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Segment and Related Information (Tables)
12 Months Ended
Dec. 31, 2019
Segment and Related Information  
Summary of financial information concerning the Company's reporting segments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patient Care

 

Products & Services

 

 

For the Year Ended December 31,

 

For the Year Ended December 31,

(in thousands)

    

2019

    

2018

    

2017

    

2019

    

2018

    

2017

Net revenue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Third party

 

$

905,691

 

$

857,382

 

$

851,973

 

$

192,355

 

$

191,378

 

$

188,796

Intersegments

 

 

 —

 

 

 

 

 

 

203,496

 

 

192,096

 

 

178,768

Total net revenue

 

 

905,691

 

 

857,382

 

 

851,973

 

 

395,851

 

 

383,474

 

 

367,564

Material costs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Third party suppliers

 

 

250,407

 

 

234,409

 

 

228,091

 

 

107,364

 

 

103,608

 

 

101,132

Intersegments

 

 

24,394

 

 

23,792

 

 

23,808

 

 

179,102

 

 

168,304

 

 

154,960

Total material costs

 

 

274,801

 

 

258,201

 

 

251,899

 

 

286,466

 

 

271,912

 

 

256,092

Personnel expenses

 

 

319,633

 

 

312,736

 

 

312,695

 

 

52,592

 

 

51,353

 

 

48,395

Other expenses

 

 

151,140

 

 

140,527

 

 

143,598

 

 

28,178

 

 

24,306

 

 

25,855

Depreciation & amortization

 

 

18,541

 

 

19,113

 

 

21,363

 

 

10,650

 

 

10,197

 

 

10,163

Impairment of intangible assets

 

 

 —

 

 

 

 

 

 

 —

 

 

183

 

 

54,735

Segment income (loss) from operations

 

$

141,576

 

$

126,805

 

$

122,418

 

$

17,965

 

$

25,523

 

$

(27,676)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchase of property, plant and equipment

 

$

16,102

 

$

12,781

 

$

8,163

 

$

2,368

 

$

1,890

 

$

2,153

Purchase of therapeutic program equipment leased to third parties under operating leases

 

$

 —

 

$

 —

 

$

 —

 

$

6,672

 

$

9,835

 

$

6,000

 

Schedule of reconciliation of reportable segments

A reconciliation of the total of the reportable segment's income (loss) from operations to consolidated income (loss)  from operations is as follows:

 

 

 

 

 

 

 

 

 

 

 

(in thousands)

    

2019

    

2018

    

2017

Income (loss) from operations

 

 

 

 

 

 

 

 

 

Patient Care

 

$

141,576

 

$

126,805

 

$

122,418

Products & Services

 

 

17,965

 

 

25,523

 

 

(27,676)

Corporate & other

 

 

(94,113)

 

 

(92,681)

 

 

(113,692)

Income (loss) from operations

 

 

65,428

 

 

59,647

 

 

(18,950)

Interest expense, net

 

 

34,258

 

 

37,566

 

 

57,688

Loss on extinguishment of debt

 

 

 —

 

 

16,998

 

 

 —

Non-service defined benefit plan expense

 

 

691

 

 

703

 

 

736

Income (loss) before income taxes

 

 

30,479

 

 

4,380

 

 

(77,374)

Provision for income taxes

 

 

2,954

 

 

5,238

 

 

27,297

Net income (loss)

 

$

27,525

 

$

(858)

 

$

(104,671)

 

A reconciliation of the reportable segment net revenue to consolidated net revenue is as follows:

 

 

 

 

 

 

 

 

 

 

 

(in thousands)

    

2019

    

2018

    

2017

Net Revenue

 

 

 

 

 

 

 

 

 

Patient Care

 

$

905,691

 

$

857,382

 

$

851,973

Products & Services

 

 

395,851

 

 

383,474

 

 

367,564

Corporate & other

 

 

 —

 

 

 —

 

 

 —

Consolidating adjustments

 

 

(203,496)

 

 

(192,096)

 

 

(178,768)

Consolidated net revenue

 

$

1,098,046

 

$

1,048,760

 

$

1,040,769

 

A reconciliation of the reportable segment material costs to consolidated material costs is as follows:

 

 

 

 

 

 

 

 

 

 

 

(in thousands)

    

2019

    

2018

    

2017

Material costs

 

 

 

 

 

 

 

 

 

Patient Care

 

$

274,801

 

$

258,201

 

$

251,899

Products & Services

 

 

286,466

 

 

271,912

 

 

256,092

Corporate & other

 

 

 —

 

 

 —

 

 

 —

Consolidating adjustments

 

 

(203,496)

 

 

(192,096)

 

 

(178,768)

Consolidated material costs

 

$

357,771

 

$

338,017

 

$

329,223

 

A reconciliation of the reportable segment purchase of property, plant and equipment to consolidated purchase of property, plant and equipment, including purchases of therapeutic program equipment leased to third parties under operating leases, is as follows:

 

 

 

 

 

 

 

 

 

 

 

(in thousands)

    

2019

    

2018

    

2017

Purchase of property, plant and equipment and therapeutic program equipment leased to third parties under operating leases

 

 

 

 

 

 

 

 

 

Patient Care

 

$

16,102

 

$

12,781

 

$

8,163

Products & Services

 

 

 

 

 

 

 

 

 

Property, plant and equipment

 

 

2,368

 

 

1,890

 

 

2,153

Therapeutic program equipment leased to third parties under operating leases

 

 

6,672

 

 

9,835

 

 

6,000

Corporate & other

 

 

7,963

 

 

4,313

 

 

6,039

Total consolidated purchase of property, plant and equipment and therapeutic program equipment leased to third parties under operating leases

 

$

33,105

 

$

28,819

 

$

22,355

 

A reconciliation of the total of the reportable segment's assets to consolidated assets is as follows:

 

 

 

 

 

 

 

 

(in thousands)

    

2019

    

2018

Assets

 

 

 

 

 

 

Patient Care

 

$

552,644

 

$

415,469

Products & Services

 

 

105,673

 

 

100,953

Corporate & other

 

 

183,936

 

 

186,588

Total consolidated assets

 

$

842,253

 

$

703,010