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Segment Information
9 Months Ended
Sep. 30, 2020
Segment Reporting [Abstract]  
Segment Information Segment Information
Segments are defined as components of a company that engage in business activities from which they may earn revenues and incur expenses, and for which separate financial information is available and is evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. Our chief operating decision maker, who is our chief executive officer, manages the business under three operating segments, which are our reportable segments: Healthcare, Business Advisory, and Education.
Healthcare
Our Healthcare segment has a depth of expertise in financial and operational improvement, care transformation, culture and organizational excellence, strategy, and technology and analytics. We serve national and regional hospitals, integrated health systems, academic medical centers, community hospitals, and medical groups. Our solutions help clients evolve and adapt to the rapidly changing healthcare environment and achieve growth, optimize performance, enhance profitability, improve quality and clinical outcomes, align leaders, improve organizational culture, and drive physician, patient, and employee engagement across the enterprise to deliver better consumer outcomes.
We help organizations transform and innovate their delivery model to focus on patient wellness by improving quality outcomes, minimizing care variation and fundamentally improving patient and population health. Our consultants partner with clients to help build and sustain today’s business to invest in the future by reducing complexity, improving operational efficiency and growing market share. We enable the healthcare of the future by identifying, integrating and optimizing technology investments to collect data that transforms care delivery and improves patient outcomes. We also develop future leaders capable of driving meaningful cultural and organizational change and who transform the consumer experience.
Business Advisory
Our Business Advisory segment provides services to large and middle market organizations, lending institutions, law firms, investment banks, private equity firms, and not-for-profit organizations, including higher education and healthcare institutions. We assist clients in a broad range of industries and across the spectrum from healthy, well-capitalized companies to organizations in transition, as well as creditors, equity owners, and other key constituents. Our Enterprise Solutions and Analytics experts advise, deliver, and optimize technology and analytics solutions that enable organizations to manage and optimize their financial performance, operational efficiency, and client or stakeholder experience. Our Business Advisory experts resolve complex business issues and enhance client enterprise value through a suite of services including capital advisory, transaction advisory, operational improvement, restructuring and turnaround, valuation, and dispute advisory. Our Strategy and Innovation professionals collaborate with clients across a range of industries to identify new growth opportunities, build new ventures and capabilities, and accelerate
organizational change. Our Life Sciences professionals provide strategic solutions to help pharmaceutical, medical device, and biotechnology companies deliver more value to patients, payers, and providers, and comply with regulations.
Education
Our Education segment provides consulting and technology solutions to higher education institutions and academic medical centers. We collaborate with clients to address challenges relating to business and technology strategy, financial and operational excellence, student success, research administration, and regulatory compliance. Our research enterprise solutions assist clients in identifying and implementing institutional research strategy, optimizing clinical research operations, improving financial management and cost reimbursement, improving service to faculty, and mitigating risk compliance. Our technology strategy, enterprise applications, and analytics solutions transform and optimize operations, deliver time and cost savings, and enhance the student experience. Our institutional strategy, budgeting and financial management, and business operations align missions with business priorities, improve quality, and reduce costs institution-wide. Our student solutions improve attraction, retention and graduation rates, increase student satisfaction and help generate quality outcomes.
Segment operating income consists of the revenues generated by a segment, less the direct costs of revenue and selling, general and administrative expenses that are incurred directly by the segment. Unallocated corporate costs include costs related to administrative functions that are performed in a centralized manner that are not attributable to a particular segment. These administrative function costs include costs for corporate office support, certain office facility costs, costs relating to accounting and finance, human resources, legal, marketing, information technology, and company-wide business development functions, as well as costs related to overall corporate management.
The table below sets forth information about our operating segments for the three and nine months ended September 30, 2020 and 2019, along with the items necessary to reconcile the segment information to the totals reported in the accompanying consolidated financial statements.
Three Months Ended
September 30,
Nine Months Ended
September 30,
2020201920202019
Healthcare:
Revenues$87,406 $100,000 $268,340 $295,621 
Operating income$25,610 $32,863 $70,831 $94,058 
Segment operating income as a percentage of segment revenues29.3 %32.9 %26.4 %31.8 %
Business Advisory:
Revenues$66,048 $62,519 $201,423 $183,602 
Operating income$10,780 $11,942 $37,306 $32,997 
Segment operating income as a percentage of segment revenues16.3 %19.1 %18.5 %18.0 %
Education:
Revenues$51,850 $56,770 $176,017 $165,265 
Operating income$12,548 $14,413 $41,792 $43,235 
Segment operating income as a percentage of segment revenues24.2 %25.4 %23.7 %26.2 %
Total Company:
Revenues$205,304 $219,289 $645,780 $644,488 
Reimbursable expenses2,860 23,636 25,133 65,787 
Total revenues and reimbursable expenses$208,164 $242,925 $670,913 $710,275 
Segment operating income$48,938 $59,218 $149,929 $170,290 
Items not allocated at the segment level:
Other operating expenses29,042 32,310 87,826 105,369 
Litigation and other gains— (630)(150)(1,571)
Depreciation and amortization6,197 6,962 18,635 21,285 
Goodwill impairment charges1
— — 59,816 — 
Other expense, net224 4,456 6,829 10,326 
Income (loss) from continuing operations before taxes$13,475 $16,120 $(23,027)$34,881 
(1)     The non-cash goodwill impairment charges are not allocated at the segment level because the underlying goodwill asset is reflective of our corporate investment in the segments. We do not include the impact of goodwill impairment charges in our evaluation of segment performance.
The following table illustrates the disaggregation of revenues by billing arrangements, employee types, and timing of revenue recognition, including a reconciliation of the disaggregated revenues to revenues from our three operating segments for the three and nine months ended September 30, 2020 and 2019.
Three Months Ended September 30, 2020
HealthcareBusiness AdvisoryEducationTotal
Billing Arrangements
Fixed-fee$51,491 $20,675 $10,958 $83,124 
Time and expense14,627 40,511 35,214 90,352 
Performance-based15,641 3,671 — 19,312 
Software support, maintenance and subscriptions5,647 1,191 5,678 12,516 
Total$87,406 $66,048 $51,850 $205,304 
Employee Type (1)
Revenue generated by full-time billable consultants$65,084 $62,340 $44,234 $171,658 
Revenue generated by full-time equivalents22,322 3,708 7,616 33,646 
Total$87,406 $66,048 $51,850 $205,304 
Timing of Revenue Recognition
Revenue recognized over time$86,413 $66,048 $51,663 $204,124 
Revenue recognized at a point in time993 — 187 1,180 
Total$87,406 $66,048 $51,850 $205,304 
Nine Months Ended September 30, 2020
HealthcareBusiness AdvisoryEducationTotal
Billing Arrangements
Fixed-fee$158,079 $73,442 $35,530 $267,051 
Time and expense43,389 118,364 123,493 285,246 
Performance-based49,042 5,903 695 55,640 
Software support, maintenance and subscriptions17,830 3,714 16,299 37,843 
Total$268,340 $201,423 $176,017 $645,780 
Employee Type (1)
Revenue generated by full-time billable consultants$188,750 $191,566 $150,857 $531,173 
Revenue generated by full-time equivalents79,590 9,857 25,160 114,607 
Total$268,340 $201,423 $176,017 $645,780 
Timing of Revenue Recognition
Revenue recognized over time$265,813 $201,423 $175,715 $642,951 
Revenue recognized at a point in time2,527 — 302 2,829 
Total$268,340 $201,423 $176,017 $645,780 
Three Months Ended September 30, 2019
HealthcareBusiness AdvisoryEducationTotal
Billing Arrangements
Fixed-fee$65,610 $24,333 $12,418 $102,361 
Time and expense12,307 35,212 39,688 87,207 
Performance-based16,313 1,614 — 17,927 
Software support, maintenance and subscriptions5,770 1,360 4,664 11,794 
Total$100,000 $62,519 $56,770 $219,289 
Employee Type (1)
Revenue generated by full-time billable consultants$72,142 $60,131 $48,928 $181,201 
Revenue generated by full-time equivalents27,858 2,388 7,842 38,088 
Total$100,000 $62,519 $56,770 $219,289 
Timing of Revenue Recognition
Revenue recognized over time$98,204 $62,519 $56,274 $216,997 
Revenue recognized at a point in time1,796 — 496 2,292 
Total$100,000 $62,519 $56,770 $219,289 
Nine Months Ended September 30, 2019
HealthcareBusiness AdvisoryEducationTotal
Billing Arrangements
Fixed-fee$188,875 $72,693 $37,926 $299,494 
Time and expense39,345 104,325 114,122 257,792 
Performance-based50,144 2,810 — 52,954 
Software support, maintenance and subscriptions17,257 3,774 13,217 34,248 
Total$295,621 $183,602 $165,265 $644,488 
Employee Type (1)
Revenue generated by full-time billable consultants$206,508 $177,279 $144,338 $528,125 
Revenue generated by full-time equivalents89,113 6,323 20,927 116,363 
Total$295,621 $183,602 $165,265 $644,488 
Timing of Revenue Recognition
Revenue recognized over time$289,452 $183,602 $164,164 $637,218 
Revenue recognized at a point in time6,169 — 1,101 7,270 
Total$295,621 $183,602 $165,265 $644,488 
(1)     Full-time billable consultants consist of our full-time professionals who provide consulting services to our clients and are billable to our clients based on the number of hours worked. Full-time equivalent professionals consist of leadership coaches and their support staff within our Culture and Organizational Excellence solution, consultants who work variable schedules as needed by our clients, and full-time employees who provide software support and maintenance services to our clients.
At September 30, 2020 one client in our Healthcare segment had a total receivable and unbilled services balance that accounted for 15.0% of our combined balance of receivables from clients, net and unbilled services, net. The outstanding balance for this client is the result of outstanding invoices due in the normal course of the contract payment terms and services performed in advance of the contract billing schedule. At December 31, 2019, no single client accounted for greater than 10% of our combined balance of receivables from clients, net and unbilled services, net. During the three and nine months ended September 30, 2020 and 2019, no single client generated greater than 10% of our consolidated revenues.