XML 69 R16.htm IDEA: XBRL DOCUMENT v2.4.0.8
SEGMENT AND RELATED INFORMATION
6 Months Ended
Jun. 30, 2013
SEGMENT AND RELATED INFORMATION  
SEGMENT AND RELATED INFORMATION

NOTE K — SEGMENT AND RELATED INFORMATION

 

The Company has identified two operating segments and both performance evaluation and resource allocation decisions are determined based on each operating segment’s income from operations. The operating segments are described further below:

 

Patient Care —This segment consists of (i) the Company’s owned and operated patient care clinics and other O&P operations and (ii) its contracting and network management business.  The patient care clinics provide services to design and fit O&P devices to patients. These clinics also instruct patients in the use, care and maintenance of the devices. The principal reimbursement sources for the Company’s services are:

 

·                  Commercial and other, which consist of individuals, rehabilitation providers, private insurance companies, HMOs, PPOs, hospitals, vocational rehabilitation, workers’ compensation programs and similar sources;

 

·                  Medicare, a federally funded health insurance program providing health insurance coverage for persons aged 65 or older and certain disabled persons, which provides reimbursement for O&P products and services based on prices set forth in fee schedules for 10 regional service areas;

 

·                  Medicaid, a health insurance program jointly funded by federal and state governments providing health insurance coverage for certain persons in financial need, regardless of age, which may supplement Medicare benefits for financially needy persons aged 65 or older; and

 

·                  U.S. Department of Veterans Affairs.

 

The Company estimates that government reimbursement, comprised of Medicare, Medicaid and the U.S. Department of Veterans Affairs, in the aggregate, accounted for approximately 40.6% and 41.3%, of the Company’s net sales for the six months ended June 30, 2013 and 2012, respectively.

 

The Company’s contract and network management business is the only network management company dedicated solely to serving the O&P market and is focused on managing the O&P services of national and regional insurance companies. The Company partners with healthcare insurance companies by securing a national or regional contract either as a preferred provider or to manage their O&P network of providers. The Company’s network now includes approximately 1,135 O&P provider locations, including over 400 independent providers. As of June 30, 2013, the Company had 57 contracts with national and regional providers.

 

Products & Services—This segment consists of the Company’s distribution business, which distributes and fabricates O&P products and components for both the O&P industry and the Company’s own patient care clinics, and the Company’s rehabilitation solutions business. Rehabilitation solutions leases rehabilitation equipment and provides evidence-based clinical programs to post-acute rehabilitation service providers. This segment also develops emerging neuromuscular technologies for the O&P and rehabilitation markets.

 

Other — This consists of corporate overhead and includes unallocated expense such as personnel costs, professional fees and corporate offices expenses.

 

The accounting policies of the segments are the same as those described in the summary of “Significant Accounting Policies” in Note B to the consolidated financial statements.

 

Summarized financial information concerning the Company’s operating segments is shown in the following table. Intersegment sales mainly include sales of O&P components from the Products & Services segment to the Patient Care segment and were made at prices which approximate market values.

 

(In thousands)

 

Patient Care

 

Products &
Services

 

Other

 

Consolidating
Adjustments

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended June 30, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

231,090

 

$

42,645

 

$

 

$

 

$

273,735

 

Intersegments

 

 

58,849

 

 

(58,849

)

 

Depreciation and amortization

 

4,067

 

3,343

 

2,100

 

 

9,510

 

Income (loss) from operations

 

41,620

 

11,065

 

(15,763

)

(278

)

36,644

 

Interest (income) expense

 

7,674

 

3,337

 

(3,303

)

 

7,708

 

Extinguishment of debt

 

 

 

6,645

 

 

6,645

 

Income (loss) before taxes

 

33,946

 

7,728

 

(19,105

)

(278

)

22,291

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended June 30, 2012

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

207,985

 

$

43,769

 

$

 

$

 

$

251,754

 

Intersegments

 

 

54,147

 

 

(54,147

)

 

Depreciation and amortization

 

3,388

 

3,036

 

2,014

 

 

8,438

 

Income (loss) from operations

 

39,054

 

10,414

 

(13,574

)

(168

)

35,726

 

Interest (income) expense

 

7,552

 

2,265

 

(2,133

)

 

7,684

 

Income (loss) before taxes

 

31,502

 

8,149

 

(11,441

)

(168

)

28,042

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30, 2013

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

424,303

 

$

82,967

 

$

 

$

 

$

507,270

 

Intersegments

 

 

109,933

 

 

(109,933

)

 

Depreciation and amortization

 

8,133

 

6,546

 

4,116

 

 

18,795

 

Income (loss) from operations

 

67,008

 

20,540

 

(27,647

)

(541

)

59,360

 

Interest (income) expense

 

15,424

 

6,673

 

(6,612

)

 

15,485

 

Extinguishment of debt

 

 

 

6,645

 

 

6,645

 

Income (loss) before taxes

 

51,584

 

13,867

 

(27,680

)

(541

)

37,230

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

6,944

 

1,221

 

9,880

 

 

18,045

 

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended June 30, 2012

 

 

 

 

 

 

 

 

 

 

 

Net sales

 

 

 

 

 

 

 

 

 

 

 

Customers

 

$

384,504

 

$

85,341

 

$

 

$

 

$

469,845

 

Intersegments

 

 

102,560

 

 

(102,560

)

 

Depreciation and amortization

 

6,814

 

6,034

 

3,875

 

 

16,723

 

Income (loss) from operations

 

64,331

 

19,224

 

(25,648

)

(445

)

57,462

 

Interest (income) expense

 

15,135

 

4,537

 

(4,211

)

 

15,461

 

Income (loss) before taxes

 

49,196

 

14,687

 

(21,437

)

(445

)

42,001

 

 

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures

 

4,677

 

1,579

 

9,714

 

 

15,970

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 

 

 

 

 

 

 

 

 

 

 

June 30, 2013

 

1,442,160

 

358,399

 

 

(560,935

)

1,239,624

 

December 31, 2012

 

1,389,223

 

336,318

 

 

(488,214

)

1,237,327