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SEGMENT AND RELATED INFORMATION - SEGMENT INFORMATION (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
USD ($)
area
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
segment
area
Jun. 30, 2017
USD ($)
SEGMENT AND RELATED INFORMATION        
Number of operating segments | segment     2  
Net revenues $ 266,966 $ 263,386 $ 500,961 $ 497,067
Material costs 86,516 83,657 162,872 158,062
Personnel expenses 89,554 87,831 175,662 175,786
Other expenses 61,295 65,609 122,873 136,334
Depreciation & amortization 9,272 9,825 18,602 19,962
Income (loss) from operations 20,329 16,464 20,952 6,923
Interest expense, net 7,317 14,091 19,580 28,100
Loss on extinguishment of debt     16,998  
Non-service defined benefit plan expense 176 184 352 368
Income (loss) before income taxes 12,836 2,189 (15,978) (21,545)
(Benefit) provision for income taxes (92) 552 (6,288) (5,448)
Net income (loss) 12,928 1,637 (9,690) (16,097)
Corporate & Other        
SEGMENT AND RELATED INFORMATION        
Other expenses 20,373 24,002 40,792 52,117
Depreciation & amortization 1,771 1,863 3,701 3,901
Income (loss) from operations (22,144) (25,865) (44,493) (56,018)
Interest expense, net (2,386) 2,667 (1,377) 5,181
Loss on extinguishment of debt     16,998  
Non-service defined benefit plan expense 176 184 352 368
Income (loss) before income taxes (19,934) (28,716) (60,466) (61,567)
(Benefit) provision for income taxes (92) 552 (6,288) (5,448)
Net income (loss) (19,842) (29,268) (54,178) (56,119)
Intersegments        
SEGMENT AND RELATED INFORMATION        
Net revenues (49,835) (45,169) (92,357) (86,369)
Material costs (49,835) (45,169) (92,357) (86,369)
Consolidating Adjustments        
SEGMENT AND RELATED INFORMATION        
Net revenues (49,835) (45,169) (92,357) (86,369)
Material costs $ (49,835) (45,169) $ (92,357) (86,369)
Patient Care        
SEGMENT AND RELATED INFORMATION        
Medicare reimbursement for O&P products and services based on prices set forth in fee schedules, number of regional pricing areas | area 10   10  
Net revenues $ 218,158 216,221 $ 406,665 403,858
Material costs 65,909 64,245 123,808 120,678
Personnel expenses 76,792 75,906 150,405 151,421
Other expenses 35,439 35,546 70,443 71,262
Depreciation & amortization 4,998 5,370 9,896 10,799
Income (loss) from operations 35,020 35,154 52,113 49,698
Interest expense, net 6,456 8,124 14,445 16,286
Income (loss) before income taxes 28,564 27,030 37,668 33,412
Net income (loss) 28,564 27,030 37,668 33,412
Patient Care | Operating segments        
SEGMENT AND RELATED INFORMATION        
Net revenues 218,158 216,221 406,665 403,858
Material costs 59,989 58,322 112,164 108,933
Patient Care | Intersegments        
SEGMENT AND RELATED INFORMATION        
Material costs 5,920 5,923 11,644 11,745
Products & Services        
SEGMENT AND RELATED INFORMATION        
Net revenues 98,643 92,334 186,653 179,578
Material costs 70,442 64,581 131,421 123,753
Personnel expenses 12,762 11,925 25,257 24,365
Other expenses 5,483 6,061 11,638 12,955
Depreciation & amortization 2,503 2,592 5,005 5,262
Income (loss) from operations 7,453 7,175 13,332 13,243
Interest expense, net 3,247 3,300 6,512 6,633
Income (loss) before income taxes 4,206 3,875 6,820 6,610
Net income (loss) 4,206 3,875 6,820 6,610
Products & Services | Operating segments        
SEGMENT AND RELATED INFORMATION        
Net revenues 48,808 47,165 94,296 93,209
Material costs 26,527 25,335 50,708 49,129
Products & Services | Intersegments        
SEGMENT AND RELATED INFORMATION        
Net revenues 49,835 45,169 92,357 86,369
Material costs $ 43,915 $ 39,246 $ 80,713 $ 74,624