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Business Segment Information
12 Months Ended
Dec. 31, 2013
Business Segment Information  
Business Segment Information

10. Business Segment Information

        The accounting policies of the Company's segments are the same as those described in Note 1—"General." The Company evaluates performance of its segments based on profit or loss from operations before stock compensation expense, depreciation and amortization, interest expense, interest and other income, gain on sale of assets, special charges or benefits, and income taxes ("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. Public Sector subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain 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 previously.

        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  

Year Ended December 31, 2011

                                     

Managed care and other revenue

  $ 561,780   $ 1,459,659   $ 344,335   $ 268,987   $ (82,770 ) $ 2,551,991  

Dispensing revenue

                247,409         247,409  

Cost of care

    (314,178 )   (1,271,532 )   (205,240 )   (76,544 )   82,770     (1,784,724 )

Cost of goods sold

                (232,038 )       (232,038 )

Direct service costs and other

    (152,760 )   (67,227 )   (61,681 )   (127,598 )   (120,368 )   (529,634 )

Stock compensation expense(1)

    839     872     1,563     817     13,327     17,418  
                           

Segment profit (loss)

  $ 95,681   $ 121,772   $ 78,977   $ 81,033   $ (107,041 ) $ 270,422  
                           
                           

Identifiable assets by business segment(2)

                                     

Restricted cash

  $ 18,319   $ 164,479   $   $   $ 2,996   $ 185,794  

Net accounts receivable

    26,822     28,331     1,398     52,024     13,031     121,606  

Investments

    5,320     131,261             64,322     200,903  

Pharmaceutical inventory

            39,567             39,567  

Goodwill

    120,485         104,549     201,905         426,939  

Other intangible assets, net

    3,228         9,632     31,729         44,589  

 
  Commercial   Public
Sector
  Specialty
Solutions
  Pharmacy
Management
  Corporate
and
Elimination
  Consolidated  

Year Ended December 31, 2012

                                     

Managed care and other revenue

  $ 728,512   $ 1,620,875   $ 349,133   $ 227,669   $ (69,090 ) $ 2,857,099  

Dispensing revenue

                350,298         350,298  

Cost of care

    (437,518 )   (1,413,320 )   (228,383 )   (61,759 )   69,090     (2,071,890 )

Cost of goods sold

                (328,414 )       (328,414 )

Direct service costs and other

    (172,035 )   (89,129 )   (55,418 )   (111,593 )   (129,337 )   (557,512 )

Stock compensation expense(1)

    532     1,111     1,567     1,007     13,566     17,783  
                           

Segment profit (loss)

  $ 119,491   $ 119,537   $ 66,899   $ 77,208   $ (115,771 ) $ 267,364  
                           
                           

Identifiable assets by business segment(2)

                                     

Restricted cash

  $ 18,254   $ 147,766   $   $   $ 60,534   $ 226,554  

Net accounts receivable

    39,678     27,415     7,580     65,755     (2,175 )   138,253  

Investments

    21,273     101,093             111,324     233,690  

Pharmaceutical inventory

            45,727             45,727  

Goodwill

    120,485         104,549     201,905         426,939  

Other intangible assets, net

    2,152         7,877     24,906         34,935  

 
  Commercial   Public
Sector
  Specialty
Solutions
  Pharmacy
Management
  Corporate
and
Elimination
  Consolidated  

Year Ended December 31, 2013

                                     

Managed care and other revenue

  $ 766,841   $ 1,757,933   $ 375,818   $ 228,705   $ (66,248 ) $ 3,063,049  

PBM and dispensing revenue

                483,268         483,268  

Cost of care

    (469,478 )   (1,523,023 )   (247,496 )   (59,227 )   66,248     (2,232,976 )

Cost of goods sold

                (455,601 )       (455,601 )

Direct service costs and other

    (172,491 )   (122,819 )   (57,334 )   (128,427 )   (138,475 )   (619,546 )

Stock compensation expense(1)

    503     1,038     1,630     1,172     16,909     21,252  
                           

Segment profit (loss)

  $ 125,375   $ 113,129   $ 72,618   $ 69,890   $ (121,566 ) $ 259,446  
                           
                           

Identifiable assets by business segment(2)

                                     

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

    1,076     4,590     6,123     57,905         69,694  

(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)
Identifiable assets by business segment are those assets that are used in the operations of each segment. The remainder of the Company's assets cannot be specifically identified by segment.

        The following table reconciles Segment Profit to consolidated income before income taxes for the years ended December 31, 2011, 2012 and 2013 (in thousands):

 
  2011   2012   2013  

Segment Profit

  $ 270,422   $ 267,364   $ 259,446  

Stock compensation expense

    (17,418 )   (17,783 )   (21,252 )

Depreciation and amortization

    (58,623 )   (60,488 )   (71,994 )

Interest expense

    (2,502 )   (2,247 )   (3,000 )

Interest and other income

    2,781     2,019     1,985  
               

Income before income taxes

  $ 194,660   $ 188,865   $ 165,185