XML 53 R42.htm IDEA: XBRL DOCUMENT v3.10.0.1
Business Segment Information - Operating Results by Segment (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Operating results by business segment        
Net revenue $ 1,853,506 $ 1,419,406 $ 5,469,506 $ 4,144,168
Cost of care (938,031) (569,306) (2,802,506) (1,634,624)
Cost of goods sold (571,145) (543,682) (1,689,229) (1,648,670)
Direct service costs and other (265,471) (227,372) (793,700) (680,230)
Stock compensation expense 9,320 10,323 27,405 31,834
Changes in fair value of contingent consideration 148 (834) 451 (631)
Less: non-controlling interest segment profit (loss)   788   (59)
Segment profit (loss) 88,327 87,747 211,927 211,906
Managed care and other        
Operating results by business segment        
Net revenue 1,235,787 834,358 3,670,890 2,385,397
PBM        
Operating results by business segment        
Net revenue 617,719 585,048 1,798,616 1,758,771
Operating segments | Healthcare        
Operating results by business segment        
Cost of care (938,031) (569,306) (2,802,506) (1,634,624)
Direct service costs and other (179,022) (143,550) (543,258) (428,432)
Stock compensation expense 2,165 2,623 7,857 8,388
Changes in fair value of contingent consideration 148 (834) 451 (631)
Less: non-controlling interest segment profit (loss)   789   (56)
Segment profit (loss) 61,699 57,595 151,472 134,854
Operating segments | Healthcare | Managed care and other        
Operating results by business segment        
Net revenue 1,176,439 769,451 3,488,928 2,190,097
Operating segments | Pharmacy Management        
Operating results by business segment        
Cost of goods sold (618,463) (575,327) (1,827,327) (1,742,610)
Direct service costs and other (74,491) (74,976) (221,018) (225,782)
Stock compensation expense 1,359 5,680 4,252 17,094
Segment profit (loss) 33,639 38,686 79,043 101,528
Operating segments | Pharmacy Management | Managed care and other        
Operating results by business segment        
Net revenue 59,500 65,131 182,410 195,970
Operating segments | Pharmacy Management | PBM        
Operating results by business segment        
Net revenue 665,734 618,178 1,940,726 1,856,856
Corporate and Elimination        
Operating results by business segment        
Cost of goods sold 47,318 31,645 138,098 93,940
Direct service costs and other (11,958) (8,846) (29,424) (26,016)
Stock compensation expense 5,796 2,020 15,296 6,352
Less: non-controlling interest segment profit (loss)   (1)   (3)
Segment profit (loss) (7,011) (8,534) (18,588) (24,476)
Corporate and Elimination | Managed care and other        
Operating results by business segment        
Net revenue (152) (224) (448) (670)
Corporate and Elimination | PBM        
Operating results by business segment        
Net revenue $ (48,015) $ (33,130) $ (142,110) $ (98,085)