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Business Segment Information (Tables)
9 Months Ended
Sep. 30, 2014
Business Segment Information  
Schedule of operating results by business segment

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

                                                                                                                                                                                    

 

 

Commercial

 

Public
Sector

 

Specialty
Solutions

 

Pharmacy
Management

 

Corporate
and
Elimination

 

Consolidated

 

Three Months Ended September 30, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

190,655

 

$

445,260

 

$

94,125

 

$

57,164

 

$

(17,091

)

$

770,113

 

PBM and dispensing revenue

 

 

 

 

 

 

 

 

103,485

 

 

 

 

103,485

 

Cost of care

 

 

(118,022

)

 

(382,913

)

 

(65,403

)

 

(15,290

)

 

17,091

 

 

(564,537

)

Cost of goods sold

 

 

 

 

 

 

 

 

(97,503

)

 

 

 

(97,503

)

Direct service costs and other

 

 

(47,032

)

 

(27,826

)

 

(13,990

)

 

(32,281

)

 

(35,705

)

 

(156,834

)

Stock compensation expense(1)

 

 

124

 

 

259

 

 

384

 

 

198

 

 

3,559

 

 

4,524

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Segment profit (loss)

 

$

25,725

 

$

34,780

 

$

15,116

 

$

15,773

 

$

(32,146

)

$

59,248

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                                                                                    

 

 

Commercial

 

Public
Sector

 

Specialty
Solutions

 

Pharmacy
Management

 

Corporate
and
Elimination

 

Consolidated

 

Three Months Ended September 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

144,257

 

$

388,682

 

$

120,808

 

$

49,273

 

$

 

$

703,020

 

PBM and dispensing revenue

 

 

 

 

 

 

 

 

241,226

 

 

(21,076

)

 

220,150

 

Cost of care

 

 

(71,264

)

 

(337,128

)

 

(86,787

)

 

(1

)

 

 

 

(495,180

)

Cost of goods sold

 

 

 

 

 

 

 

 

(223,251

)

 

21,071

 

 

(202,180

)

Direct service costs and other

 

 

(37,513

)

 

(45,789

)

 

(17,843

)

 

(45,535

)

 

(30,248

)

 

(176,928

)

Stock compensation expense(1)

 

 

164

 

 

225

 

 

269

 

 

8,122

 

 

3,181

 

 

11,961

 

Less: non-controlling interest segment profit (loss)(2)

 

 

 

 

(1,323

)

 

 

 

 

 

 

 

(1,323

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Segment profit (loss)

 

$

35,644

 

$

7,313

 

$

16,447

 

$

29,834

 

$

(27,072

)

$

62,166

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                                                                                    

 

 

Commercial

 

Public
Sector

 

Specialty
Solutions

 

Pharmacy
Management

 

Corporate
and
Elimination

 

Consolidated

 

Nine Months Ended September 30, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

578,030

 

$

1,266,739

 

$

277,118

 

$

166,092

 

$

(48,557

)

$

2,239,422

 

PBM and dispensing revenue

 

 

 

 

 

 

 

 

298,685

 

 

 

 

298,685

 

Cost of care

 

 

(354,520

)

 

(1,095,694

)

 

(182,212

)

 

(43,325

)

 

48,557

 

 

(1,627,194

)

Cost of goods sold

 

 

 

 

 

 

 

 

(281,190

)

 

 

 

(281,190

)

Direct service costs and other

 

 

(129,823

)

 

(82,403

)

 

(41,224

)

 

(93,216

)

 

(94,292

)

 

(440,958

)

Stock compensation expense(1)

 

 

390

 

 

833

 

 

1,275

 

 

898

 

 

11,368

 

 

14,764

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Segment profit (loss)

 

$

94,077

 

$

89,475

 

$

54,957

 

$

47,944

 

$

(82,924

)

$

203,529

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                                                                                    

 

 

Commercial

 

Public
Sector

 

Specialty
Solutions

 

Pharmacy
Management

 

Corporate
and
Elimination

 

Consolidated

 

Nine Months Ended September 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

531,173

 

$

1,206,579

 

$

345,568

 

$

149,620

 

$

(18,055

)

$

2,214,885

 

PBM and dispensing revenue

 

 

 

 

 

 

 

 

590,115

 

 

(27,341

)

 

562,774

 

Cost of care

 

 

(299,318

)

 

(1,034,754

)

 

(250,192

)

 

(16,296

)

 

18,055

 

 

(1,582,505

)

Cost of goods sold

 

 

 

 

 

 

 

 

(547,362

)

 

27,318

 

 

(520,044

)

Direct service costs and other

 

 

(120,319

)

 

(134,138

)

 

(50,881

)

 

(122,691

)

 

(92,655

)

 

(520,684

)

Stock compensation expense(1)

 

 

476

 

 

729

 

 

1,037

 

 

13,981

 

 

9,760

 

 

25,983

 

Less: non-controlling interest segment profit (loss)(2)

 

 

 

 

(3,301

)

 

 

 

 

 

 

 

(3,301

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Segment profit (loss)

 

$

112,012

 

$

41,717

 

$

45,532

 

$

67,367

 

$

(82,918

)

$

183,710

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


(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.

(2)

The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of Segment Profit.

 

Schedule of reconciliation of Segment Profit to consolidated income before income taxes

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

                                                                                                                                                                                    

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2013

 

2014

 

2013

 

2014

 

Segment profit

 

$

59,248

 

$

62,166

 

$

203,529

 

$

183,710

 

Stock compensation expense

 

 

(4,524

)

 

(11,961

)

 

(14,764

)

 

(25,983

)

Non-controlling interest segment profit (loss)

 

 

 

 

(1,323

)

 

 

 

(3,301

)

Depreciation and amortization

 

 

(17,654

)

 

(23,956

)

 

(50,770

)

 

(66,665

)

Interest expense

 

 

(789

)

 

(2,879

)

 

(2,191

)

 

(5,719

)

Interest income

 

 

291

 

 

241

 

 

1,002

 

 

827

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

36,572

 

$

22,288

 

$

136,806

 

$

82,869

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Summary of assets used in operations of segment

The following tables summarize those assets that are used in the operations of each segment. The remainder of the Company's assets cannot be specifically identified by segment (in thousands):

                                                                                                                                                                                    

 

 

Commercial

 

Public
Sector

 

Specialty
Solutions

 

Pharmacy
Management

 

Corporate
and
Elimination

 

Consolidated

 

Year Ended December 31, 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restricted cash

 

$

25,107 

 

$

196,651 

 

$

 

$

 

$

14,938 

 

$

236,696 

 

Net accounts receivable

 

 

50,407 

 

 

62,977 

 

 

7,368 

 

 

115,527 

 

 

1,906 

 

 

238,185 

 

Investments

 

 

16,491 

 

 

92,966 

 

 

 

 

 

 

98,856 

 

 

208,313 

 

Pharmaceutical inventory

 

 

 

 

 

 

 

 

49,609 

 

 

 

 

49,609 

 

Goodwill

 

 

120,485 

 

 

20,882 

 

 

104,549 

 

 

242,290 

 

 

 

 

488,206 

 

Other intangible assets, net

 

 

3,513 

 

 

4,590 

 

 

3,686 

 

 

57,905 

 

 

 

 

69,694 

 

 

                                                                                                                                                                                    

 

 

Commercial

 

Public
Sector

 

Specialty
Solutions

 

Pharmacy
Management

 

Corporate
and
Elimination

 

Consolidated

 

Nine Months Ended September 30, 2014

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restricted cash

 

$

18,579 

 

$

144,882 

 

$

 

$

 

$

1,705 

 

$

165,166 

 

Net accounts receivable

 

 

56,898 

 

 

60,377 

 

 

14,912 

 

 

165,936 

 

 

4,559 

 

 

302,682 

 

Investments

 

 

18,089 

 

 

159,959 

 

 

 

 

 

 

23,376 

 

 

201,424 

 

Pharmaceutical inventory

 

 

 

 

 

 

 

 

40,899 

 

 

 

 

40,899 

 

Goodwill

 

 

129,042 

 

 

20,879 

 

 

104,549 

 

 

311,636 

 

 

 

 

566,106 

 

Other intangible assets, net

 

 

2,402 

 

 

6,651 

 

 

2,675 

 

 

128,585 

 

 

 

 

140,313