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Segment information (Tables)
9 Months Ended
Sep. 30, 2011
Segment information [Abstract] 
Reportable Segments Information
                         
(in millions)   PBM     EM     Total  
 
For the three months ended September 30, 2011
                       
Product revenues:
                       
Network revenues(1)
  $ 7,491.0     $     $ 7,491.0  
Home delivery and specialty revenues(2)
    3,678.4             3,678.4  
Other revenues
          330.6       330.6  
Service revenues
    65.7       5.3       71.0  
 
                 
Total revenues
    11,235.1       335.9       11,571.0  
Depreciation and amortization expense
    59.3       2.0       61.3  
Operating income
    600.8       4.3       605.1  
Interest income
                    5.9  
Interest expense and other
                    (94.3 )
 
                     
Income before income taxes
                    516.7  
Capital expenditures
    42.8       1.2       44.0  
 
 
                       
For the three months ended September 30, 2010
                       
Product revenue:
                       
Network revenues(1)
  $ 7,490.9     $     $ 7,490.9  
Home delivery and specialty revenues(2)
    3,369.0             3,369.0  
Other revenues
          326.3       326.3  
Service revenues
    62.6       3.0       65.6  
 
                 
Total revenues
    10,922.5       329.3       11,251.8  
Depreciation and amortization expense
    59.8       1.9       61.7  
Operating income
    525.5       2.5       528.0  
Interest income
                    2.2  
Interest expense and other
                    (42.2 )
 
                     
Income before income taxes
                    488.0  
Capital expenditures
    32.7       0.8       33.5  
 
                         
(in millions)   PBM     EM     Total  
 
For the nine months ended September 30, 2011
                       
Product revenues:
                       
Network revenues(1)
  $ 22,138.1     $     $ 22,138.1  
Home delivery and specialty revenues(2)
    10,715.6             10,715.6  
Other revenues
          952.2       952.2  
Service revenues
    205.1       15.9       221.0  
 
                 
Total revenues
    33,058.8       968.1       34,026.9  
Depreciation and amortization expense
    181.5       6.0       187.5  
Operating income
    1,719.3       17.5       1,736.8  
Interest income
                    7.8  
Interest expense and other
                    (184.3 )
 
                     
Income before income taxes
                    1,560.3  
Capital expenditures
    95.6       2.5       98.1  
 
 
                       
For the nine months ended September 30, 2010
                       
Product revenue:
                       
Network revenues(1)
  $ 22,596.4     $     $ 22,596.4  
Home delivery and specialty revenues(2)
    9,990.0             9,990.0  
Other revenues
          889.3       889.3  
Service revenues
    194.3       9.0       203.3  
 
                 
Total revenues
    32,780.7       898.3       33,679.0  
Depreciation and amortization expense
    175.1       5.8       180.9  
Operating income
    1,505.6       7.4       1,513.0  
Interest income
                    4.4  
Interest expense and other
                    (127.0 )
 
                     
Income before income taxes
                    1,390.4  
Capital expenditures
    82.7       1.9       84.6  
 
 
(1)   Includes retail pharmacy co-payments of $1,390.4 million and $1,478.5 million for the three months ended September 30, 2011 and 2010, respectively and $4,374.0 million and $4,688.4 million for the nine months ended September 30, 2011 and 2010, respectively.
 
(2)   Includes home delivery, specialty and other including: (a) drugs distributed through patient assistance programs and (b) drugs we distribute to other PBMs’ clients under limited distribution contracts with pharmaceutical manufacturers.
Segments Reporting Information, Assets
                         
(in millions)   PBM     EM     Total  
 
Total Assets
                       
As of September 30, 2011
  $ 10,401.3     $ 470.4     $ 10,871.7  
 
As of December 31, 2010
  $ 10,155.1     $ 402.7     $ 10,557.8  
Segment Information percentage of revenue by top clients
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2011     2010     2011     2010  
 
WellPoint
    29.9 %     29.4 %     29.7 %     28.7 %
Department of Defense (“DoD”)
    21.3 %     19.8 %     21.2 %     19.2 %
Other
    6.2 %     6.3 %     6.2 %     6.4 %
 
                       
Top five clients
    57.4 %     55.5 %     57.1 %     54.3 %