

 

 

    

 

 

          

Corporate expenses

                     (41,105 )(1) 

Depreciation and amortization

                     (7,487 ) 

Dividend income

                     4,613 (2) 

Interest expense and other, net

                     (20,786 ) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 6,750  
                   

 

 

  
       

For the six months ended June 30, 2012

                        

Net revenue

   $ 475,651     $ 387,692     $ 863,343  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 62,259 (1)    $ 67,628 (1)    $ 129,887  
   

 

 

    

 

 

          

Corporate expenses

                     (45,055 )(1) 

Depreciation and amortization

                     (14,722 ) 

Gain on sale of businesses

                     5,447  

Interest expense and other, net

                     (44,157 )(3) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 31,400  
                   

 

 

  
       

Segment assets

   $ 235,918     $ 873,878     $ 1,109,796  
   

 

 

    

 

 

          

Corporate assets

                     369,225  
                   

 

 

  

Total assets

                   $ 1,479,021  
                   

 

 

  
       

For the six months ended June 30, 2011

                        

Net revenue

   $ 510,382     $ 389,439     $ 899,821  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 76,710 (1)    $ 72,824 (1)    $ 149,534  
   

 

 

    

 

 

          

Corporate expenses

                     (63,910 )(1) 

Depreciation and amortization

                     (15,081 ) 

Dividend income

                     4,613 (2) 

Interest expense and other, net

                     (47,669 )(3) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 27,487  
                   

 

 

  
       

Segment assets

   $ 650,004     $ 1,052,487     $ 1,702,491  
   

 

 

    

 

 

          

Corporate assets

                     388,102  
                   

 

 

  

Total assets

                   $ 2,090,593  
                   

 

 

  

 

(1) For the first six months of 2012, the Company recorded charges relating to cost savings initiatives and other restructuring costs, acquisition and integration costs and legal settlements of $5.4 million.

 

For the second quarter and first six months of 2011, the Company recorded charges relating to cost savings initiatives and other restructuring costs, acquisition and integration costs and legal settlements of $21.2 million and $25.0 million, respectively. Of these amounts, $18.5 million related to legal settlements associated with the Odyssey acquisition.

Charges reflecting for segment reporting purposes

The charges were reflected as follows for segment reporting purposes (dollars in millions):

 

                                 
    Second Quarter     Six Months  
    2012     2011     2012     2011  

Home Health

   $ (0.1 )    $ —       $ 5.7     $ 0.3  

Hospice

     0.3       —         0.1       0.7  

Corporate expenses

     (0.2 )      21.2       (0.4 )      24.0  
   

 

 

    

 

 

    

 

 

    

 

 

  

Total

   $ —       $ 21.2     $ 5.4     $ 25.0  
   

 

 

    

 

 

    

 

 

    

 

 

  

 

(2) For both the second quarter and first six months of 2011, the Company recognized dividend income of $4.6 million as a result of the sale of a portion of the Company’s preferred equity in CareCentrix.
(3) For the first six months of 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 first six months of 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 credit agreement. See Note 10 for additional information.
XML 75 R51.htm IDEA: XBRL DOCUMENT v2.4.0.6
Identifiable Intangible Assets and Goodwill (Details Textual) (USD $)
 3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Dec. 31, 2011
Identifiable Intangible Assets and Goodwill (Textual) [Abstract]          
Charge $ 500,000        
Amortization expense 3,100,000 3,300,000 6,200,000 6,500,000  
Estimated amortization expense for the remainder of 2012 4,700,000   4,700,000    
Estimated amortization expense for 2013 7,400,000   7,400,000    
Estimated amortization expense for 2014 5,700,000   5,700,000    
Estimated amortization expense for 2015 5,600,000   5,600,000    
Estimated amortization expense for 2016 3,400,000   3,400,000    
Estimated amortization expense for 2017 2,900,000   2,900,000    
Deferred tax assets       13,600,000 13,640,000
Decrease in non-current deferred tax assets 13,600,000        
Home Health [Member]
          
Identifiable Intangible Assets and Goodwill (Textual) [Abstract]          
Deferred tax assets         2,379,000
Increase in goodwill 2,400,000        
Hospice [Member]
          
Identifiable Intangible Assets and Goodwill (Textual) [Abstract]          
Deferred tax assets         11,261,000
Increase in goodwill $ 11,200,000        
XML 76 R21.htm IDEA: XBRL DOCUMENT v2.4.0.6
Business Segment Information
 6 Months Ended
Jun. 30, 2012
Business Segment Information [Abstract]  
Business Segment Information
  Note 15.   Business Segment Information

The Company’s operations involve servicing its patients and customers through its Home Health segment and its Hospice segment.

Home Health

The Home Health segment is comprised of direct home nursing and therapy services operations, including specialty programs. The Company conducts direct home nursing and therapy services operations through licensed and Medicare-certified agencies, located in 38 states, from which the Company provides various combinations of skilled nursing and therapy services and paraprofessional nursing services to adult and elder patients. The Company’s direct home nursing and therapy services operations also deliver services to its customers through focused specialty programs that include:

 

  •  

Gentiva Orthopedics, which provides individualized home orthopedic rehabilitation services to patients recovering from joint replacement or other major orthopedic surgery;

 

  •  

Gentiva Safe Strides®, which provides therapies for patients with balance issues who are prone to injury or immobility as a result of falling;

 

  •  

Gentiva Cardiopulmonary, which helps patients and their physicians manage heart and lung health in a home-based environment;

 

  •  

Gentiva Neurorehabilitation, which helps patients who have experienced a neurological injury or condition by removing the obstacles to healing in the patient’s home; and

 

  •  

Gentiva Senior Health, which addresses the needs of patients with age-related diseases and issues to effectively and safely stay in their homes.

In addition, through May 31, 2012, the Company provided consulting services to home health agencies, which included operational support, billing and collection activities, and on-site agency support and consulting. For 2011, the Company’s Rehab Without Walls ® and homemaker services business in Illinois are reflected as discontinued operations in accordance with applicable accounting guidance. See Note 3 for additional information.

Hospice

The Hospice segment serves terminally ill patients and their families through Medicare-certified providers operating in 28 states. Comprehensive management of the healthcare services and products needed by hospice patients and their families are provided through the use of an interdisciplinary team. Depending on a patient’s needs, each hospice patient is assigned an interdisciplinary team comprised of a physician, nurse(s), home health aide(s), medical social worker(s), chaplain, dietary counselor and bereavement coordinator, as well as other care professionals. The Hospice segment also delivers services to its customers through focused specialty programs that include:

 

  •  

Dementia Specialty Program, which provides an individualized disease management program addressing the physical needs specific to Alzheimer’s and dementia patients and support mechanisms for their caregivers;

 

  •  

Cancer Specialty Program, which provides advanced pain and symptom management for patients coping with the effects of cancer;

 

  •  

Cardiac Specialty Program, which helps patients and their physicians aggressively manage symptoms associated with heart disease, focusing on quality of life and pain control; and

 

  •  

Pulmonary Specialty Program, which addresses the needs of patients who have experienced a respiratory crisis by increasing quality of life and promoting comfort by specialized symptom management.

Corporate Expenses

Corporate expenses consist of costs relating to executive management and corporate and administrative support functions that are not directly attributable to a specific segment, including equity-based compensation expense. Corporate and administrative support functions represent primarily information services, accounting and finance, tax compliance, risk management, procurement, marketing, clinical administration, training, legal and human resource benefits and administration.

Other Information

The Company’s senior management evaluates performance and allocates resources based on operating contributions of the reportable segments, which exclude corporate expenses, depreciation, amortization and net interest costs, but include revenues and all other costs (including special items) directly attributable to the specific segment. Segment assets represent net accounts receivable, identifiable intangible assets, goodwill, and certain other assets associated with segment activities. All other assets are assigned to corporate assets for the benefit of all segments for the purposes of segment disclosure.

 

Segment net revenues by major payer source were as follows (in millions):

 

                                                 
    Second Quarter  
    2012     2011  
    Home
Health		     Hospice     Total     Home
Health		     Hospice     Total  

Medicare

   $ 186.1     $ 179.6     $ 365.7     $ 199.8     $ 180.0     $ 379.8  

Medicaid and Local Government

     11.6       6.7       18.3       13.4       7.6       21.0  

Commercial Insurance and Other:

                                                

Paid at episodic rates

     21.3       —         21.3       20.0       —         20.0  

Other

     16.7       5.7       22.4       21.1       6.8       27.9  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total net revenues

   $ 235.7     $ 192.0     $ 427.7     $ 254.3     $ 194.4     $ 448.7  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

                                                 
    First Six Months  
    2012     2011  
    Home
Health		     Hospice     Total     Home
Health		     Hospice     Total  

Medicare

   $ 376.8     $ 361.5     $ 738.3     $ 401.4     $ 361.0     $ 762.4  

Medicaid and Local Government

     23.5       14.2       37.7       26.6       15.3       41.9  

Commercial Insurance and Other:

                                                

Paid at episodic rates

     41.3       —         41.3       38.7       —         38.7  

Other

     34.1       11.9       46.0       43.7       13.1       56.8  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total net revenues

   $ 475.7     $ 387.6     $ 863.3     $ 510.4     $ 389.4     $ 899.8  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

 

Segment information about the Company’s operations is as follows (in thousands):

 

                         
    Home Health     Hospice     Total  

For the three months ended June 30, 2012

                        

Net revenue

   $ 235,687     $ 192,004     $ 427,691  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 36,383 (1)    $ 35,146 (1)    $ 71,529  
   

 

 

    

 

 

          

Corporate expenses

                     (23,211 )(1) 

Depreciation and amortization

                     (7,292 ) 

Gain on sale of businesses

                     5,447  

Interest expense and other, net

                     (22,655 ) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 23,818  
                   

 

 

  
       

For the three months ended June 30, 2011

                        

Net revenue

   $ 254,343     $ 194,369     $ 448,712  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 34,828     $ 36,687     $ 71,515  
   

 

 

    

 

 

          

Corporate expenses

                     (41,105 )(1) 

Depreciation and amortization

                     (7,487 ) 

Dividend income

                     4,613 (2) 

Interest expense and other, net

                     (20,786 ) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 6,750  
                   

 

 

  
       

For the six months ended June 30, 2012

                        

Net revenue

   $ 475,651     $ 387,692     $ 863,343  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 62,259 (1)    $ 67,628 (1)    $ 129,887  
   

 

 

    

 

 

          

Corporate expenses

                     (45,055 )(1) 

Depreciation and amortization

                     (14,722 ) 

Gain on sale of businesses

                     5,447  

Interest expense and other, net

                     (44,157 )(3) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 31,400  
                   

 

 

  
       

Segment assets

   $ 235,918     $ 873,878     $ 1,109,796  
   

 

 

    

 

 

          

Corporate assets

                     369,225  
                   

 

 

  

Total assets

                   $ 1,479,021  
                   

 

 

  
       

For the six months ended June 30, 2011

                        

Net revenue

   $ 510,382     $ 389,439     $ 899,821  
   

 

 

    

 

 

    

 

 

  

Operating contribution

   $ 76,710 (1)    $ 72,824 (1)    $ 149,534  
   

 

 

    

 

 

          

Corporate expenses

                     (63,910 )(1) 

Depreciation and amortization

                     (15,081 ) 

Dividend income

                     4,613 (2) 

Interest expense and other, net

                     (47,669 )(3) 
                   

 

 

  

Income from continuing operations before income taxes and equity in earnings of affiliate

                   $ 27,487  
                   

 

 

  
       

Segment assets

   $ 650,004     $ 1,052,487     $ 1,702,491  
   

 

 

    

 

 

          

Corporate assets

                     388,102  
                   

 

 

  

Total assets

                   $ 2,090,593  
                   

 

 

  

 

(1) For the first six months of 2012, the Company recorded charges relating to cost savings initiatives and other restructuring costs, acquisition and integration costs and legal settlements of $5.4 million.

 

For the second quarter and first six months of 2011, the Company recorded charges relating to cost savings initiatives and other restructuring costs, acquisition and integration costs and legal settlements of $21.2 million and $25.0 million, respectively. Of these amounts, $18.5 million related to legal settlements associated with the Odyssey acquisition.

The charges were reflected as follows for segment reporting purposes (dollars in millions):

 

                                 
    Second Quarter     Six Months  
    2012     2011     2012     2011  

Home Health

   $ (0.1 )    $ —       $ 5.7     $ 0.3  

Hospice

     0.3       —         0.1       0.7  

Corporate expenses

     (0.2 )      21.2       (0.4 )      24.0  
   

 

 

    

 

 

    

 

 

    

 

 

  

Total

   $ —       $ 21.2     $ 5.4     $ 25.0  
   

 

 

    

 

 

    

 

 

    

 

 

  

 

(2) For both the second quarter and first six months of 2011, the Company recognized dividend income of $4.6 million as a result of the sale of a portion of the Company’s preferred equity in CareCentrix.
(3) For the first six months of 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 first six months of 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 credit agreement. See Note 10 for additional information.

 
XML 77 R26.htm IDEA: XBRL DOCUMENT v2.4.0.6
Fair Value of Financial Instruments (Tables)
 6 Months Ended
Jun. 30, 2012
Fair Value of Financial Instruments [Abstract]  
Financial assets measured at fair value on a recurring basis
                                                                 
    June 30, 2012     December 31, 2011  
    Level 1     Level 2     Level 3     Total     Level 1     Level 2     Level 3     Total  

Assets:

                                                                

Money market funds

   $ 54,045     $ —       $ —       $ 54,045     $ 54,006     $ —       $ —       $ 54,006  

Rabbi Trust:

                                                                

Mutual funds

     21,891       —         —         21,891       25,626       —         —         25,626  

Money market funds

     6,006       —         —         6,006       697       —         —         697  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total assets

   $ 81,942     $ —       $ —       $ 81,942     $ 80,329     $ —       $ —       $ 80,329  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
                 

Liabilities:

                                                                

Payables to plan participants

   $ 27,897     $ —       $ —       $ 27,897     $ 26,323     $ —       $ —       $ 26,323  
Carrying amount and estimated fair value of financial instruments
                                 
    June 30, 2012     December 31, 2011  
    Carrying
Amount		     Estimated
Fair Value		     Carrying
Amount		     Estimated
Fair Value		  

Assets:

                                

Note receivable from CareCentrix

   $ 25,000     $ 26,900     $ 25,000     $ 26,600  
         

Liabilities:

                                

Long-term obligations

   $ 938,125     $ 849,705     $ 988,125     $ 863,313  
XML 78 R49.htm IDEA: XBRL DOCUMENT v2.4.0.6
Identifiable Intangible Assets and Goodwill (Details) (USD $)
In Thousands, unless otherwise specified
 6 Months Ended
Jun. 30, 2012
Dec. 31, 2011
Amortized intangible assets:    
Finite-Lived Intangible Assets, Net $ 34,590 $ 40,735
Indefinite-lived intangible assets:    
Indefinite Lived Intangible Assets, Net 173,620 174,139
Total identifiable intangible assets 208,210 214,874
Home Health [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Net 17,176 19,209
Indefinite-lived intangible assets:    
Indefinite Lived Intangible Assets, Net 75,613 75,613
Total identifiable intangible assets 92,789 94,822
Hospice [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Net 17,414 21,526
Indefinite-lived intangible assets:    
Indefinite Lived Intangible Assets, Net 98,007 98,526
Total identifiable intangible assets 115,421 120,052
Medicare licenses and certificates of need [Member]
    
Indefinite-lived intangible assets:    
Indefinite-Lived Intangible Assets 318,811 318,811
Indefinite Lived Intangible Assets, Accumulated Impairment (145,191) (144,672)
Indefinite lived intangible asset useful life Indefinite  
Medicare licenses and certificates of need [Member] | Home Health [Member]
    
Indefinite-lived intangible assets:    
Indefinite-Lived Intangible Assets 220,285 220,285
Indefinite Lived Intangible Assets, Accumulated Impairment (144,672)  
Medicare licenses and certificates of need [Member] | Hospice [Member]
    
Indefinite-lived intangible assets:    
Indefinite-Lived Intangible Assets 98,526 98,526
Indefinite Lived Intangible Assets, Accumulated Impairment (519) 0
Covenants not to compete [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 17,148 17,148
Less: accumulated amortization (13,792) (10,555)
Finite-Lived Intangible Assets, Net 3,356 6,593
Covenants not to compete [Member] | Home Health [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 1,473 1,473
Less: accumulated amortization (1,423) (1,411)
Finite-Lived Intangible Assets, Net 50 62
Covenants not to compete [Member] | Hospice [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 15,675 15,675
Less: accumulated amortization (12,369) (9,144)
Finite-Lived Intangible Assets, Net 3,306 6,531
Customer Relationships [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 28,106 28,106
Less: accumulated amortization (16,822) (15,603)
Finite Lived Intangible Assets, Accumulated Impairment (27) (27)
Finite-Lived Intangible Assets, Net 11,257 12,476
Customer Relationships [Member] | Home Health [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 27,196 27,196
Less: accumulated amortization (16,478) (15,304)
Finite Lived Intangible Assets, Accumulated Impairment (27) (27)
Finite-Lived Intangible Assets, Net 10,691 11,865
Customer Relationships [Member] | Hospice [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 910 910
Less: accumulated amortization (344) (299)
Finite Lived Intangible Assets, Accumulated Impairment 0 0
Finite-Lived Intangible Assets, Net 566 611
Trade Names [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 34,945 34,945
Less: accumulated amortization (14,557) (12,868)
Finite Lived Intangible Assets, Accumulated Impairment (411) (411)
Finite-Lived Intangible Assets, Net 19,977 21,666
Trade Names [Member] | Home Health [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 18,215 18,215
Less: accumulated amortization (11,369) (10,522)
Finite Lived Intangible Assets, Accumulated Impairment (411) (411)
Finite-Lived Intangible Assets, Net 6,435 7,282
Trade Names [Member] | Hospice [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Assets, Gross 16,730 16,730
Less: accumulated amortization (3,188) (2,346)
Finite Lived Intangible Assets, Accumulated Impairment 0 0
Finite-Lived Intangible Assets, Net $ 13,542 $ 14,384
Maximum [Member] | Covenants not to compete [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Asset, useful life 5 years  
Maximum [Member] | Customer Relationships [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Asset, useful life 10 years  
Maximum [Member] | Trade Names [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Asset, useful life 10 years  
Minimum [Member] | Covenants not to compete [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Asset, useful life 2 years  
Minimum [Member] | Customer Relationships [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Asset, useful life 5 years  
Minimum [Member] | Trade Names [Member]
    
Amortized intangible assets:    
Finite-Lived Intangible Asset, useful life 5 years  
XML 79 R41.htm IDEA: XBRL DOCUMENT v2.4.0.6
Fair Value of Financial Instruments (Details 1) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2012
Dec. 31, 2011
Carrying Amount [Member]
    
Assets:    
Note receivable from CareCentrix $ 25,000 $ 25,000
Liabilities:    
Long-term obligation 938,125 988,125
Estimate Fair Value [Member]
    
Assets:    
Note receivable from CareCentrix 26,900 26,600
Liabilities:    
Long-term obligation $ 849,705 $ 863,313
XML 80 R5.htm IDEA: XBRL DOCUMENT v2.4.0.6
Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Thousands, unless otherwise specified
 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
OPERATING ACTIVITIES:    
Net income $ 19,225 $ 18,959
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 14,722 15,120
Amortization and write-off of debt issuance costs 7,020 9,654
Provision for doubtful accounts 3,746 4,525
Equity-based compensation expense 3,442 3,966
Windfall tax benefits associated with equity-based compensation   (194)
Gain on sale of businesses (5,447)  
Equity in net earnings of CareCentrix   (890)
Deferred income tax expense (benefit) 9,906 (54)
Changes in assets and liabilities, net of effects from acquisitions and dispositions:    
Accounts receivable 26,251 (496)
Prepaid expenses and other current assets (7,524) 6,253
Accounts payable 395 (4,124)
Payroll and related taxes (4,063) (3,454)
Deferred revenue 4,402 1,099
Medicare liabilities 2,723 (13,606)
Obligations under insurance programs (2,050) (7,760)
Accrued nursing home costs (1,517) (3,800)
Other accrued expenses (28,204) (5,563)
Other, net 6,117 242
Net cash provided by operating activities 49,144 19,877
INVESTING ACTIVITIES:    
Purchase of fixed assets (6,941) (8,717)
Proceeds from sale of businesses, net of cash transferred 6,090 13,581
Acquisition of businesses, net of cash acquired   (320)
Net cash (used in) provided by investing activities (851) 4,544
FINANCING ACTIVITIES:    
Proceeds from issuance of common stock 1,640 6,235
Windfall tax benefits associated with equity-based compensation   194
Repayment of long-term debt (50,000) (23,438)
Repurchase of common stock (4,974)  
Debt issuance costs (4,125) (13,457)
Repayment of capital lease obligations (73) (145)
Other (395) (413)
Net cash used in financing activities (57,927) (31,024)
Net change in cash and cash equivalents (9,634) (6,603)
Cash and cash equivalents at beginning of period 164,912 104,752
Cash and cash equivalents at end of period 155,278 98,149
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:    
Interest paid 38,402 41,577
Income taxes paid $ 4,014 $ 6,676
XML 81 R10.htm IDEA: XBRL DOCUMENT v2.4.0.6
Fair Value of Financial Instruments
 6 Months Ended
Jun. 30, 2012
Fair Value of Financial Instruments [Abstract]  
Fair Value of Financial Instruments
  Note 4.   Fair Value of Financial Instruments

The Company’s financial instruments are measured and recorded at fair value on a recurring basis, except for the note receivable from CareCentrix and long-term debt. The fair values for the note receivable from CareCentrix and non-financial assets, such as fixed assets, intangible assets and goodwill, are measured periodically and adjustments recorded only if an impairment charge is required. The carrying amount of the Company’s accounts receivable, accounts payable and certain other current liabilities approximates fair value due to their short maturities.

Fair value is defined under authoritative guidance as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. Valuation techniques used to measure fair value must maximize the use of observable inputs and minimize the use of unobservable inputs. The fair value hierarchy is based on three levels of inputs, of which the first two are considered observable and the last unobservable, that may be used to measure fair value. The three levels of inputs are as follows:

 

  •  

Level 1—Quoted prices in active markets for identical assets or liabilities.

 

  •  

Level 2—Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.

 

  •  

Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.

Financial Instruments Recorded at Fair Value

The Company’s fair value hierarchy for its financial assets and liabilities measured at fair value on a recurring basis was as follows (in thousands):

 

                                                                 
    June 30, 2012     December 31, 2011  
    Level 1     Level 2     Level 3     Total     Level 1     Level 2     Level 3     Total  

Assets:

                                                                

Money market funds

   $ 54,045     $ —       $ —       $ 54,045     $ 54,006     $ —       $ —       $ 54,006  

Rabbi Trust:

                                                                

Mutual funds

     21,891       —         —         21,891       25,626       —         —         25,626  

Money market funds

     6,006       —         —         6,006       697       —         —         697  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total assets

   $ 81,942     $ —       $ —       $ 81,942     $ 80,329     $ —       $ —       $ 80,329  
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
                 

Liabilities:

                                                                

Payables to plan participants

   $ 27,897     $ —       $ —       $ 27,897     $ 26,323     $ —       $ —       $ 26,323  

Assets held in the Rabbi Trust are held for the benefit of participants of the Company’s non-qualified defined contribution retirement plan. The value of assets held in the Rabbi Trust is based on quoted market prices of securities and investments, including money market accounts and mutual funds, maintained within the Rabbi Trust. The corresponding amounts payable to plan participants are equivalent to the underlying value of assets held in the Rabbi Trust. Assets held in the Rabbi Trust and amounts payable to plan participants are classified in other assets and other liabilities, respectively, in the Company’s consolidated balance sheets. Money market funds held in the Company’s account represent cash equivalents and were classified in cash and cash equivalents in the Company’s consolidated balance sheets at June 30, 2012 and December 31, 2011.

 

Other Financial Instruments

The carrying amount and estimated fair value of the Company’s other financial instruments were as follows (in thousands):

 

                                 
    June 30, 2012     December 31, 2011  
    Carrying
Amount		     Estimated
Fair Value		     Carrying
Amount		     Estimated
Fair Value		  

Assets:

                                

Note receivable from CareCentrix

   $ 25,000     $ 26,900     $ 25,000     $ 26,600  
         

Liabilities:

                                

Long-term obligations

   $ 938,125     $ 849,705     $ 988,125     $ 863,313  

The estimated fair value of the note receivable from CareCentrix was determined from Level 3 inputs based on an income approach using the discounted cash flow method. The fair value represents the net present value of (i) the after tax cash flows relating to the note’s annual income stream plus (ii) the return of the invested principal using a maturity date of March 19, 2017, after considering assumptions relating to risk factors and economic conditions. See Note 6 for additional information.

In determining the estimated fair value of long-term debt, Level 2 inputs based on the use of bid and ask prices were considered. Due to the infrequent number of transactions that occur related to the long-term debt, the Company does not believe an active market exists for purposes of this disclosure.

Cash Flow Hedge

The Company may utilize derivative financial instruments to manage interest rate risk. Derivatives are held only for the purpose of hedging such risk, not for speculative purposes. The Company’s derivative instruments consisted of (i) a one-year interest cap with a notional value of $220.0 million and (ii) until March 9, 2011, two-year forward starting interest rate swaps with notional value of $300.0 million, each agreement designated as a cash flow hedge of the variability of cash flows associated with a portion of the Company’s variable rate term loans. During the first quarter of 2011, the Company terminated the two-year forward starting interest rate swaps in connection with the refinancing of the Company’s Term Loan A and Term Loan B facilities under its credit agreement. The Company paid approximately $0.3 million to terminate the interest rate swaps, which is reflected in interest expense and other in the Company’s consolidated statement of comprehensive income in 2011. The Company’s interest rate cap expired in November 2011. The Company held no derivative instruments as of June 30, 2012 or December 31, 2011.

 
XML 82 R58.htm IDEA: XBRL DOCUMENT v2.4.0.6
Long-Term Debt (Details 4)
 6 Months Ended
Jun. 30, 2012
Senior Notes at redemption prices set forth below plus accrued and unpaid interest and Additional Interest  
2014 105.75%
2015 102.875%
2016 and thereafter 100.00%
XML 83 R69.htm IDEA: XBRL DOCUMENT v2.4.0.6
Business Segment Information (Details) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Segment net revenues by major payer source        
Total net revenues $ 427,691 $ 448,712 $ 863,343 $ 899,821
Medicare [Member]
        
Segment net revenues by major payer source        
Total net revenues 365,700 379,800 738,300 762,400
Medicaid and Local Government [Member]
        
Segment net revenues by major payer source        
Total net revenues 18,300 21,000 37,700 41,900
Commercial Insurance and Other [Member] | Paid at Episodic Rates [Member]
        
Segment net revenues by major payer source        
Total net revenues 21,300 20,000 41,300 38,700
Commercial Insurance and Other [Member] | Other [Member]
        
Segment net revenues by major payer source        
Total net revenues 22,400 27,900 46,000 56,800
Home Health [Member]
        
Segment net revenues by major payer source        
Total net revenues 235,700 254,300 475,700 510,400
Home Health [Member] | Medicare [Member]
        
Segment net revenues by major payer source        
Total net revenues 186,100 199,800 376,800 401,400
Home Health [Member] | Medicaid and Local Government [Member]
        
Segment net revenues by major payer source        
Total net revenues 11,600 13,400 23,500 26,600
Home Health [Member] | Commercial Insurance and Other [Member] | Paid at Episodic Rates [Member]
        
Segment net revenues by major payer source        
Total net revenues 21,300 20,000 41,300 38,700
Home Health [Member] | Commercial Insurance and Other [Member] | Other [Member]
        
Segment net revenues by major payer source        
Total net revenues 16,700 21,100 34,100 43,700
Hospice [Member]
        
Segment net revenues by major payer source        
Total net revenues 192,000 194,400 387,600 389,400
Hospice [Member] | Medicare [Member]
        
Segment net revenues by major payer source        
Total net revenues 179,600 180,000 361,500 361,000
Hospice [Member] | Medicaid and Local Government [Member]
        
Segment net revenues by major payer source        
Total net revenues 6,700 7,600 14,200 15,300
Hospice [Member] | Commercial Insurance and Other [Member] | Paid at Episodic Rates [Member]
        
Segment net revenues by major payer source        
Total net revenues 0 0 0 0
Hospice [Member] | Commercial Insurance and Other [Member] | Other [Member]
        
Segment net revenues by major payer source        
Total net revenues $ 5,700 $ 6,800 $ 11,900 $ 13,100
XML 84 R27.htm IDEA: XBRL DOCUMENT v2.4.0.6
Net Revenues and Accounts Receivable (Tables)
 6 Months Ended
Jun. 30, 2012
Net Revenues and Accounts Receivable [Abstract]  
Net revenues by major payer classification
                                                 
    Second Quarter     First Six Months  
    2012     2011     Percentage
Variance		     2012     2011     Percentage
Variance		  

Medicare:

                                                

Home Health

   $ 186.1     $ 199.8       (6.8 %)    $ 376.8     $ 401.4       (6.1 %) 

Hospice

     179.6       180.0       (0.2 %)      361.5       361.0       0.2 % 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total Medicare

     365.7       379.8       (3.7 %)      738.3       762.4       (3.2 %) 

Medicaid and Local Government

     18.3       21.0       (13.1 %)      37.7       41.9       (10.1 %) 

Commercial Insurance and Other:

                                                

Paid at episodic rates

     21.3       20.0       6.5 %      41.3       38.7       6.6 % 

Other

     22.4       27.9       (19.8 %)      46.0       56.8       (18.9 %) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total Commercial Insurance and Other

     43.7       47.9       (8.8 %)      87.3       95.5       (8.6 %) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  

Total net revenues

   $ 427.7     $ 448.7       (4.7 %)    $ 863.3     $ 899.8       (4.1 %) 
   

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

  
Accounts receivable attributable to major payer sources of reimbursement
                 
    June 30, 2012     December 31, 2011  

Medicare

   $ 193,707     $ 217,028  

Medicaid and Local Government

     40,116       46,553  

Commercial Insurance and Other

     39,015       38,570  
   

 

 

    

 

 

  

Gross Accounts Receivable

     272,838       302,151  

Less: Allowance for doubtful accounts

     (12,807 )      (11,562 ) 
   

 

 

    

 

 

  

Net Accounts Receivable

   $ 260,031     $ 290,589  
   

 

 

    

 

 

  
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Supplemental Guarantor and Non-Guarantor Financial Information (Details 1) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Condensed Consolidating Statement of Comprehensive Income        
Net revenues $ 427,691 $ 448,712 $ 863,343 $ 899,821
Cost of services sold 222,737 234,151 455,598 464,907
Gross profit 204,954 214,561 407,745 434,914
Selling, general and administrative expenses (163,928) (191,638) (337,635) (364,371)
Dividend income   4,613   4,613
Gain on sale of assets 5,447   5,447  
Interest (expense) income and other, net (22,655) (20,786) (44,157) (47,669)
Equity in earnings (loss) of subsidiaries 0   0  
Income from continuing operations before income taxes and equity in net earnings of CareCentrix 23,818 6,750 31,400 27,487
Income tax expense (9,646) (2,412) (12,175) (10,531)
Equity in net earnings of CareCentrix   336   890
Income (loss) from continuing operations 14,172 4,674 19,225 17,846
Discontinued operations, net of tax 0 666 0 1,113
Net income 14,172 5,340 19,225 18,959
Less: Net income attributable to noncontrolling interests (263) (151) (476) (318)
Net income attributable to Gentiva shareholders 13,909 5,189 18,749 18,641
Comprehensive income 14,172 5,340 19,225 18,481
Gentiva Health Services, Inc. [Member]
        
Condensed Consolidating Statement of Comprehensive Income        
Net revenues 0   0  
Cost of services sold 0   0  
Gross profit 0   0  
Selling, general and administrative expenses 0   0  
Gain on sale of assets 0   0  
Interest (expense) income and other, net (22,678) (20,799) (44,221) (47,699)
Equity in earnings (loss) of subsidiaries 26,850 18,001 44,937 48,024
Income from continuing operations before income taxes and equity in net earnings of CareCentrix 4,172 (2,798) 716 325
Income tax expense 9,737 7,987 18,033 18,316
Income (loss) from continuing operations 13,909 5,189 18,749 18,641
Discontinued operations, net of tax     0  
Net income 13,909 5,189 18,749 18,641
Less: Net income attributable to noncontrolling interests 0   0  
Net income attributable to Gentiva shareholders 13,909 5,189 18,749 18,641
Comprehensive income 13,909 5,189 18,749 18,163
Guarantor Subsidiaries [Member]
        
Condensed Consolidating Statement of Comprehensive Income        
Net revenues 416,774 438,576 840,201 880,021
Cost of services sold 216,455 232,800 445,056 460,447
Gross profit 200,319 205,776 395,145 419,574
Selling, general and administrative expenses (159,965) (187,809) (329,513) (357,185)
Dividend income   4,613   4,613
Gain on sale of assets 5,447   5,447  
Interest (expense) income and other, net 0   0  
Equity in earnings (loss) of subsidiaries 53 3,435 2,213 5,726
Income from continuing operations before income taxes and equity in net earnings of CareCentrix 45,854 26,015 73,292 72,728
Income tax expense (19,004) (8,851) (28,355) (26,421)
Equity in net earnings of CareCentrix   336   890
Income (loss) from continuing operations 26,850 17,500 44,937 47,197
Discontinued operations, net of tax   501 0 827
Net income 26,850 18,001 44,937 48,024
Less: Net income attributable to noncontrolling interests 0   0  
Net income attributable to Gentiva shareholders 26,850 18,001 44,937 48,024
Comprehensive income 26,850 18,001 44,937 48,024
Non-Guarantor Subsidiaries [Member]
        
Condensed Consolidating Statement of Comprehensive Income        
Net revenues 13,930 12,827 28,243 25,502
Cost of services sold 9,295 4,042 15,643 10,162
Gross profit 4,635 8,785 12,600 15,340
Selling, general and administrative expenses (3,963) (3,829) (8,122) (7,186)
Gain on sale of assets 0   0  
Interest (expense) income and other, net 23 13 64 30
Equity in earnings (loss) of subsidiaries 0   0  
Income from continuing operations before income taxes and equity in net earnings of CareCentrix 695 4,969 4,542 8,184
Income tax expense (379) (1,548) (1,853) (2,426)
Income (loss) from continuing operations 316 3,421 2,689 5,758
Discontinued operations, net of tax   165 0 286
Net income 316 3,586 2,689 6,044
Less: Net income attributable to noncontrolling interests (263) (151) (476) (318)
Net income attributable to Gentiva shareholders 53 3,435 2,213 5,726
Comprehensive income 316 3,586 2,689 6,044
Eliminations [Member]
        
Condensed Consolidating Statement of Comprehensive Income        
Net revenues (3,013) (2,691) (5,101) (5,702)
Cost of services sold (3,013) (2,691) (5,101) (5,702)
Gross profit 0   0  
Selling, general and administrative expenses 0   0  
Gain on sale of assets 0   0  
Interest (expense) income and other, net 0   0  
Equity in earnings (loss) of subsidiaries (26,903) (21,436) (47,150) (53,750)
Income from continuing operations before income taxes and equity in net earnings of CareCentrix (26,903) (21,436) (47,150) (53,750)
Income tax expense 0   0  
Income (loss) from continuing operations (26,903) (21,436) (47,150) (53,750)
Discontinued operations, net of tax     0  
Net income (26,903) (21,436) (47,150) (53,750)
Less: Net income attributable to noncontrolling interests 0   0  
Net income attributable to Gentiva shareholders (26,903) (21,436) (47,150) (53,750)
Comprehensive income $ (26,903) $ (21,436) $ (47,150) $ (53,750)
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Acquisitions and Dispositions (Details) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Summary of net revenues and operating results        
Discontinued operations, net of tax $ 0 $ 666 $ 0 $ 1,113
Rehab Without Walls and Homemaker Services Agency [Member]
        
Summary of net revenues and operating results        
Net revenues   8,231   15,937
Gain before income taxes   1,105   1,846
Income tax expense   (439)   (733)
Discontinued operations, net of tax   $ 666   $ 1,113
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Income Taxes
 6 Months Ended
Jun. 30, 2012
Income Taxes [Abstract]  
Income Taxes
  Note 14.   Income Taxes

The Company recorded an income tax provision of $9.6 million and $12.2 million for the second quarter and first six months of 2012, respectively. The Company’s effective income tax rate for the first six months of 2012 was 38.8 percent. The rate for the first six months is lower than what is expected for the year as a result of an issue being effectively settled with the IRS and a reversal of related reserves in the first six months of 2012. The difference between the federal statutory income tax rate of 35 percent and the Company’s effective rate of 38.8 percent for the first six months of 2012 is primarily due to state income taxes, net of federal benefit (approximately 5.1 percent) and other items (approximately 0.8 percent), partially offset by changes in tax reserves (approximately 2.1 percent).

The Company recorded an income tax provision of $2.4 million and $10.5 million for the second quarter and first six months of 2011, respectively. The difference between the federal statutory income tax rate of 35 percent and the Company’s effective rate of 38.3 percent for the first six months of 2011 is primarily due to state income taxes, net of federal benefit (approximately 4.6 percent) and other items (approximately 0.6 percent), partially offset by changes in tax reserves (approximately 1.9 percent)