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Business Segment Information - Operating Results by Segment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Operating results by business segment    
Managed care and other revenue $ 676,461 $ 748,650
PBM and dispensing revenue 440,561 232,318
Cost of care (457,631) (522,328)
Cost of goods sold (415,459) (218,207)
Direct service costs and other [1],[2] (192,456) (204,450)
Stock compensation expense 8,887 13,901
Changes in fair value of contingent consideration (266) 14,969
Less: non-controlling interest segment (loss) profit 165 (94)
Segment profit (loss) 59,932 64,947
Operating segments | Healthcare    
Operating results by business segment    
Managed care and other revenue 618,928 699,593
Cost of care (457,631) (522,333)
Direct service costs and other (125,617) (128,468)
Stock compensation expense 2,019 3,188
Changes in fair value of contingent consideration (320) 100
Less: non-controlling interest segment (loss) profit 169 (120)
Segment profit (loss) 37,210 52,200
Operating segments | Pharmacy Management    
Operating results by business segment    
Managed care and other revenue 57,577 49,068
PBM and dispensing revenue 470,234 258,793
Cost of care   5
Cost of goods sold (443,949) (243,538)
Direct service costs and other (60,841) (68,233)
Stock compensation expense 5,422 9,405
Changes in fair value of contingent consideration 54 14,869
Segment profit (loss) 28,497 20,369
Corporate and Elimination    
Operating results by business segment    
Managed care and other revenue (44) (11)
PBM and dispensing revenue (29,673) (26,475)
Cost of goods sold 28,490 25,331
Direct service costs and other (5,998) (7,749)
Stock compensation expense 1,446 1,308
Less: non-controlling interest segment (loss) profit (4) 26
Segment profit (loss) $ (5,775) $ (7,622)
[1] Includes changes in fair value of contingent consideration of $14,969 and $(266) for the three months ended March 31, 2015 and 2016, respectively.
[2] Includes stock compensation expense of $13,901 and $8,887 for the three months ended March 31, 2015 and 2016, respectively.