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Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2014
Summary of Significant Accounting Policies  
Schedule of customers generating in excess of ten percent of net revenues for respective segment

 

        In addition to the Maricopa Contract and the Iowa Contracts previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the years ended December 31, 2012, 2013 and 2014 (in thousands):

Segment

 

Term Date

 

2012

 

2013

 

2014

 

Commercial

 

 

 

 

 

 

 

 

 

 

 

 

Customer A

 

June 30, 2014(1)

 


$

192,415 

 


$

207,080 

 


$

110,153 

 

Customer B

 

December 31, 2019

 

 

134,885 

 

 

141,444 

 

 

184,981 

 

Customer C

 

August 14, 2017

 

 

12,722 

*

 

70,390 

*

 

107,247 

 

Customer D

 

December 14, 2013(1)

 

 

118,351 

 

 

74,203 

*

 

 

Customer E

 

December 31, 2017

 

 

67,959 

*

 

71,085 

*

 

67,426 

 

Public Sector

 

 

 

 


 

 

 


 

 

 


 

 

Customer F

 

December 31, 2018(2)

 

 

133,864 


*

 

128,607 


*

 

253,661 

 

Specialty Solutions

 

 


 

 

 


 

 

Customer G

 

December 31, 2017(3)

 

 

117,739 

 

 

130,895 

 

 

146,930 

 

Customer H

 

June 30, 2016(4)

 

 

60,094 

 

 

55,078 

 

 

33,492 

*

Customer I

 

June 30, 2017

 

 

57,455 

 

 

61,838 

 

 

76,580 

 

Customer A

 

November 30, 2016

 

 

1,339 

*

 

6,399 

*

 

54,413 

 

Customer J

 

January 31, 2016

 

 

38,366 

 

 

47,311 

 

 

52,310 

 

Pharmacy Management

 

 


 

 

 


 

 

Customer K

 

April 4, 2015 to December 31, 2015(5)

 

 

129,209 

 

 

133,724 

 

 

123,812 

 

Customer L

 

December 31, 2013(6)

 

 

60,350 

 

 

59,125 

*

 

14,312 

*

Customer E

 

December 31, 2013(6)

 

 

73,785 

 

 

92,647 

 

 

2,612 

*

Customer M

 

March 31, 2014(1)(7)

 

 

69,090 

 

 

66,153 

*

 

18,055 

*

Customer N

 

December 16, 2016

 

 

 

 

 

 

171,936 

 


*

Revenue amount did not exceed ten percent of net revenues for the respective segment for the year presented. Amount is shown for comparative purposes only.

(1)

The contract has terminated.

(2)

The Company had behavioral healthcare contracts with various areas in the State of Florida (the "Florida Areas") which were part of the Florida Medicaid program. The State of Florida implemented a new system of mandated managed care through which Medicaid enrollees will receive integrated healthcare services, and has phased out the behavioral healthcare programs under which the Florida Areas' contracts operated. The Company has a contract with the State of Florida to provide integrated healthcare services under the new program.

(3)

On December 31, 2014, this contract was amended and extended through December 31, 2017. Historically the Company provided services on a risk basis. Under the amended contract, the funding arrangement will be a combination of risk and ASO based services.

(4)

The contract transitioned from risk to ASO based services effective July 1, 2014.

(5)

The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(6)

The contract has terminated, however, the Company continues to provide services as the contract is transitioned to the new vendor.

(7)

This customer represented a subcontract with a Public Sector customer and was eliminated in consolidation.

 

Schedule of significant restricted assets

Significant restricted assets of the Company as of December 31, 2013 and 2014 were as follows (in thousands):

 

 

2013

 

2014

 

Restricted cash

 

$

236,696 

 

$

215,325 

 

Restricted short-term investments

 

 

117,674 

 

 

132,808 

 

Restricted deposits (included in other current assets)

 

 

25,009 

 

 

30,620 

 

Restricted long-term investments

 

 

32,430 

 

 

43,293 

 

​  

​  

​  

​  

Total

 

$

411,809 

 

$

422,046 

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

Schedule of fair value of financial assets and liabilities

In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company's financial assets and liabilities that are required to be measured at fair value as of December 31, 2013 and 2014 (in thousands):

 

 

Fair Value Measurements
at December 31, 2013

 

 

 

Level 1

 

Level 2

 

Level 3

 

Total

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and Cash Equivalents(1)

 

$

 

$

101,028 

 

$

 

$

101,028 

 

Restricted Cash(2)

 

 

 

 

128,318 

 

 

 

 

128,318 

 

Investments:

 

 


 

 

 


 

 

 


 

 

 


 

 

U.S. Government and agency securities

 

 

1,129 

 

 

 

 

 

 

1,129 

 

Obligations of government-sponsored enterprises(3)

 

 

 

 

8,440 

 

 

 

 

8,440 

 

Corporate debt securities

 

 

 

 

198,594 

 

 

 

 

198,594 

 

Certificates of deposit

 

 

 

 

150 

 

 

 

 

150 

 

​  

​  

​  

​  

​  

​  

​  

​  

Total assets held at fair value

 

$

1,129 

 

$

436,530 

 

$

 

$

437,659 

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

 

 

Fair Value Measurements
at December 31, 2014

 

 

 

Level 1

 

Level 2

 

Level 3

 

Total

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and Cash Equivalents(4)

 

$

 

$

139,280 

 

$

 

$

139,280 

 

Restricted Cash(5)

 

 

 

 

65,992 

 

 

 

 

65,992 

 

Investments:

 

 


 

 

 


 

 

 


 

 

 


 

 

U.S. Government and agency securities

 

 

4,303 

 

 

 

 

 

 

4,303 

 

Obligations of government-sponsored enterprises(3)

 

 

 

 

15,315 

 

 

 

 

15,315 

 

Corporate debt securities

 

 

 

 

246,886 

 

 

 

 

246,886 

 

Certificates of deposit

 

 

 

 

1,150 

 

 

 

 

1,150 

 

​  

​  

​  

​  

​  

​  

​  

​  

Total assets held at fair value

 

$

4,303 

 

$

468,623 

 

$

 

$

472,926 

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

 

Contingent consideration

 

$

 

$

 

$

58,153 

 

$

58,153 

 

​  

​  

​  

​  

​  

​  

​  

​  

Total liabilities held at fair value

 

$

 

$

 

$

58,153 

 

$

58,153 

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  


(1)

Excludes $102.2 million of cash held in bank accounts by the Company.

(2)

Excludes $108.4 million of restricted cash held in bank accounts by the Company.

(3)

Includes investments in notes issued by the Federal Home Loan Bank.

(4)

Excludes $116.0 million of cash held in bank accounts by the Company.

(5)

Excludes $149.3 million of restricted cash held in bank accounts by the Company.

 

Summary of the Company's liability for contingent consideration

The following table summarizes the Company's liability for contingent consideration (in thousands):

 

 

December 31,
2014

 

Balance as of beginning of period

 

$

 

Acquisition of CDMI

 

 

45,778 

 

Acquisition of Cobalt

 

 

3,071 

 

Changes in fair value

 

 

9,304 

 

​  

​  

Balance as of end of period

 

$

58,153 

 

​  

​  

​  

​  

​  

 

Summary of short-term and long-term "available-for-sale" investments

The following is a summary of short-term and long-term investments at December 31, 2013 and 2014 (in thousands):

 

 

December 31, 2013

 

 

 

Amortized
Cost

 

Gross
Unrealized
Gains

 

Gross
Unrealized
Losses

 

Estimated
Fair Value

 

U.S. Government and agency securities

 

$

1,129

 

$

 

$

 

$

1,129

 

Obligations of government-sponsored enterprises(1)

 

 

8,441

 

 

2

 

 

(3

)

 

8,440

 

Corporate debt securities

 

 

198,748

 

 

18

 

 

(172

)

 

198,594

 

Certificates of deposit

 

 

150

 

 

 

 

 

 

150

 

​  

​  

​  

​  

​  

​  

​  

​  

Total investments at December 31, 2013

 

$

208,468

 

$

20

 

$

(175

)

$

208,313

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

 

December 31, 2014

 

 

 

Amortized
Cost

 

Gross
Unrealized
Gains

 

Gross
Unrealized
Losses

 

Estimated
Fair Value

 

U.S. Government and agency securities

 

$

4,305

 

$

 

$

(2

)

$

4,303

 

Obligations of government-sponsored enterprises(1)

 

 

15,318

 

 

1

 

 

(4

)

 

15,315

 

Corporate debt securities

 

 

247,118

 

 

8

 

 

(240

)

 

246,886

 

Certificates of deposit

 

 

1,150

 

 

 

 

 

 

1,150

 

​  

​  

​  

​  

​  

​  

​  

​  

Total investments at December 31, 2014

 

$

267,891

 

$

9

 

$

(246

)

$

267,654

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  


(1)

Includes investments in notes issued by the Federal Home Loan Bank.

 

Summary of maturity dates of investments

The maturity dates of the Company's investments as of December 31, 2014 are summarized below (in thousands):

 

 

Amortized
Cost

 

Estimated
Fair Value

 

2015

 

$

224,509 

 

$

224,361 

 

2016

 

 

43,382 

 

 

43,293 

 

​  

​  

​  

​  

Total investments at December 31, 2014

 

$

267,891 

 

$

267,654 

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

Schedule of net property and equipment

Property and equipment, net, consisted of the following at December 31, 2013 and 2014 (in thousands):

 

 

2013

 

2014

 

Building improvements

 

$

12,074

 

$

13,416

 

Equipment

 

 

180,540

 

 

185,391

 

Capital leases—property

 

 

26,945

 

 

26,945

 

Capital leases—equipment

 

 

2,794

 

 

7,883

 

Capitalized internal-use software

 

 

304,146

 

 

351,978

 

​  

​  

​  

​  

 

 

 

526,499

 

 

585,613

 

Accumulated depreciation

 

 

(354,166

)

 

(413,697

)

​  

​  

​  

​  

Property and equipment, net

 

$

172,333

 

$

171,916

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

Schedule of allocation of goodwill by reporting units

Goodwill for each of the Company's reporting units with goodwill at December 31, 2013 and 2014 were as follows (in thousands):

 

 

2013

 

2014

 

Health Plan

 

$

120,485 

 

$

129,042 

 

Specialty Solutions

 

 

104,549 

 

 

104,549 

 

Pharmacy Management

 

 

242,290 

 

 

311,636 

 

Magellan Complete Care

 

 

20,882 

 

 

20,879 

 

​  

​  

​  

​  

Total

 

$

488,206 

 

$

566,106 

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

Summary changes in the carrying amount of goodwill

The changes in the carrying amount of goodwill for the years ended December 31, 2013 and 2014 are reflected in the table below (in thousands):

 

 

2013

 

2014

 

Balance as of beginning of period

 

$

426,939

 

$

488,206

 

Acquisition of Partners Rx(1)

 

 

40,385

 

 

254

 

Acquisition of AlphaCare Holdings(1)

 

 

20,882

 

 

(3

)

Acquisition of CDMI

 

 

 

 

69,092

 

Acquisition of Cobalt

 

 

 

 

8,557

 

​  

​  

​  

​  

Balance as of end of period

 

$

488,206

 

$

566,106

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

Schedule of intangible assets

The following is a summary of intangible assets at December 31, 2013 and 2014, and the estimated useful lives for such assets (in thousands):

 

 

December 31, 2013

 

Asset

 

Estimated
Useful Life

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer agreements and lists

 

2.5 to 18 years

 

$

163,990

 

$

(100,482

)

$

63,508

 

Provider networks and other

 

1 to 16 years

 

 

11,593

 

 

(5,407

)

 

6,186

 

​  

​  

​  

​  

​  

​  

 

 

 

 

$

175,583

 

$

(105,889

)

$

69,694

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

 

 

December 31, 2014

 

Asset

 

Estimated
Useful Life

 

Gross
Carrying
Amount

 

Accumulated
Amortization

 

Net
Carrying
Amount

 

Customer agreements and lists

 

2.5 to 18 years

 

$

249,390

 

$

(121,788

)

$

127,602

 

Provider networks and other

 

1 to 16 years

 

 

13,013

 

 

(6,897

)

 

6,116

 

​  

​  

​  

​  

​  

​  

 

 

 

 

$

262,403

 

$

(128,685

)

$

133,718

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

 

Schedule of changes in medical claims payable

The following table presents the components of the change in medical claims payable for the years ended December 31, 2012, 2013 and 2014 (in thousands):

 

 

2012

 

2013

 

2014

 

Claims payable and IBNR, beginning of period

 

$

157,099

 

$

222,929

 

$

242,229

 

Cost of care:

 

 

 

 

 

 

 

 

 

 

Current year

 

 

2,076,190

 

 

2,264,276

 

 

2,097,395

 

Prior years(3)

 

 

(4,300

)

 

(31,300

)

 

(8,800

)

​  

​  

​  

​  

​  

​  

Total cost of care

 

 

2,071,890

 

 

2,232,976

 

 

2,088,595

 

​  

​  

​  

​  

​  

​  

Claim payments and transfers to other medical liabilities(1):

 

 

 

 

 

 

 

 

 

 

Current year

 

 

1,877,459

 

 

2,053,274

 

 

1,845,325

 

Prior years

 

 

128,601

 

 

160,402

 

 

206,696

 

​  

​  

​  

​  

​  

​  

Total claim payments and transfers to other medical liabilities

 

 

2,006,060

 

 

2,213,676

 

 

2,052,021

 

​  

​  

​  

​  

​  

​  

Claims payable and IBNR, end of period

 

 

222,929

 

 

242,229

 

 

278,803

 

Withhold receivables, end of period(2)

 

 

(24,500

)

 

(13,888

)

 

(321

)

​  

​  

​  

​  

​  

​  

Medical claims payable, end of period

 

$

198,429

 

$

228,341

 

$

278,482

 

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  

​  


(1)

For any given period, a portion of unpaid medical claims payable could be covered by reinvestment liability (discussed below) and may not impact the Company's results of operations for such periods.

(2)

Medical claims payable is offset by customer withholds from capitation payments in situations in which the customer has the contractual requirement to pay providers for care incurred.

(3)

Favorable development in 2012, 2013, and 2014 was $4.3 million, $31.3 million, and $8.8 million, respectively.