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Business segments
12 Months Ended
Sep. 30, 2019
Segment Reporting [Abstract]  
Business segments Business segments
As noted above, we made changes to our business segments in fiscal year 2019. Since October 1, 2018, we conducted our operations through three business segments: U.S. Health and Human Services, U.S. Federal Services and Outside the U.S.
Our U.S. Health and Human Services Segment provides a variety of business process services such as program administration, appeals and assessments work and related consulting work for U.S. state and local government programs. These services support a variety of programs including the Affordable Care Act (ACA), Medicaid and the Children’s Health Insurance Program (CHIP). We also serve as administrators in state-based welfare-to-work and child support programs.
Our U.S. Federal Services Segment provides business process solutions, including program administration, appeals and assessments services and system and software development and maintenance services for various U.S. federal civilian programs. The segment also contains certain state-based assessments and appeals work that is part of the segment's heritage within the Medicare Appeals portfolio and continues to be managed within this segment.
Our Outside the U.S. Segment provides BPS solutions for governments and commercial clients outside the United States, including health and disability assessments, program administration for welfare-to-work services and other related services. We support programs and deliver services in the United Kingdom, including HAAS, the Work & Health Programme and Fair Start; Australia, including jobactive and the Disability Employment Service; Canada, including Health Insurance British Columbia and the Employment Program of British Columbia; Saudi Arabia and Singapore.
Expenses which are not specifically included in the segments are included in other categories, including amortization of intangible assets, costs incurred in restructuring our U.K. business, the direct costs of acquisitions and the gain on sale of the K-12 Education business. These costs are excluded from measuring each segment's operating performance.
The results of these segments for the three years ended September 30, 2019 are shown below (in thousands).
 Year ended September 30,
 201920182017
Revenue:   
U.S. Health and Human Services$1,176,488  $1,213,911  $1,220,086  
U.S. Federal Services1,111,197  478,911  545,573  
Outside the U.S.599,130  699,414  685,302  
Total$2,886,815  $2,392,236  $2,450,961  
Gross profit:   
U.S. Health and Human Services$344,109  $359,624  $348,906  
U.S. Federal Services242,070  126,698  139,321  
Outside the U.S.85,005  108,063  123,678  
Total$671,184  $594,385  $611,905  
Selling, general and administrative expense:   
U.S. Health and Human Services$123,275  $140,990  $144,014  
U.S. Federal Services126,128  69,312  74,345  
Outside the U.S.68,944  72,095  64,742  
Other2,676  2,844  1,492  
Total$321,023  $285,241  $284,593  
Operating income:   
U.S. Health and Human Services$220,834  $218,634  $204,892  
U.S. Federal Services115,942  57,386  64,976  
Outside the U.S.16,061  35,968  58,936  
Amortization of intangible assets(33,054) (10,308) (12,208) 
Restructuring costs—  (3,353) (2,242) 
Acquisition-related expenses(2,691) (947) (83) 
Gain on sale of a business—  —  650  
Other15  (1,897) (1,409) 
Total$317,107  $295,483  $313,512  
Operating income as a percentage of revenue:
U.S. Health and Human Services18.8 %18.0 %16.8 %
U.S. Federal Services10.4 %12.0 %11.9 %
Outside the U.S.2.7 %5.1 %8.6 %
Total11.0 %12.4 %12.8 %
Depreciation and amortization:   
U.S. Health and Human Services$18,466  $20,963  $23,374  
U.S. Federal Services16,802  8,478  11,175  
Outside the U.S.17,136  22,443  21,220  
Total$52,404  $51,884  $55,769  

Restructuring costs were incurred in the years ending September 30, 2018 and 2017 in our United Kingdom businesses. Acquisition-related expenses are costs of completed business combinations as well as the costs of any unsuccessful transactions. The charges above include costs for the acquisition of the citizen engagement centers business which were incurred in fiscal years 2018 and 2019. Other costs include those related to the acquisition of Revitalised Limited in fiscal year 2017.
We operate in the United States, the United Kingdom, Australia, Canada, Saudi Arabia and Singapore.
Our revenue was distributed as follows (in thousands):
 Year ended September 30,
 201920182017
United States$2,287,685  $1,692,823  $1,765,661  
United Kingdom293,695  347,026  346,342  
Australia198,795  247,850  232,434  
Rest of World106,640  104,537  106,524  
Total$2,886,815  $2,392,236  $2,450,961  
Identifiable assets for the segments are shown below (in thousands):
 Year Ended
September 30,
 20192018
U.S. Health and Human Services$500,641  $442,063  
U.S. Federal Services795,553  375,807  
Outside the U.S.234,769  184,872  
Corporate/Other214,769  459,258  
Total$1,745,732  $1,462,000  
Our long-lived assets, consisting of property and equipment, capitalized software costs and deferred compensation plan assets, were distributed as follows (in thousands):
 Year Ended
September 30,
 20192018
United States$134,511  $98,340  
Australia11,950  20,545  
Canada14,681  9,504  
United Kingdom3,129  5,498  
Rest of World595  391  
Total$164,866  $134,278