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Adoption Impact of New Revenue Standard (Impact on Operating Segments) (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
[1]
Sep. 30, 2017
[1]
Jun. 30, 2017
[1]
Mar. 31, 2017
[1]
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue $ 134,917 $ 40,751 $ 32,657 $ 43,070 $ 83,118 $ 31,466 $ 34,566 $ 41,556 $ 251,395 $ 190,706 [1],[2],[3] $ 193,324 [2],[3]
Stock-based compensation expense                 (12,289) (9,694) (7,266)
Depreciation and amortization                 (2,479) (2,837) [4] (3,539) [4]
Acquisition costs                   (621)  
Restructuring benefit                 (1,865) 0 [3] 297 [3]
Amortization of intangible assets                 (2,091) (1,040) [3],[4] (1,040) [3],[4]
Other income, net                 755 1,182 [3] 1,149 [3]
Income (loss) before provision (benefit) for income taxes                 3,306 (8,270) [3] 3,972 [3]
Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                 251,395 190,706 193,324
Segment profit (loss)                 66,647 31,710 43,444
Corporate                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Segment profit (loss)                 (32,996) (26,970) (29,073)
Calculated under Revenue Guidance in Effect before Topic 606                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   172,355 186,960
Stock-based compensation expense                   (9,694) (7,266)
Depreciation and amortization                   (2,837) (3,539)
Acquisition costs                   (621)  
Restructuring benefit                     297
Amortization of intangible assets                   (1,040) (1,040)
Other income, net                   327 102
Income (loss) before provision (benefit) for income taxes                   (29,167) (5,753)
Calculated under Revenue Guidance in Effect before Topic 606 | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   172,355 186,960
Segment profit (loss)                   11,667 34,764
Calculated under Revenue Guidance in Effect before Topic 606 | Corporate                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Segment profit (loss)                   (26,969) (29,071)
Accounting Standards Update 2014-09 | ASC 606 Adoption Adjustment                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   18,351 6,364
Stock-based compensation expense                   0 0
Depreciation and amortization                   0 0
Restructuring benefit                     0
Amortization of intangible assets                   0 0
Other income, net                   855 1,047
Income (loss) before provision (benefit) for income taxes                   20,897 9,725
Accounting Standards Update 2014-09 | ASC 606 Adoption Adjustment | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   18,351 6,364
Segment profit (loss)                   20,043 8,680
Accounting Standards Update 2014-09 | ASC 606 Adoption Adjustment | Corporate                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Segment profit (loss)                   (1) (2)
Medicare | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                 210,570 142,448 122,156
Segment profit (loss)                 60,844 22,137 10,394
Medicare | Calculated under Revenue Guidance in Effect before Topic 606 | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   102,584 80,269
Segment profit (loss)                   (18,760) (33,141)
Medicare | Accounting Standards Update 2014-09 | ASC 606 Adoption Adjustment | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   39,864 41,887
Segment profit (loss)                   40,897 43,535
Individual, Family and Small Business | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                 40,825 48,258 71,168
Segment profit (loss)                 $ 5,803 9,573 33,050
Income (loss) before provision (benefit) for income taxes                   (8,270) 3,972
Individual, Family and Small Business | Calculated under Revenue Guidance in Effect before Topic 606 | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   69,771 106,691
Segment profit (loss)                   30,427 67,905
Income (loss) before provision (benefit) for income taxes                   (29,167) (5,753)
Individual, Family and Small Business | Accounting Standards Update 2014-09 | ASC 606 Adoption Adjustment | Operating Segments                      
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]                      
Revenue                   (21,513) (35,523)
Segment profit (loss)                   (20,854) (34,855)
Income (loss) before provision (benefit) for income taxes                   $ 20,897 $ 9,725
[1] As adjusted for the adoption of ASC 606 using the full retrospective method
[2] As adjusted for the adoption of ASC 606 using the full retrospective method
[3] As adjusted for the adoption of ASC 606 using the full retrospective method.
[4] As adjusted for the adoption of ASC 606 using the full retrospective method.