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Business Segment Information
3 Months Ended
Mar. 31, 2013
Business Segment Information  
Business Segment Information

NOTE C—Business Segment Information

        The accounting policies of the Company's segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on income before income taxes, before stock compensation expense, depreciation and amortization, interest expense, interest income, gain on sale of assets, and special charges or benefits ("Segment Profit"). Management uses Segment Profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Effective September 1, 2010, Public Sector has subcontracted with Pharmacy Solutions to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers. As such, revenue and cost of care related to this intersegment arrangement are eliminated. The Company's segments are defined above. The Pharmacy Solutions segment contains the operating segments previously defined as the Specialty Pharmaceutical Management segment and the Medicaid Administration segment. Prior period balances have been reclassified to reflect this change.

        The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

 
  Commercial   Public
Sector
  Radiology
Benefits
Management
  Pharmacy
Solutions
  Corporate
and
Elimination
  Consolidated  

Three Months Ended March 31, 2012

                                     

Managed care and other revenue

  $ 180,524   $ 388,888   $ 76,857   $ 60,898   $ (21,108 ) $ 686,059  

Dispensing revenue

                87,154         87,154  

Cost of care

    (112,172 )   (344,312 )   (50,410 )   (19,507 )   21,108     (505,293 )

Cost of goods sold

                (81,038 )       (81,038 )

Direct service costs and other

    (42,362 )   (20,597 )   (13,486 )   (29,019 )   (31,125 )   (136,589 )

Stock compensation expense(1)

    267     287     400     230     3,918     5,102  
                           

Segment profit (loss)

  $ 26,257   $ 24,266   $ 13,361   $ 18,718   $ (27,207 ) $ 55,395  
                           


 

 
  Commercial   Public
Sector
  Radiology
Benefits
Management
  Pharmacy
Solutions
  Corporate
and
Elimination
  Consolidated  

Three Months Ended March 31, 2013

                                     

Managed care and other revenue

  $ 187,837   $ 406,620   $ 90,278   $ 58,150   $ (15,245 ) $ 727,640  

Dispensing revenue

                94,121         94,121  

Cost of care

    (113,271 )   (355,379 )   (58,067 )   (18,459 )   15,245     (529,931 )

Cost of goods sold

                (88,608 )       (88,608 )

Direct service costs and other

    (41,392 )   (25,643 )   (13,371 )   (29,561 )   (29,660 )   (139,627 )

Stock compensation expense(1)

    133     307     434     320     4,444     5,638  
                           

Segment profit (loss)

  $ 33,307   $ 25,905   $ 19,274   $ 15,963   $ (25,216 ) $ 69,233  
                           

(1)
Stock compensation expense is included in direct service costs and other operating expenses, however this amount is excluded from the computation of Segment Profit since it is managed on a consolidated basis.

        The following table reconciles Segment Profit to income before income taxes (in thousands):

 
  Three Months Ended
March 31,
 
 
  2012   2013  

Segment profit

  $ 55,395   $ 69,233  

Stock compensation expense

    (5,102 )   (5,638 )

Depreciation and amortization

    (14,781 )   (16,170 )

Interest expense

    (600 )   (610 )

Interest income

    412     353  
           

Income before income taxes

  $ 35,324   $ 47,168