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SEGMENT INFORMATION
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
SEGMENT INFORMATION
SEGMENT INFORMATION
Our operations involve servicing patients through our three reportable business segments: home health, hospice and personal care. Our home health segment delivers a wide range of services in the homes of individuals who may be recovering from surgery, have a chronic disability or terminal illness or need assistance with the essential activities of daily living. Our hospice segment provides palliative care and comfort to terminally ill patients and their families. Our personal care segment, which was established with the acquisition of Associated Home Care during the three-month period ended March 31, 2016, provides patients with assistance with the essential activities of daily living. The “other” column in the following tables consists of costs relating to executive management and administrative support functions, primarily information services, accounting, finance, billing and collections, legal, compliance, risk management, procurement, marketing, clinical administration, training, human resources and administration.
During 2018, management revised its measurement of the personal care segment's operating income (loss) to exclude certain expenses that were not directly attributable to the support of the segment, but rather a corporate support function. Prior periods have been restated to conform to the current presentation.
Management evaluates performance and allocates resources based on the operating income of the reportable segments, which includes an allocation of corporate expenses directly attributable to the specific segment and includes revenues and all other costs directly attributable to the specific segment. Segment assets are not reviewed by the company’s chief operating decision maker and therefore are not disclosed below (amounts in millions).
 
For the Year Ended December 31, 2018
 
Home Health
 
Hospice
 
Personal Care
 
Other
 
Total
Net service revenue
$
1,174.5

 
$
410.9

 
$
77.2

 
$

 
$
1,662.6

Cost of service, excluding depreciation and amortization
722.1

 
212.0

 
58.8

 

 
992.9

General and administrative expenses
276.3

 
84.6

 
12.8

 
127.6

 
501.3

Depreciation and amortization
3.5

 
1.1

 
0.3

 
8.4

 
13.3

Operating expenses
1,001.9

 
297.7

 
71.9

 
136.0

 
1,507.5

Operating income (loss)
$
172.6

 
$
113.2

 
$
5.3

 
$
(136.0
)
 
$
155.1

 
For the Year Ended December 31, 2017
 
Home Health
 
Hospice
 
Personal Care
 
Other
 
Total
Net service revenue
$
1,083.9

 
$
367.8

 
$
59.6

 
$

 
$
1,511.3

Cost of service, excluding depreciation and amortization
670.9

 
187.5

 
45.0

 

 
903.4

General and administrative expenses
278.4

 
76.6

 
9.5

 
117.8

 
482.3

Depreciation and amortization
3.5

 
0.9

 
0.2

 
12.5

 
17.1

Securities Class Action Lawsuit settlement, net

 

 

 
28.7

 
28.7

Asset impairment charge
1.3

 

 

 

 
1.3

Operating expenses
954.1

 
265.0

 
54.7

 
159.0

 
1,432.8

Operating income (loss)
$
129.8

 
$
102.8

 
$
4.9

 
$
(159.0
)
 
$
78.5

 
For the Year Ended December 31, 2016
 
Home Health
 
Hospice
 
Personal Care
 
Other
 
Total
Net service revenue
$
1,071.7

 
$
311.9

 
$
35.7

 
$

 
$
1,419.3

Cost of service, excluding depreciation and amortization
643.7

 
164.5

 
26.3

 

 
834.5

General and administrative expenses
283.4

 
70.2

 
5.8

 
144.0

 
503.4

Depreciation and amortization
6.0

 
1.3

 

 
12.4

 
19.7

Asset impairment charge

 

 

 
4.4

 
4.4

Operating expenses
933.1

 
236.0

 
32.1

 
160.8

 
1,362.0

Operating income (loss)
$
138.6

 
$
75.9

 
$
3.6

 
$
(160.8
)
 
$
57.3