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Segment Information (Tables)
9 Months Ended
Mar. 31, 2013
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information by Segment and Reconciliation of Segement EBITDA to Income (Loss) from Continuing Operations before Income Taxes
The following tables provide unaudited condensed financial information by operating segment for the three months and nine months ended March 31, 2012 and 2013, including a reconciliation of Segment EBITDA to income from continuing operations before income taxes (in millions).
 
Three months ended March 31, 2012
 
Acute Care
Services
 
Health
Plans
 
Eliminations
 
Consolidated
Patient service revenues, net (1)
$
1,391.7

 
$

 
$

 
$
1,391.7

Premium revenues

 
190.8

 

 
190.8

Inter-segment revenues
13.0

 

 
(13.0
)
 

Total revenues
1,404.7

 
190.8

 
(13.0
)
 
1,582.5

 
 
 
 
 
 
 
 
Salaries and benefits (excludes stock compensation)
710.4

 
9.5

 

 
719.9

Health plan claims expense (1)

 
146.6

 

 
146.6

Supplies
235.5

 

 

 
235.5

Other operating expenses-external
297.5

 
8.8

 

 
306.3

Operating expenses-intersegment

 
13.0

 
(13.0
)
 

Medicare and Medicaid EHR incentives
(2.4
)
 

 

 
(2.4
)
Segment EBITDA (2)
163.7

 
12.9

 

 
176.6

Less:
 
 
 
 
 
 
 
Interest, net
43.9

 
(0.5
)
 

 
43.4

Depreciation and amortization
61.9

 
1.0

 

 
62.9

Equity method income
(1.1
)
 

 

 
(1.1
)
Stock compensation
1.9

 

 

 
1.9

Loss on disposal of assets
0.2

 

 

 
0.2

Acquisition related expenses
1.2

 

 

 
1.2

Pension credits
(1.3
)
 

 

 
(1.3
)
Income from continuing operations before income taxes
$
57.0

 
$
12.4

 
$

 
$
69.4

_____________________
(1) 
The Company eliminates in consolidation those patient service revenues earned by its health care facilities attributable to services provided to members in its owned health plans and eliminates the corresponding medical claims expenses incurred by the health plans for those services.
(2) 
Segment EBITDA is defined as income from continuing operations before income taxes less interest expense (net of interest income), depreciation and amortization, equity method income, stock compensation, gain or loss on disposal of assets, realized gains or losses on investments, acquisition related expenses, debt extinguishment costs, impairment and restructuring charges, and pension expense (credits). Management uses Segment EBITDA to measure the performance of the Company’s segments and to develop strategic objectives and operating plans for those segments. Segment EBITDA eliminates the uneven effect of non-cash depreciation of tangible assets and amortization of intangible assets, much of which results from acquisitions accounted for under the purchase method of accounting. Segment EBITDA also eliminates the effects of changes in interest rates, which management believes relate to general trends in global capital markets, but are not necessarily indicative of the operating performance of the Company’s segments. Management believes that Segment EBITDA provides useful information to investors, lenders, financial analysts and rating agencies about the financial performance of the Company’s segments. Additionally, management believes that investors and lenders view Segment EBITDA as an important factor in making investment decisions and assessing the value of the Company. Segment EBITDA is not a substitute for net income, operating cash flows or other cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Segment EBITDA, as presented, may not be comparable to similar measures of other companies.
 
Three months ended March 31, 2013
 
Acute Care
Services
 
Health
Plans
 
Eliminations
 
Consolidated
Patient service revenues, net (1)
$
1,316.0

 
$

 
$

 
$
1,316.0

Premium revenues

 
182.1

 

 
182.1

Inter-segment revenues
9.4

 

 
(9.4
)
 

Total revenues
1,325.4

 
182.1

 
(9.4
)
 
1,498.1

 
 
 
 
 
 
 
 
Salaries and benefits (excludes stock compensation)
684.9

 
9.8

 

 
694.7

Health plan claims expense (1)

 
137.3

 

 
137.3

Supplies
229.1

 

 

 
229.1

Other operating expenses-external
287.8

 
11.6

 

 
299.4

Operating expenses-intersegment

 
9.4

 
(9.4
)
 

Medicare and Medicaid EHR incentives
(5.4
)
 

 

 
(5.4
)
Segment EBITDA (2)
129.0

 
14.0

 

 
143.0

Less:
 
 
 
 
 
 
 
Interest, net
48.1

 
0.7

 

 
48.8

Depreciation and amortization
59.7

 
1.0

 

 
60.7

Equity method income
(1.4
)
 

 

 
(1.4
)
Stock compensation
0.6

 

 

 
0.6

Loss on disposal of assets
0.3

 

 

 
0.3

Realized losses on investments
0.1

 

 

 
0.1

Acquisition related expenses
0.1

 

 

 
0.1

Debt extinguishment costs
1.3

 

 

 
1.3

Pension credits
(3.9
)
 

 

 
(3.9
)
Income from continuing operations before income taxes
$
24.1

 
$
12.3

 
$

 
$
36.4

_____________________
(1) 
The Company eliminates in consolidation those patient service revenues earned by its health care facilities attributable to services provided to members in its owned health plans and eliminates the corresponding medical claims expenses incurred by the health plans for those services.
(2) 
Segment EBITDA is defined as income from continuing operations before income taxes less interest expense (net of interest income), depreciation and amortization, equity method income, stock compensation, gain or loss on disposal of assets, realized gains or losses on investments, acquisition related expenses, debt extinguishment costs, impairment and restructuring charges, and pension expense (credits). Management uses Segment EBITDA to measure the performance of the Company’s segments and to develop strategic objectives and operating plans for those segments. Segment EBITDA eliminates the uneven effect of non-cash depreciation of tangible assets and amortization of intangible assets, much of which results from acquisitions accounted for under the purchase method of accounting. Segment EBITDA also eliminates the effects of changes in interest rates, which management believes relate to general trends in global capital markets, but are not necessarily indicative of the operating performance of the Company’s segments. Management believes that Segment EBITDA provides useful information to investors, lenders, financial analysts and rating agencies about the financial performance of the Company’s segments. Additionally, management believes that investors and lenders view Segment EBITDA as an important factor in making investment decisions and assessing the value of the Company. Segment EBITDA is not a substitute for net income, operating cash flows or other cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Segment EBITDA, as presented, may not be comparable to similar measures of other companies.
 
Nine months ended March 31, 2012
 
Acute Care
Services
 
Health
Plans
 
Eliminations
 
Consolidated
Patient service revenues, net (1)
$
3,903.6

 
$

 
$

 
$
3,903.6

Premium revenues

 
590.6

 

 
590.6

Inter-segment revenues
32.1

 

 
(32.1
)
 

Total revenues
3,935.7

 
590.6

 
(32.1
)
 
4,494.2

 
 
 
 
 
 
 
 
Salaries and benefits (excludes stock compensation)
2,054.8

 
27.9

 

 
2,082.7

Health plan claims expense (1)

 
458.6

 

 
458.6

Supplies
676.9

 
0.1

 

 
677.0

Other operating expenses-external
836.2

 
31.6

 

 
867.8

Operating expenses-intersegment

 
32.1

 
(32.1
)
 

Medicare and Medicaid EHR incentives
(26.8
)
 

 

 
(26.8
)
Segment EBITDA (2)
394.6

 
40.3

 

 
434.9

Less:
 
 
 
 
 
 
 
Interest, net
133.8

 
(1.4
)
 

 
132.4

Depreciation and amortization
188.0

 
3.3

 

 
191.3

Equity method income
(1.8
)
 

 

 
(1.8
)
Stock compensation
6.5

 

 

 
6.5

Gain on disposal of assets
(0.6
)
 

 

 
(0.6
)
Acquisition related expenses
13.8

 

 

 
13.8

Debt extinguishment costs
38.9

 

 

 
38.9

Impairment and restructuring charges
(0.1
)
 

 

 
(0.1
)
Pension credits
(3.9
)
 

 

 
(3.9
)
Income from continuing operations before income taxes
$
20.0

 
$
38.4

 
$

 
$
58.4

_____________________
(1) 
The Company eliminates in consolidation those patient service revenues earned by its health care facilities attributable to services provided to members in its owned health plans and eliminates the corresponding medical claims expenses incurred by the health plans for those services.
(2) 
Segment EBITDA is defined as income from continuing operations before income taxes less interest expense (net of interest income), depreciation and amortization, equity method income, stock compensation, gain or loss on disposal of assets, realized gains or losses on investments, acquisition related expenses, debt extinguishment costs, impairment and restructuring charges, and pension expense (credits). Management uses Segment EBITDA to measure the performance of the Company’s segments and to develop strategic objectives and operating plans for those segments. Segment EBITDA eliminates the uneven effect of non-cash depreciation of tangible assets and amortization of intangible assets, much of which results from acquisitions accounted for under the purchase method of accounting. Segment EBITDA also eliminates the effects of changes in interest rates, which management believes relate to general trends in global capital markets, but are not necessarily indicative of the operating performance of the Company’s segments. Management believes that Segment EBITDA provides useful information to investors, lenders, financial analysts and rating agencies about the financial performance of the Company’s segments. Additionally, management believes that investors and lenders view Segment EBITDA as an important factor in making investment decisions and assessing the value of the Company. Segment EBITDA is not a substitute for net income, operating cash flows or other cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Segment EBITDA, as presented, may not be comparable to similar measures of other companies.
 
Nine months ended March 31, 2013
 
Acute Care
Services
 
Health
Plans
 
Eliminations
 
Consolidated
Patient service revenues, net (1)
$
3,930.1

 
$

 
$

 
$
3,930.1

Premium revenues

 
551.8

 

 
551.8

Inter-segment revenues
29.1

 

 
(29.1
)
 

Total revenues
3,959.2

 
551.8

 
(29.1
)
 
4,481.9

 
 
 
 
 
 
 
 
Salaries and benefits (excludes stock compensation)
2,039.3

 
28.8

 

 
2,068.1

Health plan claims expense (1)

 
421.4

 

 
421.4

Supplies
687.6

 
0.1

 

 
687.7

Other operating expenses-external
888.1

 
33.8

 

 
921.9

Operating expenses-intersegment

 
29.1

 
(29.1
)
 

Medicare and Medicaid EHR incentives
(31.2
)
 

 

 
(31.2
)
Segment EBITDA (2)
375.4

 
38.6

 

 
414.0

Less:
 
 
 
 
 
 
 
Interest, net
149.7

 
(0.4
)
 

 
149.3

Depreciation and amortization
191.0

 
3.1

 

 
194.1

Equity method income
(1.8
)
 

 

 
(1.8
)
Stock compensation
5.5

 

 

 
5.5

Loss on disposal of assets
1.3

 

 

 
1.3

Realized losses on investments
0.3

 

 

 
0.3

Acquisition related expenses
0.2

 

 

 
0.2

Debt extinguishment costs
1.3

 

 

 
1.3

Pension credits
(11.6
)
 

 

 
(11.6
)
Income from continuing operations before income taxes
$
39.5

 
$
35.9

 
$

 
$
75.4

_____________________
(1) 
The Company eliminates in consolidation those patient service revenues earned by its health care facilities attributable to services provided to members in its owned health plans and eliminates the corresponding medical claims expenses incurred by the health plans for those services.
(2) 
Segment EBITDA is defined as income from continuing operations before income taxes less interest expense (net of interest income), depreciation and amortization, equity method income, stock compensation, gain or loss on disposal of assets, realized gains or losses on investments, acquisition related expenses, debt extinguishment costs, impairment and restructuring charges, and pension expense (credits). Management uses Segment EBITDA to measure the performance of the Company’s segments and to develop strategic objectives and operating plans for those segments. Segment EBITDA eliminates the uneven effect of non-cash depreciation of tangible assets and amortization of intangible assets, much of which results from acquisitions accounted for under the purchase method of accounting. Segment EBITDA also eliminates the effects of changes in interest rates, which management believes relate to general trends in global capital markets, but are not necessarily indicative of the operating performance of the Company’s segments. Management believes that Segment EBITDA provides useful information to investors, lenders, financial analysts and rating agencies about the financial performance of the Company’s segments. Additionally, management believes that investors and lenders view Segment EBITDA as an important factor in making investment decisions and assessing the value of the Company. Segment EBITDA is not a substitute for net income, operating cash flows or other cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Segment EBITDA, as presented, may not be comparable to similar measures of other companies.