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Segment Information
6 Months Ended
Mar. 31, 2019
Segment Reporting [Abstract]  
Segment Information Segment Information
The table below provides certain financial information for each of our business segments.
As noted in "Note 1. Organization and Basis of Presentation," we have made changes to our business segments in fiscal year 2019. Accordingly, the comparative results shown for the three and six months ended March 31, 2018, are presented differently from those shown in previous filings.
From October 1, 2018, we operated our business through three segments.
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 Medicaid, the Children’s Health Insurance Program, the Affordable Care Act and Temporary Assistance for Needy Families.
Our U.S. Federal Services Segment provides business process solutions, including program administration, appeals and assessment services as well as system and software development and maintenance services for various U.S. federal civilian programs. This 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 business process solutions for governments and commercial clients outside the U.S., 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 the Health Assessment Advisory Service, 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.
 Three Months Ended March 31,Six Months Ended March 31,
(dollars in thousands)2019 % (1)2018 % (1)2019 % (1)2018 % (1)
Revenue:        
U.S. Health & Human Services$290,737 $306,249 $584,950 $610,490 
U.S. Federal Services289,736 116,327 506,723 249,310 
Outside the U.S.156,047 190,211 309,466 376,135 
Total$736,520 $612,787 $1,401,139 $1,235,935 
Gross profit:        
U.S. Health & Human Services$86,260 29.7%  $86,586 28.3%  $174,291 29.8%  $170,817 28.0%  
U.S. Federal Services60,696 20.9%  27,374 23.5%  108,681 21.4%  60,732 24.4%  
Outside the U.S.22,466 14.4%  34,843 18.3%  45,715 14.8%  69,214 18.4%  
Total$169,422 23.0%  $148,803 24.3%  $328,687 23.5%  $300,763 24.3%  
Selling, general & administrative expense:        
U.S. Health & Human Services$29,400 10.1%  $36,616 12.0%  $61,539 10.5%  $71,421 11.7%  
U.S. Federal Services31,104 10.7%  17,540 15.1%  57,736 11.4%  34,188 13.7%  
Outside the U.S.17,992 11.5%  18,403 9.7%  36,800 11.9%  36,509 9.7%  
Restructuring costs— NM2,320 NM— NM2,320 NM
Other (394)NM— NM1,698 NM— NM
Total$78,102 10.6%  $74,879 12.2%  $157,773 11.3%  $144,438 11.7%  
Operating income:        
U.S. Health & Human Services$56,860 19.6%  $49,970 16.3%  $112,752 19.3%  $99,396 16.3%  
U.S. Federal Services29,592 10.2%  9,834 8.5%  50,945 10.1%  26,544 10.6%  
Outside the U.S.4,474 2.9%  16,440 8.6%  8,915 2.9%  32,705 8.7%  
Amortization of intangible assets(9,519)NM(2,603)NM(14,977)NM(5,321)NM
Restructuring costs (2)— NM(2,320)NM— NM(2,320)NM
Other (3)394 NM— NM(1,698)NM— NM
Total$81,801 11.1%  $71,321 11.6%  $155,937 11.1%  $151,004 12.2%  

(1) Percentage of respective segment revenue. Percentages not considered meaningful are marked “NM.”
(2) During fiscal year 2018, we incurred costs in restructuring our United Kingdom business. 
(3) Other selling, general & administrative expenses includes credits and costs not directly allocated to a particular segment. In the six month periods ended March 31, 2019, these include $2.7 million of costs directly related to the acquisition of the citizen engagement centers business. Refer to "Note 5.  Acquisition of Citizen Engagement Centers Business" for more details.