14. SEGMENT INFORMATION |
14. SEGMENT INFORMATION
We manage our business with two segments: Government and Commercial. The Government segment consists of beneficiaries of government benefit programs, and includes three lines of business: Medicare, Military, and Medicaid. The Commercial segment consists of members enrolled in our medical and specialty products marketed to employer groups and individuals. When identifying our segments, we aggregate products with similar economic characteristics. These characteristics include the nature of customer groups as well as pricing, benefits, and underwriting requirements. These segment groupings are consistent with information used by our Chief Executive Officer.
The accounting policies of each segment are the same and are described in Note 2 to the consolidated financial statements included in our Form 10-K for the year ended December31, 2008. The results of each segment are measured by income before income taxes. We allocate all selling, general and administrative expenses, investment and other revenue, interest expense, and goodwill, but no other assets or liabilities, to our segments. Members served by our two segments often utilize the same medical provider networks, enabling us to obtain more favorable contract terms with providers. Our segments also share indirect overhead costs and assets. As a result, the profitability of each segment is interdependent.
Our segment results were as follows for the three and nine months ended September30, 2009 and 2008:
Government Segment
Three months ended September30, Nine months ended September30,
2009 2008 2009 2008
(in thousands)
Revenues:
Premiums:
Medicare Advantage $ 4,135,198 $ 3,497,568 $ 12,340,786 $ 10,157,109
Medicare stand-alone PDP 578,142 782,855 1,812,638 2,562,925
Total Medicare 4,713,340 4,280,423 14,153,424 12,720,034
Military services 796,126 771,560 2,591,605 2,389,195
Medicaid 162,896 152,069 480,085 437,725
Total premiums 5,672,362 5,204,052 17,225,114 15,546,954
Administrative services fees 37,947 21,169 81,435 63,331
Investment income (loss) 44,936 (6,163 ) 132,894 80,930
Other revenue 997 455 2,713 1,316
Total revenues 5,756,242 5,219,513 17,442,156 15,692,531
Operating expenses:
Benefits 4,646,245 4,377,790 14,514,775 13,489,494
Selling, general and administrative 583,474 532,530 1,731,624 1,578,054
Depreciation and amortization 34,575 30,523 100,320 88,986
Total operating expenses 5,264,294 4,940,843 16,346,719 15,156,534
Income from operations 491,948 278,670 1,095,437 535,997
Interest expense 17,447 6,969 50,160 18,084
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